Billing Systems Manager jobs in Wilmington, NC

Billing Systems Manager manages the daily operations of the billing system. Ensures the operations and associated procedures of billing systems are efficient and effective for billing delivery. Being a Billing Systems Manager develops and implements new billing solutions to improve departmental efficiency and accuracy. Helps develop strategies for system integration of future technology. Additionally, Billing Systems Manager may require a bachelor's degree. Typically reports to a head of a unit/department. The Billing Systems Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Billing Systems Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

Recently Added Billing Systems Manager jobs

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Billing Manager (FT)
  • MedNorth Health Center
  • Wilmington, NC FULL_TIME
  • Summary:  The Billing Manager is responsible for supervising the day-to-day activities of the Billing Specialists to ensure that all information for proper billing is complete and accurate; monitors daily work on each staff member. Ensures that all functions performed by staff conform to policies and procedures. 

    The position is responsible for managing, directing and monitoring billing and reimbursement activities on all services including securing, maintaining and distributing the most current coding and payer information and implementing changes that supports timely and accurate filing and reimbursement. 

    Essential Duties and Responsibilities: 
    • Plans, supervises, and coordinates all activities of billing department areas. 
    • Establishes controls and reviews mechanisms for every procedure to ensure that systems and procedures are being followed correctly. 
    • Understands the considerations of coding in Value Based payment contracts 
    • Responsible for reviewing and implementing changes from payer bulletins 
    • Oversees the resolution of patient charge problems. 
    • Responds to all inquiries and correspondence from patient and insurance companies  
    • Coordinates the workflow and ensures deadlines are met. 
    • Schedules employees to work. Maintains attendance and evaluation reports on all staff.  
    • Ensures proper staffing in assigned area. 
    • Assists CFO with interviews and trains new personnel; evaluates work performance of subordinate personnel and recommends personnel actions such as merit increases and promotions to the CFO in the area of assignment; resolves disciplinary matters and counsels with staff as necessary. 
    • Assists with a variety of special projects. 
    • Closely monitors and evaluates staff performance through observation and daily performance reports. 
    • Makes appropriate recommendations to CFO. 
    • Solves complex billing issues for staff and with insurance carriers. 
    • Works with all third-party payers to establish an information highway for billing and follow-up on claims. 
    • Ensures that all electronic claim submission and electronic reimbursement issues are addressed by working with venders and/or information System. 
    • Maintains all billing profiles that prevent claims from final billing (transmitted or sent incorrectly). 
    • Stays current with changes in reimbursement regulations. Collaborates with management on company impact and changes needed in Billing. Notifies and trains staff of significant coding, patient intake and billing changes. 
    • Develops new coding policies, procedures, etc. Provides on-going training to clinicians and billing department staff. 
    • Ensures that information is sent on a timely basis and corrects critical errors to maintain denial of 3% or less. 
    • Establishes controls and reviews mechanism for every procedure to ensure that systems and procedures are being followed correctly. 
    • Provides technical advice and assistance as needed. 
    • Explains laws, policies, procedures, and regulations to employees and the public. 
    • Implements, enforces, and maintains established depart mental policies, procedures, and objectives. 
    • Reviews work and/or spot checks work for accuracy. 
    • Maintains required records, reports, and files for the area of responsibility. 
    • Compiles data, information, and/or statistical reports as required or requested by the designated department. 
    • Reviews performance in area of supervision in relation to established goals, assists in implementing changes to affect continual improvement in services provided, and assures compliance with regulatory and legal requirements 
    • Lead daily team huddles and other meetings, as applicable 
    • Report daily huddle summaries to directors; assist in leading meetings, as applicable 
    • Participate in weekly meetings with director, providing updates and operational reports, as applicable 
    • Adhere to the Mission and Values of MNHC 
    • Performs other duties as assigned. 
    Knowledge: 
    • Knowledge of healthcare revenue cycle 
    • Knowledge of CPT and ICD-9/10 coding 
    • Knowledge of insurance companies and their rules and allowables 
    • Knowledge of medical terminology 
    • Knowledge of HIPAA and other applicable state/federal requirements 
    • Knowledge of applicable state collection laws 
    • Knowledge of FQHC billing practices 
    Technology skills: 
    • Moderate to advanced computer skills including Word and Excel 
    • Internet navigation 
    • EMR/EHR software experience, experience with multiple EMR/EHR platforms required 
    • Ability to type 30 correct words per minute 
    • Ability to operate a personal computer, related software, and others standard office equipment 
    Education and Experience: 
    • Associates degree in business administration, accounting. bookkeeping, or secretarial science and three years of related experience in a medical business office dealing with account follow-up; or graduation from high school or GED and five years of experience including three years of experience in a medical business office dealing with billing and account follow-up 
    • At least one year of management, supervisory, or lead-worker experience; or an equivalent combination of related education and experience. 
    • Graduate from accredited billing school recommended. 
    • Bachelor's degree highly preferred. 
    • Certified Professional Coder (medical, dental and behavioral health) 
    Knowledge, Skills and Abilities: 
    • Billing Expertise 
    • Thorough knowledge of the electronic billing system and all billing related profiles on multiple EMR systems. 
    • Thorough knowledge of all third-party payer billing requirements. 
    • Thorough knowledge of rules and regulations regarding government-sponsored billing. 
    • Administration 
    • Considerable knowledge of bookkeeping principles and office practices and procedures. 
    • Considerable knowledge of rules, regulations, procedures, and work performed in the assigned area. 
    • Operations 
    • Ability to direct, plan, supervise, coordinate, and evaluate the work of subordinate personnel in an effective manner. 
    • Ability to effectively plan and organize workflow, activities, and scheduling to ensure efficient departmental operations. 
    • Ability to evaluate, improve, and make suggestions for improvement. 
    • Ability to prepare and maintain routine departmental records and reports. 
    • Ability to complete and evaluate forms relating to a patient's personal, financial, and medical history. 
    • Personnel Management 
    • Ability to plan, direct and coordinate the work of subordinate personnel in an effectively manner. 
    • Ability to supervise and train subordinate personnel. 
    • Communications 
    • Ability to express ideas clearly and concisely in oral and written form. 
    • Ability to speak clearly and distinctly and provide assistance to employees and the public in a pleasant and courteous manner. 
    • Ability to establish and maintain effective working relationships with departmental managers, administrative staff, other employees, patients, and the general public. 

