Medical billing managers are responsible for the daily activities of the billing office for an organization. They typically oversee a team of employees that perform the medical billing for doctor’s offices and other medical-related institutions.
A medical billing department is required to ensure that patients are eligible for services, and they apply the appropriate charges to their insurance or personal billing account. They monitor payments of medical bills, transmit electronic claims, and deal directly with insurance companies.
Medical billing managers may negotiate contracts with payers and ensure that they are abiding by those contracts. They oversee their staff in collecting payments for deductibles, office co-pays, and co-insurance. They may also schedule financial counseling with patients who are looking at large medical bills. Medical billing managers run reports monthly to ensure that the accounts are balanced. They also ensure that the appropriate billing codes are being used for patients and their doctor’s visits.
Medical billing managers may have weekly or monthly meetings to keep up to date with the newest information and contracts. The medical billing managers may also ensure that new employees are fully and properly trained before they start working directly with patients, physician offices, and insurance companies. If any patients have denials of specific bills, these disputes typically go to the medical billing managers for review. They are in charge of escalated customer disputes and are expected to resolve them.
Many organizations require a bachelor's degree in business or a related field, managerial experience, and an in-depth knowledge of medical coding and/or billing.
Medical Billing Manager Tasks
Manage the selection, training and development of the billing department staff.
Oversee the day-to-day operations of the billing department to ensure accuracy, chart coding and billing processes.
Monitor budget and utilize operational resources, participate in billing, collection process improvement to maximize reimbursement.