Billing Manager I - Eastern Virginia Medical School

Oversee the department’s billing and collection operation encompassing medical coding, charge submission, review of denials, bad debt, accounts receivable follow up, reimbursement management, staff and provider education.

• Function as the department’s expert and go to person for all coding, compliance and billing processes information, and education
• Responsible for oversight and direct management of the day-to-day operations of charge capture, coding and revenue cycle for selected practices
• Responsible for accurate, timely and compliant billing practices
• Analyze billing data and reports for accuracy and completeness of claims filed
• Act as central point of contact for EVMS Medical Group billing office
• Oversee and monitor the department’s claim follow up process
• Work closely with Office Managers reviewing front desk operations and collection of insurance and demographic information to ensure accurate billing information
• Prepare and analyze billing trend reports in concert with the Department Administrator and Chairman
• Develop, implement, and review departmental billing policies and procedures
• Collect and compile accurate billing statistical reports
• Ensure billing operations compliance with EVMS medical group, Federal, State, and payer regulations, guidelines, and requirements
• Research all billing and collection aspects of new service lines
• Remain up to date with carrier rule changes; educating and distributing the information to staff and providers.
• Actively represent the Division of Maternal-Fetal Medicine with the coding branch of the Society of Maternal-Fetal Medicine
• Present monthly billing, coding, and compliance educational didactics to the physicians, advanced health care practitioners, allied health professionals and staff
• Administers the recruitment, selection, assignment and training of support staff. Responsible for all matters relating to employees’ evaluations, transfers, promotions, discipline, terminations and resignations for the billing team personnel.    
• Delegates and supervises billing team personnel
• Generate and review monthly reports from EVMS Medical Group to ensure all charges have been entered and are accurate.
• Review Missing Charges Report each month and process error corrections as necessary.
• Review OB Charges report each month for all inpatient and delivery services and process error corrections as necessary.
• Review L&D patient list from Sentara daily to ensure all charges have been submitted.
• Review all inpatient ultrasound reports monthly to ensure charges are submitted accurately.
• Review billing task boxes and denials daily.
• Performs other duties as assigned

Bachelor’s degree or equivalent years of experience required. Certified Professional Coder certification required and maintained from a nationally recognized organization.

Three (3) years of relevant experience. Management level experience in a hospital or medical group setting with skills in academic multi-specialty billing and coding required. Must be proficient with MS Outlook. Must be skilled in the use of MS Word and Excel. Familiarity with MS PowerPoint highly desired.