06/28/2022
Billing/Coding Manager (This position is primarily remote but does require occasional meetings in central Oregon)
Seeking a collaborative, independent, and organized Billing/Coding Manager to assume a crucial role in developing the Billing/Coding Services program for Central Oregon Independent Practice Association (COIPA) member clinics as well as non-member clinics. Our successful candidate will have experience in multiple electronic medical record (EMR) and clearinghouse applications. The Billing/Coding Manager will be working in partnership with clinics, health plans, and COIPA staff to successfully develop the Billing/Coding Services program.
Success Factor 1: Spearhead program development by:
Working with COIPA staff and/or consultant to develop billing and coding department policies and procedures.
Acting as point person for questions/issues within billing software and working closely with the software team to resolve them.
Implement a pilot program with candidate clinics.
Developing relationships with clinic support staff and health care providers.
Developing relationships with insurance staff for various health plans.
Success Factor 2: Develop and implement general billing/coding processes by:
Maintaining the highest level of expertise and knowledge on all current billing best practices regarding policies and processes.
Becoming expert on the billing software to process claims, review charges for accuracy and completeness prior to claim submission, and submitting claims through various and appropriate methods.
Performing insurance verifications and obtaining pre-authorizations when needed.
Complying with all legal requirements regarding coding procedures and practices as well as performing audits and coding reviews to ensure all documentation is accurate and precise.
Communicating with healthcare providers to verify treatments or diagnostic tests with regard to coding procedures and assigning and sequencing all codes for services rendered.
Communicating with insurance companies about coding errors and disputes.
Success Factor 3: Improve clinic revenue streams by:
Processing insurance payments when received via Explanation of Benefits notifications and electronic imports.
Following collections protocols as outlined by various facilities.
Following up on denied claims immediately and resubmitting charges immediately where applicable.
Documenting reasons for denied claims and resulting action plans.
Reconciling payments, charges, write-offs, and/or adjustments.
Providing education to healthcare providers and support staff on payment processes: co-pays, deductibles, services not covered, etc.
Minimum Qualifications:
Associates Degree or Billing Certificate Required.
At least 3 years of medical billing experience.
Preferred Qualifications:
Experience with various EMR applications.
Experience with various clearinghouse platforms.
At COIPA, we celebrate diversity and support equity and inclusivity for the benefit of our business, our employees, and our community. COIPA is proud to be an equal opportunity and affirmative action employer.
To Apply - Please send your resume and CV to Angela Sanford at [Email hidden]