    PHYSICAL DEMANDS: The physical demands described herein are representative of those that must be met by an employee to successfully perform the essential functions of this job.

    Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions.

    While performing the duties of this job, the employee is regularly required to stand, walk, talk, and hear, use hands to finger, handle or feel. The employee is occasionally required to stoop, kneel, crouch or crawl. The employee is frequently required to lift and/or move up to 20 pounds.

    The special vision requirements for this job are close vision (clear vision at 20 inches or less), color vision (ability to identify and distinguish colors).

    • Sitting for long periods of time
    • Move quickly when client or patient needs assistance 
    • Using keyboard 
    • Using telephone receiver 

    WORK ENVIRONMENT: The work environment characteristics described herein are representative of those an employee encounters while performing the essential functions for this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

    MedNorth Health Center provides comprehensive health care services, inside a multi-cultural medical/dental clinic, to all individuals; insured, uninsured, and underinsured. The building is heated in winter and air conditioned in the summer with noise levels of moderate to loud. We serve patients who speak multiple languages and who may need the assistance of an interpreter. In this position one may be subject to exposure to copier toner, correction fluid, bright fluorescent lighting, and continuous personal computer exposure.

    • Involves frequent telephone calls with patients. Line must be clear of personal business so patients can get through. 
    • Work may be stressful at times. Interaction with others is constant and interruptive.

    This job is a Blood borne Pathogen’s risk category III position.

    GENERAL EXPECTATIONS:
    • The employee is expected to attend work on a daily basis and to be at work on time.
    • The employee is expected to be a team player.
    • The employee is expected to report absences in accordance with personnel policies and procedures.
    • The employee’s work is expected to be accurate, neat, and thorough, and completed on time.
    • The employee is expected to have a positive attitude, be cooperative, and considerate of others.
    • The employee is expected to be dependable and is expected to accept responsibility for assignments and duties given.
    • The employee is expected to dress and act in a professional manner and to adhere to all safety standards.
    • The employee is expected to participate in staff meetings, be courteous and polite with patients and other staff.
    • The employee is expected to maintain confidentiality.

