Manager, Billing & Audit - USC Care MSO CBO - Full Time 8 Hour Days (Exempt) (Non-Union)
University of Southern California (USC)
Location: Alhambra, California
Internal Number: REQ20143013
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
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.
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
Pref High school or equivalent With advanced education
Pref Associate's degree
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 $81,120.00 - $133,010.00. 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 candidates 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.
USC is the leading private research university in Los Angeles—a global center for arts, technology and international business. With more than 47,500 students, we are located primarily in Los Angeles but also in various US and global satellite locations.
As the largest private employer in Los Angeles, responsible for $8 billion annually in economic activity in the region, we offer the opportunity to work in a dynamic and diverse environment, in careers that span a broad spectrum of talents and skills across a variety of academic and professional schools and administrative units. As a USC employee and member of the Trojan Family—the faculty, staff, students, and alumni who make USC a great place to work—you will enjoy excellent benefits, including a variety of well-being programs designed to help individuals achieve work-life balance.