Physician Practice Operations Manager manages and coordinates administrative and clinical services for one or more physician office sites. Establishes work procedures and standards to improve efficiency and effectiveness. Being a Physician Practice Operations Manager supervises medical, nursing, and clerical staff to ensure quality patient care. Prepares periodic practice metrics and statistics. Additionally, Physician Practice Operations Manager may require a bachelor's degree. Typically reports to top management. The Physician Practice Operations Manager typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a Physician Practice Operations Manager typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)
Duties:
- Review and analyze medical records to ensure accurate coding and billing
- Assign appropriate diagnosis codes (ICD-10) and procedure codes (CPT)
- Verify patient information and insurance coverage for billing purposes
- Submit claims to insurance companies and follow up on any denials or rejections
- Communicate with insurance companies to resolve billing issues on unpaid claims
- Maintain patient confidentiality and adhere to HIPAA regulations
- Stay updated on changes in coding guidelines and regulations
Qualifications:
- High school diploma or equivalent required; associate's degree in medical billing or related field preferred
- Certification in medical billing and coding (such as CPC or CCS) strongly preferred
- Proficiency in ICD-10 and CPT coding systems
- Knowledge of medical terminology, anatomy, and physiology
- Familiarity with insurance guidelines and reimbursement processes
- Strong attention to detail and accuracy in coding and billing procedures
- Excellent communication skills, both written and verbal
- Ability to work independently and meet deadlines
Please note that this is a general overview of the duties and qualifications for the Medical Biller position. Additional responsibilities may be assigned based on the needs of the practice.
**Only candidates with previous medical office billing and collections experience will be considered**
Job Type: Full-time
Pay: From $20.00 per hour
Expected hours: 40 per week
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Work Location: In person
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