The Commercial Billing Manager oversees the day-to-day operations of the Commercial Billing and Collections staff as well as the Self Pay Account Receivable Specialists.

Essential Duties

• Coordinate educational opportunities within the department.
• Develop, implement and evaluate existing policies and procedures in the database.
• Work with Epic Certified Trainer to develop tip sheets and visios.
• Evaluate outstanding A/R via ATBs, Dashboards, WQ Monitoring, and various reports and works to align the team with designated key performance indicators to achieve goals on a monthly, quarterly and annual basis.
• Identify and communicate system issues related to billing, collections, statements, payment plans, dialer files, follow up work queues, bad debt and other identified miscellaneous issues with the Epic Coordinators and PFS Director.
• Submit help tickets and work with Epic Application Coordinators and/or Analytics to resolve issues, including testing and training as necessary.
• Liaison for Medical Reimbursements of America (MRA).
• Maintain attendance at Managed Care In-services, onsite meetings and conference calls with Insurance Provider Representatives.
• Provide feedback of insurance trends to the Denials and Contract Management Manager.
• Organizes and monitors the productivity and quality of assigned staff. Create and implement metrics for productivity and quality, maximizing staff's efficiency and issues resolution
• Oversee and manage staff related to Commercial/Blue Cross/3rd Party billing and collections, and Self Pay collections.
• Perform duties related to Kronos.
• Prepares documents required by payors, internal and external auditors.
• Regular rounding with staff.

Required Experience:

• Excellent guest relation skills, including verbal and written
• Ability to work independently
• Experience using Microsoft Office Word and Excel is required.
• PC and Keyboarding Skills (30+ WPM preferred)

Preferred Experience:

• Three plus (3+) years' experience in a management/supervisor role, preferred.
• EPIC experience preferred.
• Previous Collections or Insurance experience within last 3 years, preferred.
• ICD10/CPT Medical terminology preferred
• Two years hospital patient accounting experience, preferred

Preferred Education

• Bachelor's degree in Business, Accounting or Healthcare-related field, preferred.

Employee Health Requirements

Exposure/Sensory Requirements:

• Exposure to: 
• Chemicals: N/A 
• Video Display Terminals: Average 
• Blood and Body Fluids: None 
• TB or Airborne Pathogens: None. 

Sensory requirements (speech, vision, smell, hearing, touch):

• Speech: Training/presentations, telephone communication, facilitating meetings. 
• Vision: Read computer screens and printouts, memos, communications, documentation, and literature. 
• Smell: Sensitivity and recognition of odors derived from various cleaning processes, odors generated from malfunctioning equipment. 
• Hearing: Telephone communications, meetings, and equipment operating characteristics. 
• Touch: .Writing and computer entry, filing. 

Activity/Lifting Requirements: 

• Shift: Days 

Percentage of time during the normal workday the employee is required to:

• Sit: 55% 
• Twist: 0% 
• Stand: 20% 
• Crawl: 0% 
• Walk: 20% 
• Kneel: 0% 
• Lift: 0% 
• Drive: 5% 
• Squat: 0% 
• Climb: 0% 
• Bend: 0% 
• Reach above shoulders: 0% 

The weight required to be lifted each normal workday according to the continuum described below:

• Up to 10 lbs: Occasionally 
• Up to 20 lbs: Not Required 
• Up to 35 lbs: Not Required 
• Up to 50 lbs: Not Required 
• Up to 75 lbs: Not Required 
• Up to 100 lbs: Not Required 
• Over 100 lbs: Not Required 

Describe and explain the lifting and carrying requirements. (Example: the distance material is carried; how high material is lifted, etc.): None 

Maximum consecutive time (minutes) during the normal workday for each activity:

• Sit: 240 
• Twist: 0 
• Stand: 20 
• Crawl: 0 
• Walk: 10 
• Kneel: 0 
• Lift: 0 
• Drive: 5 
• Squat: 0 
• Climb: 0 
• Bend: 0 
• Reach above shoulders: 0 
• Repetitive use of hands (Frequency indicated): Simple grasp up to 10 lbs. 
• Pushing &pulling Normal weight: 
• Fine Manipulation: Computer keyboard and mouse. 
• Repetitive use of foot or feet in operating machine control: None 

Environmental Factors & Special Hazards:

• Environmental Factors (Time Spent): 
• Inside hours: 8 
• Outside hours : 0 
• Temperature: Normal Range 
• Lighting: Average 
• Noise levels: Average 
• Humidity: Normal Range 
• Atmosphere:  
• Special Hazards: 
• Protective Clothing Required: None