Medical Billing Manager
Cambridge, Massachusetts 02138
Medical Billing ManagerUniversity Health Services
Under the general supervision of the Director of Revenue Cycle Management, manage the daily operations of patient billing including accurate claims submission, accounts receivable follow-up, payment posting, EOB and COB processing, credit balance refunds, bad debt, collections, and patient estimates for healthcare visits. Manage 3 medical billing staff members and is responsible for training, coaching, helping, and sharing knowledge with all staff to help ensure the department and HUHS meet its financial and operational goals and objectives.
DUTIES AND RESPONSIBILITIES:
- Under the general supervision of the Director of Revenue Cycle Management, manages the daily operations of patient billing including accurate claims submission, accounts receivable follow-up, payment posting, EOB and COB processing, credit balance refunds, bad debt, collections, price estimates for healthcare visits, and other activities related to billing.
- Manage 3 medical billing specialists, including providing direction and support to ensure that patient billing effectively and efficiently meets the financial and operational goals and objectives of the department and HUHS.
- Manager projects that will enhance or support the billing processes for overall effectiveness and helps staff reduce the number of days in accounts, days in A/R, denial rates, and uncollected patient balances.
- Coordinates the daily activities in the department, ensuring that they are executed in a timely manner and in accordance with organizational/departmental/third-party payers' payment policies.
- Coaches staff to understand third-party payers' billing and coding rules to detect potential claim errors, as well as systems' functionality.
- Coordinates phone line coverage schedule and covers the phone lines. Oversees incoming calls to ensure excellent customer service and handles incoming calls on patient billing which other staff cannot resolve.
- Keeps the Director updated on all operational issues that arise and involves the Director when clarification is needed. With direction, resolves most problems and/or recommends solutions to operational/departmental issues.
- Keeps the Director informed of billing activities progress and assists the Director in ensuring the department meets the financial and operational objectives of HUHS.
- Runs and analyzes reports and provides feedback and recommendations to the Director.
- Assists the Director to ensure continuity of systems and implements new workflows, operational policies, and procedures in the department.
- Assists the Director in communicating with departments, billing vendor, and third-party payers to ensure patient billing effectiveness and efficiency.
- Assists the Director in interviewing and hiring new staff and provides training and coaching to new staff.
- Performs all job functions in compliance with applicable federal, state, local, and organizational policies, and procedures.
- Works on special projects as needed.
- Adheres to the expectations and professional responsibilities of the department.
- Employs the standards, practices, and procedures of the department.
- Completes and complies with HUHS training requirements including HIPAA Privacy and Security.
- Reports non-compliance incidents to the supervisor, manager, and/or Compliance Officer.
High school graduate or equivalent and 7 years' medical billing experience, including 3 years of supervisory experience in medical billing. Solid knowledge of CPT, ICD-10, and HCPCS coding, billing systems (Athenahealth preferred) and other EHR software, and intermediate level knowledge of MS Excel and Word. Ability to interpret, explain, and implement third-party payer and Medicare billing policies.
Additional Qualifications and Skills
:"Self-motivated with the ability to work both independently and as a collaborative team member. Enjoys a fast-paced environment and is flexible, energetic, and diplomatic. Proven ability to effectively handle competing priorities and multiple task, take initiative, and troubleshoot. Strong attention to detail and a commitment to delivery of quality customer service. Excellent interpersonal, organizational, and communication skills.
All Harvard University Health Services (HUHS) staff and staff affiliates are considered Health Care Workers and as a condition of employment must provide documentation of the following:
- Letter of good health from your personal health care provider.
- TB skin test (within past 3 months) or, if known skin test positive, documentation of previous chest x-ray, information about any past treatment.
- Documentation of immunity (positive antibody titers) for Measles, Mumps, Rubella and Varicella.
- Proof of appropriate past immunization for Measles, Mumps, Rubella and Varicella.