    *COVID-19 vaccination required* 

  • 9 Days Ago
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Residential Sales Manager
  • CPI Security Systems
  • Wilmington, NC FULL_TIME
  • We are looking for a Residential Sales Manager who is highly motivated, technically skilled, and customer-focused who wants to join a winning team in our Charleston, SC office. This individual will be...
  • 1 Day Ago
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Alternate Site Manager
  • Tech Systems, Inc
  • Havelock, NC FULL_TIME
  • 2. Job Title: Alternate Site Manager/Operations Manager Scope of Contract Work: The Alternate Site Manager/Operations Manager oversees warehouse and distribution operations in accordance with DLA Dist...
  • 26 Days Ago
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C
Accounting Sr. Manager, Accounting Systems
  • Capital One
  • Wilmington, NC FULL_TIME
  • Job DetailsWest Creek 3 (12073), United States of America, Richmond, Virginia Accounting Sr. Manager, Accounting Systems Does the idea of working with and leading professional, highly trained accounta...
  • 2 Days Ago
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Caregiver
  • Coastal Billing and Home Care Services, LLC - Delco, NC
  • Bolton, NC FULL_TIME
  • Coastal Billing and Home Care is looking for caregivers and CNAs with personal or professional experience providing care to others. Coastal Billing and Home Care is looking for compassionate, dedicate...
  • 24 Days Ago
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Regional Billing Specialist
  • Guardian Pharmacy, LLC
  • Pink Hill, NC FULL_TIME
  • Pink Hill, North Carolina, United States of America Southern Pharmacy Services is part of the Guardian Pharmacy Services network and prides itself on its customer service. Each team member plays an in...
  • 18 Days Ago
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0 Billing Systems Manager jobs found in Wilmington, NC area

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Remote Licensed Marriage and Family Therapist
  • Headway
  • Wilmington, NC
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM
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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Wilmington, NC
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM
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Remote Licensed Psychiatrist
  • Headway
  • Wilmington, NC
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM
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Remote Licensed Clinical Psychologist
  • Headway
  • Wilmington, NC
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM
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Remote Licensed Mental Health Therapist
  • Headway
  • Wilmington, NC
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM
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Collections Specialist
  • Summit BHC
  • Leland, NC
  • Collections Specialist | Summit Healthcare Mgmt | Leland, North Carolina About the Job: The Collections Specialist is re...
  • 4/24/2024 12:00:00 AM
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Remote Licensed Clinical Social Worker
  • Headway
  • Wilmington, NC
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/24/2024 12:00:00 AM
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Remote Licensed Mental Health Counselor
  • Headway
  • Wilmington, NC
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/24/2024 12:00:00 AM
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About Wilmington, North Carolina

Wilmington is a port city and the county seat of New Hanover County in coastal southeastern North Carolina, United States. With a population of 119,045 in 2017, it is the eighth most populous city in the state. Wilmington is the principal city of the Wilmington Metropolitan Statistical Area, a metropolitan area that includes New Hanover and Pender counties in southeastern North Carolina, which has a population of 263,429 as of the 2012 Census Estimate. Wilmington was settled by the English along the Cape Fear River. The city was named after Spencer Compton who was the Earl of Wilmington. Its ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Billing Systems Manager jobs
$111,027 to $151,497
Wilmington, North Carolina area prices
were up 1.5% from a year ago
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What does a Billing Systems Manager do?

Billing Systems Manager in Provo, UT
WebPT’s built-in alerts and required fields ensure that the data that transfers to your billing system is accurate—and that’s important for first-pass claim acceptance.
February 20, 2020
Billing Systems Manager in Stockton, CA
We have elicited the finest billing management software that will help you have an edge over others when it comes to money and transaction tracking.
February 10, 2020
Billing Systems Manager in Mobile, AL
Ensures Sarbanes Oxley compliance for Billing Processes.
January 01, 2020