Billing Manager - Shore Orthopaedic Group - Tinton Falls, NJ
(1995-10)
Performs all billing functions for a multi-specialty practice
- Ensured that all claims are charged promptly and submitted accurately
- Maintains accuracy for all CPT and ICD-10 coding, billing and collections
- Prepare and review motor vehicle appeals with knowledge of pip arbitration process
- Oversees all coding and billing and posting for Orthopedic, Pain Management and Durable medical equipment
- Identify and resolve insurance claims and client issues
- Skilled in contract negotiations with insurance carriers
- Supervises all patient statements and aging reports
- Reconcile delinquent claims and patient balances and denied explanation of benefits
- Responsible for patient education regarding in and out of network benefits ( including deductible, co-payments and co-insurance amounts)
- Ensure all claims pay accurately and according to fee schedule or contract
- Monitor all accounts payable information daily deposits and physician reports
- Oversee all hiring and training and supervising of billing staff
- Maintain all education and updates for billing compliance
- Demonstrate leadership skills, including ability to develop and execute projects
- Practice HIPPA and OSHA compliance
- Strong Organizational skills and work ethics
