Billing Manager

Company DescriptionThe Cass Family Clinic is a Federally Qualified Health Center (FQHC) dedicated to providing comprehensive healthcare services to over 14,000 patients in Cass and Berrien Counties. Located in Cassopolis, Niles, and Dowagiac, Michigan, the clinics offer primary care, dental health, behavioral health, and pharmacy services to address the diverse needs of the community. With a focus on accessibility and quality care, the clinic strives to improve the health and well-being of individuals and families in the region.Job Summary: Reporting to the Chief Financial Officer, this position directs the day-to-day operation of the Billing department and manages the accounts receivable function of the agency. Responsible for the verification, authorization, billing, submission, and recovery of all claims from all payers. Responsible for creating and maintaining quality in the areas of coding, data entry, credentialing, and practice management system setup. Directs the registration process, standard coding practices, and collection process to maximize reimbursement for services. Promotes the mission and philosophy of providing quality health care and related services to the medically underserved. Upholds and ensures compliance with and attention to all corporate policies and procedures, as well as the mission and values of the organization.Primary Responsibilities:Ensures all actions, job performance, personal conduct, and communications represent the organization in a highly professional manner at all times.Maintains a commitment to the achievement of quality health care services by maintaining patient rights, safety, privacy, confidentiality,y and excellent customer service philosophy. Assists with data analytics of the patient and/or financial data in both the Epic and Denticon systems. Reviews and provides input on process improvement ideas for the revenue cycle to optimize efficiencies. 5. Continues to gain knowledge of all electronic data systems, to ensure that reporting is being done efficiently and accurately.Prepares documents and reports for internal and external audits, including the Medicaid and Medicare cost report reconciliation. Creates and prepares timely reporting to communicate the status of accounts receivable and the billing function to management. Oversees the year-end effort to purge department files for storage and destruction. Performs other duties as assigned.Job Requirements: Education:• Associate’s degree in Business or Healthcare Administration, Bachelor’s preferredExperience: • Minimum 5 years of knowledge of insurance and medical terminology, ICD10, CPT, HCPCS, medical terminology, insurance claims and billing, appeals and denials, fraud and abuse, HIPAA, OIG compliance, information and web technology, and federal and state laws governing medical billing compliance. Recent continuing education attendance in the above areas is highly desired.• 3 years of supervisorial experience, preferably in a non-profit setting.Skills: • Basic data entry skills, basic typing, filing, and organizational skills.• Ability to handle workload in a stress-filled environment without producing errors.Certificate/License: • Medical Coding Certification, preferred