Billing and Filing

Job Description
Reports to: General Manager or Practice Administrator

Responsibilities

Leadership and Supervision

Build out, oversee and manage the Billing and Filing Department.
Train, mentor, and evaluate billing and filing staff.
Delegate tasks and set deadlines for the team.
Conduct performance appraisals and implement corrective actions when needed.

Operational Management

Develop and implement best practices for billing and filing procedures.
Create, revise, and enforce Standard Operating Procedures (SOPs) related to billing and filing.
Coordinate workflow and resource allocation to meet departmental goals.
Liaise with cross-functional teams to streamline billing and filing processes.
Conduct risk assessments and quality audits to ensure compliance.

Core Billing and Filing Functions

File insurance for medical and vision.
Handle claim submission both electronically and on paper for Vision and Medical Insurance.
Process orders for glasses and contacts through respective insurances.
Final auditing of daily invoices to ensure accurate charges.
Manage insurance payment postings (vision and medical).
Oversee insurance check deposits.
Manage follow-ups and corrections for rejected medical claims.
Direct insurance appeals across all providers.
Coordinate benefits between medical and vision insurances to maximize reimbursement.
Stay abreast of industry regulations and changes in billing and filing for medical and vision.

Revenue Management

Manage accounts receivable, auditing for accuracy and ensuring optimal A/R levels.
Develop and execute strategies to increase revenue streams through billing and filing.
Customer Service and Communication
Manage patient inquiries about statements.
Facilitate regular staff training sessions to minimize billing and filing errors.
Produce training material, including documents, videos, and classes.
Use effective communication to provide updates, changes, and feedback to teaUpgrade to see actual infombers.

Metrics for Performance

A/R amounts at 30, 60, 90, 120+ days
A/R goal is to maintain under $100k total with zero at 120+ days
Write-off amounts relative to client goal
Team performance to goals and creating a high performing team.


Qualifications
Soft Skills

Strong leadership qualities
Excellent communication skills
Advanced computer proficiency, including spreadsheets and billing software
Ability to multitask effectively
Strategic problem-solving skills
Superior time management capabilities
Collaborative team player

Additional information
All your information will be kept confidential according to EEO guidelines.

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