Billing Manager

Coastal Women’s Healthcare   Billing Manager  Scarborough, ME    Coastal Women’s Healthcare is seeking a Billing Manager, to be based in their Scarborough, ME office. The Billing Manager offers a structured four‑day work week, providing employees with meaningful work–life balance while maintaining full‑time responsibilities.  Requirements of the Billing Manager:

Associate’s degree in business administration or related field, or 5+ years of healthcare experience (preferably in OB/GYN or Women’s Health). 

1+ years of previous management experience required. 

Certified medial biller preferred. Certified medical coder is a plus.  

Thorough understanding of medical billing, collections, and payment posting, revenue cycle, third-party payers, Medicare; strong knowledge of Maine and Federal payer regulations. 

Working knowledge of CPT, ICD-9, and ICD-10 codes, claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits, and appeal processes.  

Sufficient knowledge of policies and procedures to accurately answer questions from internal and external customers.  

Possess excellent negotiation skills, including the tact required for securing payment or discussing patients’ finances, and enjoy working in a health care setting.  

Up to date with health information technologies and applications 

Excellent organizational, analytical and problem-solving skills. 

Ability to manage multiple priorities in a fast-paced environment 

Ability to interpret payer contract and reimbursement policies. 

Proficiency in Microsoft Office and experience with electronic health record and practice management systems 

Ability to commute to the Scarborough, ME office four days a week. 

Benefits of the Job:

Pay in the range of $80,000 - $85,000, commensurate with experience 

Generous PTO and paid holidays 

Retirement with employer contribution 

Medical insurance with vision benefit coverage 

Dental insurance 

Flexible Spending Account 

Employee Assistance Program 

4-day work week 

Responsibilities of the Billing Manager:

Oversee the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, collections, and reimbursement management.  

Document and track billing denials. Develop an action plan to address the denials.  

Serve as the practice expert and go-to person for all coding and billing processes.  

Analyze billing and claims for accuracy and completeness; follow up with billers on work queues or pending claims.  

Review and approve billing refunds.  

Maintain contacts with other departments to obtain and analyze additional patient information to document and process billings.  

Work closely with providers and clinical staff to resolve coding and documentation issues. 

Prepare and analyze accounts receivable reports and insurance contracts with the Chief Financial Officer. Collect and compile accurate statistical reports.  

Audits current procedures to monitor and improve efficiency of billing according to the OIC Compliance Plan.  

Analyzes trends impacting charges, coding, collection, and accounts receivable, and takes appropriate action to realign staff and revise policies and procedures.  

Keep up to date with carrier rule changes and distribute the information within the practice.  

Perform physician credentialing actions.  

Maintain a library of information/tools related to documentation guidelines and coding.  

Attend webinars and seminars to stay updated on insurance changes. 

Develop and maintain billing policies, procedures and workflows. 

Ensure compliance with federal, state and payer-specific regulations. 

Oversee the effective use and ongoing maintenance of the practice management system within the EHR