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Employment Type:
Full time
Job Category:
Health Care Provider
Health Care & Medicine
Billing Manager
(This job is no longer available)
UCLA Health | Venice, CA
Grad Date

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Job Description

Job Duties
Under the supervision of the Revenue Cycle Director, the Billing Manager will supervise billing staff and organize daily activities for the billing department, encompassing medical coding, charge entry, claim submission, payment posting, accounts receivable follow-up, and reimbursement. General supervision from Revenue Cycle Director while working independently. Oversee billing office personnel, which includes work allocation, training, and problem resolution. Assess productivity and effectiveness of the department on a daily basis, developing and implementing policies and procedures, assigning responsibilities, creating the department's work flow chart, distributing projects, and monitoring efficiency. Hold individual meetings and monthly department meetings. Perform monthly audits to reconcile payments posted by each billing staff. Perform annual performance evaluations, setting goals, and monitoring progress. Monitor and report account volumes, productivity, turnaround times, quality measures and other related metrics. In collaboration with the MSO 2 (Director of Revenue Cycle), assist the Director with interview, hire and orient new billing staff. Maintain and update clinic's billing policies and procedures manual and distributing billing updates to the team. Train staff on new billing policies and procedures and reinforcing existing policies. Oversee billing department, including but not limited to claim submission, payer reconciliation, unbilled claims and payer denials. Daily resolution of electronic billing errors. Follow up on the electronic transmission to ensure correct submission. Resubmit claims/batches when required. Review the Aged and Summary billed reports and assure that appropriate follow-up of outstanding balances occurs. Follow HIPAA guidelines and maintaining confidentiality of patients, providers, and employees' records Develop and implement strategies to achieve revenue improvements. Lead multi-disciplinary work groups to capture revenue by applying process improvement techniques. Develop trusted partnerships with key executives (manager and directors) in revenue cycle, clinical operations and accounting, and work with them to achieve targets and identify new opportunities. Advise key executives by providing insight on current challenges and new ideas or innovations to achieve results. Provide support and assistance to the credentialing liaison related to provider enrollment, site certification and billing issues. Participate in ongoing clinical projects related to billing. Provide feedback to management and billing team on new and ongoing projects, for example new database assessment, review, setup, testing, and analysis. Participate in Coordinating Team/Large Management meetings, offering suggestions related to operational improvement, scheduling, coding, HIPAA and compliance issues.Providing administrative support to the Accounting Department. Participate in audits, including preparation and review of requested audit schedules, reports and documentation. Train and supervise billing staff. Recruit and maintain a qualified office staff to meet the needs of the department. Assure adequate coverage during staff absences to guarantee minimal disruption of billing services activities. Make recommendations to the Revenue Cycle Director regarding staff merit increases and considering formal evaluation procedures and financial implications. Maintain compliance with University billing______ policies and procedures. Demonstrate a leadership style that promotes enthusiasm and dedication to the facility and it's administration. Other duties as assigned within Venice Family Clinic.

Job Qualifications
Bachelors' or Associates Degree in Business Administration, Health Care Administration, Finance or Accounting or equivalent experience. 5 years' experience supervising billing staff. FQHC Experience. Professional Coder Certification preferred. Ability to interpret, analyze, evaluate data, and to conduct research. Ability to prioritize, focus, set, and accomplish goals. Ability to analyze problems and formulate plans, solutions and course of action. Strong managerial and leadership skills. Ability and judgment to handle confidential and sensitive information with discretion and tact. Proficiency in understanding and applying methods, techniques and skills required to perform job. Knowledge of medical coding, billing, follow up, and collection process. Knowledge of third party payers, State and Federal Programs. Ability to work independently. Knowledge of NextGen and medical records information system. Proficiency using a PC and various software applications (i.e. Word, Excel, Microsoft and Outlook). Knowledge of medical terminology, CPT (Current Procedural Terminology) and ICD10. Ability to establish and maintain effective working relationships with administrators, physicians, and peers. Ability to develop and implement strategies for efficient workflow. Ability to develop, analyze, implement, and monitor productivity levels and quality improvement strategies. Work experience in handling cash, checks, and donations. Excellent communications skills, verbal and written. Punctuality, dependability, and reliability.

About UCLA Health

For more than half a century, UCLA Health  has provided the best in healthcare and the latest in medical technology to thepeople of Los Angeles and throughout the world. Today we are one of the most comprehensive and advanced healthcare systems in existence. We are comprised of Ronald Reagan UCLA Medical Center, UCLA Medical Center, Santa Monica, Resnick Neuropsychiatric Hospital at UCLA, Mattel Children’s Hospital UCLA, and the UCLA Medical Group, with offices throughout the region.

Ronald Reagan UCLA Medical Center is consistently ranked by U.S.News & World Report as one of the top five hospitals in the nation and the best medical center in the western United States. The doctors, scientists and caregivers of UCLA are leaders in their fields. Every day, they perform pioneering work across an astounding range of disciplines, from organ transplantation and cardiac surgery to neurosurgery and cancer treatment. Year after year, our people have achieved medical breakthroughs and earned the highest industry honors. And we’re just getting started.

The dedicated professionals of UCLA Health are committed to healing humankind, one patient at a time, by improving health, alleviating suffering, and delivering acts of kindness on a daily basis.