Director of Billing & Collections (FQHC)
Company: Marin Community Clinics
Location: Novato
Posted on: May 8, 2022
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Job Description:
Overview:
At Marin Community Clinics we are a family helping other families
in the community and we are always striving to be better for the
people and the community we serve. As a Federally Qualified Health
Center, we serve patients from all walks of life. No one is turned
away and charges are based on each individuals ability to pay.The
Director of Patient Accounts (Billing/Collections) is responsible
for billing and collections for all medical and dental clinics of
Federally Qualified Health Center (FQHC). Supervises billing and
collections staff of 16-18 employees to assure that all assigned
tasks are completed timely and accurately. Consistently meets
established productivity, schedules adherence and quality
standards; proactively seeks to further develop billing process
competencies; and assists in implementation of process
improvements. This position will report to the Chief Financial
Officer.All employees are required to be fully vaccinated for
COVID-19 and boosted as a condition of employment, subject to
limited exemptions. New Employees are required to provide proof of
being fully vaccinated for COVID-19 before the first day of
employment. Exemptions to this requirement will be considered for
those requesting an exemption on medical, disability, or religious
grounds.
Responsibilities:
Directs overall billing and collections activities in accordance
with current applicable standards, guidelines, and
regulations.Serves as subject matter expert in FQHC billing,
coding, and reimbursement.Interacts with billing and collections
team on a day-to-day basis to improve performance and achieve
department goals.Develops and maintains policies pertaining to
insurance, patient billing, cash posting and collection
practices.Directs processing of accounts receivable,
adjustments/refunds, cash deposits, and postings.Oversees all month
end processes, including completion of data entry, review and
correction of edits, and reconciliation of claims transactions.
Ensures systems and controls are in place as outlined in policy and
procedure manuals. Manages all claim submissions to Medicare,
Medi-Cal, Partnership Health Plan and other third-party insurances
through clearing house payment services.Provides training and
guidance to clinical and support staff to assure that all charges
are entered correctly before submission to the NextGen and Dentrix
practice management systems.Monitors, identifies, and fixes system
set up issues in NextGen and Dentrix.Monitors and updates as needed
the provider and payer billing profiles, encounters rate billing
libraries, tasking and queue set ups, automatic write-off
processes, annual CPT library updates, service item library, NDC
library updates, contracts library, remittance profiles, and
reasons codes set up.Monitors clearinghouse activity and identify
and fix any errors in claims.Maintains credentials for all
providers with insurance. Participates in the annual completion of
the UDS and OSHPD reporting in conjunction with the CIO and
CFO.Assists CFO in completion of annual Medicare cost and Medi-Cal
reconciliation reports.Provides reporting and documentation for
internal and external auditors. Produces and analyzes the Aged
Accounts Receivable on a monthly basisOther duties as assigned.
Qualifications:
Bachelors degree in finance or related health-care field.Prior
experience with a computerized patient billing systems such as
NextGen and Dentrix.Prior experience in health care billing,
including Medicare and Medi-Cal reimbursements.5+ years of
experience in FQHC (community health) desirable.Prior experience
managing and leading a team of medical billers (Patient Account
Representatives).Strong communicatingability. Strong organizations
skills with abilityto follow through on projects.Strong problem
solving and critical thinking abilities.Benefits:Our benefits
program is designed to protect your health, family and way of life.
We offer a competitive Benefits Program that includes affordable
health insurance and Health Reimbursement Accounts (HRA), Dental
and Vision Insurance, Educational and Continuing Education
Benefits, Student Loan Repayment and Loan Forgiveness, Retirement
Plan, Group Life and AD Insurance, Short term and Long Term
Disability benefits, Professional Fee Reimbursement, Mileage and
Cell Phone Reimbursement, Scrubs Reimbursement, Loupes
Reimbursement, Employee Assistance Programs, Paid Holidays,
Personal Days of Celebration, Paid time off, and Extended Illness
Benefits.MCC is an equal opportunity employer. We enthusiastically
accept our responsibility to make employment decisions without
regard to race, religious creed, color, age, sex, sexual
orientation, gender identity, national origin, religion, marital
status, medical condition, disability, military service, pregnancy,
childbirth and related medical conditions, or any other
classification protected by federal, state, and local laws and
ordinances.
Keywords: Marin Community Clinics, Novato , Director of Billing & Collections (FQHC), Executive , Novato, California
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