- Hepatitis B vaccine series - required for staff with possible exposure to blood or blood borne pathogens.
- A current Flu vaccine (this season) and Covid vaccines to include the Primary series and Bivalent Booster.
The required medical documentation/medical clearances can often be obtained by contacting your Pediatrician, PCP, medical provider. Titers, TB Skin testing can be performed by appointment at Occupational Health facilities.
HUHS continues to place the highest priority on the health, safety and wellbeing of its faculty, staff and students, as well as the wider community. Being up to date with COVID vaccination, annual flu vaccination and other required medical vaccinations and documentation are required as a condition of employment at HUHS. You may claim exemption from the vaccine requirements for medical or religious reasons.
- Harvard University requires a pre-employment reference and background screening.
- Harvard University is unable to provide work authorization and/or visa sponsorship.
- This position has a 90-day orientation and review period.
We invite you to visit Harvard's Total Rewards website (https://hr.harvard.edu/totalrewards) to learn more about our outstanding benefits package, which may include:
- Paid Time Off: 3-4 weeks of accrued vacation time per year (3 weeks for support staff and 4 weeks for administrative/professional staff), 12 accrued sick days per year, 12.5 holidays plus a Winter Recess in December/January, 3 personal days per year (prorated based on date of hire), and up to 12 weeks of paid leave for new parents who are primary care givers.
- Health and Welfare: Comprehensive medical, dental, and vision benefits, disability and life insurance programs, along with voluntary benefits. Most coverage begins as of your start date.
- Work/Life and Wellness: Child and elder/adult care resources including on campus childcare centers, Employee Assistance Program, and wellness programs related to stress management, nutrition, meditation, and more.
- Retirement: University-funded retirement plan with contributions from 5% to 15% of eligible compensation, based on age and earnings with full vesting after 3 years of service.
- Tuition Assistance Program: Competitive program including $40 per class at the Harvard Extension School and reduced tuition through other participating Harvard graduate schools.
- Tuition Reimbursement: Program that provides 75% to 90% reimbursement up to $5,250 per calendar year for eligible courses taken at other accredited institutions.
- Professional Development: Programs and classes at little or no cost, including through the Harvard Center for Workplace Development and LinkedIn Learning.
- Commuting and Transportation: Various commuter options handled through the Parking Office, including discounted parking, half-priced public transportation passes and pre-tax transit passes, biking benefits, and more.
- Harvard Facilities Access, Discounts and Perks: Access to Harvard athletic and fitness facilities, libraries, campus events, credit union, and more, as well as discounts to various types of services (legal, financial, etc.) and cultural and leisure activities throughout metro-Boston.
Commitment to Equity, Diversity, Inclusion, and Belonging
Harvard University Health Services is committed to fostering a diverse, inclusive, and equitable workplace in which all employees feel valued and have a sense of belonging. These principles are integral to our work and are at the core of who we are. We actively seek applicants with demonstrated commitment and/or experience promoting and fostering a working and learning environment that is supportive of individuals from diverse backgrounds. We welcome, respect, and embrace individuals from varied backgrounds, cultures, races, identities, life experiences, perspectives, abilities, beliefs, and values.
USA - MA - Cambridge
00 - Non Union, Exempt or Temporary
This 40-hour schedule is to be determined.
Department Office Location
USA - MA - Cambridge
Hybrid (partially on-site, partially remote)
Commitment to Equity, Diversity, Inclusion, and Belonging
Harvard University views equity, diversity, inclusion, and belonging as the pathway to achieving inclusive excellence and fostering a campus culture where everyone can thrive. We strive to create a community that draws upon the widest possible pool of talent to unify excellence and diversity while fully embracing individuals from varied backgrounds, cultures, races, identities, life experiences, perspectives, beliefs, and values.
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, gender identity, sexual orientation, pregnancy and pregnancy-related conditions, or any other characteristic protected by law.
Employment/Position Type:Full Time
Date Posted : 11/03/2023
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