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Billing Program Manager

Job Title: Billing Program Manager

Salary: $55,000 annually

Job Type: Full-time (Exempt)

Closing Date: Open Until Filled

ESSENTIAL DUTIES

  • Ensures billing and coding for all current and new medical and behavioral services are accurate, consistent, and maximize revenue opportunities.
  • Ensures timely and accurate payment of claims to providers by submitting them to insurance companies for approval.
  • Monitor, respond to, and communicate changes in billing requirements, regulations, and reimbursement rates, and maintain providers enrollments with payer.
  • Prepares month-end closing of the billing groups within the FHC and Behavioral Health.
  • Resolves all complex billing issues and implements quality assurance for all processes.
  • Reviews all data entry on all patient charges, coding, billing, and refunds.
  • Responsible for computer software for billings, mailing, recording and collection purposes and utilizes the RPMS and EHR.
  • Maintain and review an organized billing and payment log and complete all crossover billing as necessary.
  • Responsible for completing all insurance (Medicare, Medicaid, etc.) billing forms and back-up information required.
  • Responsible for keeping contact with responsible parties involved in payments due and oversight of accounts receivable.
  • Prepares financial and statistical reports relating to billing for reporting purposes.
  • Reports billing operations such as reimbursement and any delinquent account to the Chief Financial Officer.
  • Supervises the billing and patient registration staff and provides training, orientation, and annual performance evaluations.
  • Ensures privacy and confidentiality; HIPPA standards are enforced with all activities related to the Billing program as outlined and expected in protocols.
  • Serves a key role in assisting medical providers in obtaining billing for each medical service provided to patients including enrolling new providers.
  • Perform other duties as assigned.

Minimum Requirement

Bachelor’s Degree in Business Administration, Accounting, Finance, Health and/or Human services or related field; Two (2) or more years of previous experience administering and/or managing a billing program or equivalent field, with equivalent combination of education and experience sufficient to successfully perform the essential duties of the position. Level I Fingerprint Clearance, CPR/First Aid, and HIPAA Certification. Possess a valid Arizona Driver’s License. Must pass a criminal background investigation.

Knowledge, Skills, and Abilities

  • Knowledge of billing processes and software.
  • Knowledge of counseling principles, practices, and techniques sufficient to provide necessary and effective service to subordinates.
  • Knowledge of ICD-10, DSM-4 diagnosis, CPT, CPT-2 and HCPCS codes, claim filing guidelines with Medicaid, Medicare, and third-party payors.
  • Knowledge of computer programs specifically RPMS and EHR billing.

*Must complete and submit an NACA, Inc. Employment Application, Letter of Interest, Resume and Transcripts.  Application can be obtained through website www.nacainc.org. Any question, please contact Human Resources at (928)526-2968.  Employer exercises EEOC and Indian preference in accordance with the Indian Preference Act (Title 25, US Code, Sections 44-46, 472 and 272).

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GENERAL SERVICES ADMINISTRATION
1500 E Cedar Ave., Suite 56
Flagstaff, AZ 86004
928-526-2968
outreach@nacainc.org
M-F | 8am-12pm, 1pm-5pm

FAMILY HEALTH CENTER
1500 E Cedar Ave., Suite 26
Flagstaff, AZ 86004
928-773-1245
fhwc@nacainc.org
M-Th | 8am-6pm
F | 8am-5pm

WELLNESS CENTER
1500 E Cedar Ave., Suite 52
Flagstaff, AZ 86004
928-773-1245 ext. 221
hpwc@nacainc.org
M-Th | 8am-7pm
F | 8am-5pm

For Marketing and Public Relations, please contact Almalía at (928) 526-2968    x166 or email them at almaliabp@nacainc.org

EMPLOYEE EMAIL ACCESS

This institution is an equal opportunity provider and employer. Full Non-Discrimination Statement.

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Board of Directors Meeting – June 2022 Registered Dietitian
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