Medical Billing Manager

Medical Billing Manager

Westwood-Mansfield Pediatrics

Westwood, MA

Hours – Monday through Friday, 8:30 am to 5:00 pm

Salary range beginning at $100K+, commensurate with experience

Westwood-Mansfield Pediatrics is looking for a skilled Medical Billing Manager to oversee the operations of our business office and billing department. The Medical Billing Manager will optimize cash flow and ensure efficient claims processing and collections while leading our team of medical billing associates.

Medical Billing Manager Job Qualifications

Bachelor's degree in business administration or related field, preferred; medical coding certification a plus

Minimum ten years’ experience in a medical billing/business office including five years as a department manager in a business office department setting

Strong understanding of insurance billing and patient account policies and procedures

Business management and basic accounting principles skills

Knowledge of medical billing programs, spreadsheets, and applications; EPIC Resolute billing experience preferred

Understanding of medical terminology, medical coding, and office procedures

Experience with third-party and insurance company operating procedures, regulations and billing requirements and government reimbursement programs

Broad-based knowledge of relevant insurance regulations and familiarity with the Health Insurance Portability and Accountability Act

Knowledge of insurance credentialing processes for billing providers

Ability to establish and maintain effective working relationships with other employees, patients, organizations, and the public

Team player; ability to work collaboratively with other department managers

Strong verbal and written communication skills

Strong attention to detail and problem-solving skills

Ability to conceptualize workflow, develop plans, and implement appropriate actions

Skilled at maintaining confidentiality of sensitive information

Why you should apply:

Competitive total rewards package including competitive pay and discretionary bonus

Comprehensive medical, dental, and vision coverage, plus FSA and HSA options

Employer-paid life insurance, as well as voluntary benefits for accident coverage, cancer protection, hospitalization, and pet insurance!

Medical Billing Manager Job Responsibilities

Oversee registration, insurance processing, billing, collections, and data processing

Manage business office operations within budget, including annual planning and monthly reporting

Review patient accounts to identify and resolve billing and processing issues

Develop and implement systems for collecting delinquent accounts

Recommend and refine credit and collection policies

Audit complex accounts and resolve payment discrepancies

Maintain contact with medical records and other departments to obtain and analyze patient information for accurate billing

Establish procedures to enhance work quality, efficiency, and policy adherence

Ensure business systems are optimized; collaborate with IT for seamless implementation

Assist in developing, implementing, and administering annual capital budget; initiate corrective action to significant variances

Supervise, train, orient, and evaluate staff performance; recommend merit increases, promotions, and disciplinary actions

Monitor daily department operations and make necessary adjustments

Prepare reports, correspondence, and maintain organized files

Stay informed on policies, regulations, and industry standards, ensuring full compliance with government and insurance requirements

Attend administrative meetings, contribute to committees, and oversee special projects

Facilitate professional development opportunities and maintain relevant affiliations

Maintain confidentiality regarding patient account information and sensitive financial data

About Company Summary

Westwood Mansfield Pediatrics has been a bedrock of the community since we began seeing patients in 1957. While we have grown since our early days, our guiding mission promising innovation, compassion, and excellence has remained. We strive to be an innovative practice and continually seek new ways to provide pediatric care and education. We strive to be a compassionate practice that focuses on the unique needs and challenges of patients and their families. We strive to be an excellent practice and are constantly looking for ways to improve the quality of healthcare we deliver.

As members of the Boston Children’s Pediatric Alliance, we have beneficial access and collaborations with the top-rated specialists at Boston Children’s Hospital. In addition, we have been recognized over the years for our achievements in quality improvement, well baby care, physician communication and healthcare promotion.

Westwood-Mansfield Pediatrics is an equal opportunity employer, dedicated to building an inclusive and diverse workforce.

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