Billing & Audit Manager - CBO - Full Time 8 Hour Days (Exempt) (Non-Union)

Billing Manager will be responsible for all aspects of Commercial and Governmental billing. Position must possess in-depth knowledge of National Uniform Billing Regulations. Responsibilities will include all internal holds, billing system holds and bridges, management of edits; all designed to generate a defect-free claim. Position will manage internal resources and chart auditors.

Plans, organizes and manages the activities of healthcare services billing office staff in coding, data entry, cashiering, insurance and patient billing, credit and collections. Promotes and maintains exceptional customer service while maximizing reimbursement

Essential Duties:

• Directly supervises all subordinate staff. Recruits, screens, hires, orients, trains and cross-trains staff. Evaluates employee performance, provides guidance and feedback. Counsels, disciplines and/or terminates employees as required. Schedules, assigns and prioritizes workloads. Sets appropriate deadlines. Monitors employee performance on a day-to-day basis. Ensures timely completion of department's work.
• Schedules and conducts staff meetings and individual meetings within department to facilitate attainment of department objectives. Participates in planning, implementing and administering communications programs within unit as assigned.
• Develops and implements policies and procedures applicable to billing operations. Ensures compliance with departmental and University policies and procedures.
• Develops, implements and manages quality control, follow-up, reconciliation and audit procedures to ensure accuracy in coding, data entry, cashiering and billing.
• Participates in planning and administration of department budget, as assigned. Provides projections and reports as required, for development and management of budget.
• Monitors timeliness and effectiveness of department activities, ensuring that the number of days patient accounts are outstanding in accounts receivables is no more than the agreed upon limit and that bad debt is within budgeted target. Analyzes reports to prioritize activity in the monthly collections process. Monitors effectiveness of collection efforts. Maintains insurance billing current within the established time frame specified in department policy.
• Ensures that all Medicare, Medi-Cal and other third-party payor correspondence is reviewed and that billing problems are corrected to facilitate reimbursement.
• Oversees the preparation of various status reports for management. Analyzes trends and makes recommendations.
• Attends seminars and professional association meetings to maintain currency with new developments in the field. Establishes and maintains an active network of professional contacts.
• Develops and implements security related procedures such as office opening and closing routines, recognition of duress signals and key controls. Coordinates security activities with University Public Safety Department. Promotes and maintains standards for security conscious awareness and behavior. Maintains knowledge of University's crime prevention and suppression programs and services. Ensures dissemination of security related information to staff.
• Perform other duties as assigned.

Required Qualifications:

• Req High School or equivalent

• Req 5 years 5 years minimum experience in a Supervisory role. exp. in medical billing, coding, collections

• Req Working knowledge of computer billing systems (IDX), CPT-4 & ICD-9CM coding
• Req Insurance & medical terminology
• Req Laws governing collection efforts

Preferred Qualifications:

• Pref Bachelor’s Degree

Required Licenses/Certifications:

• Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)

The annual base salary range for this position is $95,680.00 - $158,230.00. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.