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Director of Medical Billing - Temp Agency San Antonio TX Skip to main content

Director of Medical Billing

Website Trinity Staffing Services

Job description
Growing 3rd party medical billing company in Boerne, TX is seeking a clinical back-office staff leader with extensive experience in Medicare billing and commercial and federal insurance benefits verification. We’re looking for a driven, goal-oriented individual with excellent leadership skills. This position will transition the practice from a third-party billing company to an internal billing team. Must be able to recruit and hire a team. Must be able to perform, train, and oversee verifying patient benefits, reviewing provider documentation, managing a remote coding specialist, manage in-house billing and collections staff, provide real-time feedback to the medical team, ensure timely submission to payers, review claim denials, submit appeals, and bill secondary insurance. All claims are made for advanced wound care services and allograft skin substitutes.

The ideal candidate has been working on a “private practice” clinical office team for 4+ years whose primary payer is Medicare, but also bills commercial insurance. The ideal candidate will have built an internal billing team in a private practice.
This position works closely with our clinical staff, providers, and client-facility staff billing advanced wound care encounters, with particular attention to skin graft application.
The ideal candidate must also be able to demonstrate excellent written and verbal communication skills. For example, corresponding with providers via electronic media and discussing issues over the phone will be a large part of this position when requesting the required addendum documentation. Enthusiasm, organization, and commitment to teamwork are essential for success in this role.
Key Duties / Responsibilities:
• Accurate classification of wound care and graft encounters in skilled nursing facilities, long term acute care, home health, hospice, assisted and independent living, and home visits.
• Reviews provider charts for completion and following practice standards.
• Identifies internal process problems, researches where they are occurring, and provides recommendations for solutions.
• Manages expert remote coder to ensure properly assigned difficult codes and/or complex coding scenarios using modifiers.
• Performs some of the insurance benefits verifications with in network and out of network payers
• Analyzes claims rejections and initiates appeals if applicable.
• Analyzes aging accounts receivables and lost client revenue, provides recommended actions.
• Liaison to administration of client facilities, including but not limited to, skilled nursing facilities, home health networks, and mobile practices.
• Liaison to third-party billing company while also building an internal team.
• Grow a culture of excellence, integrity, and collaboration.
• Greater responsibilities are available should the candidate experience match the responsibilities.
• 2+ years of college or advanced education
• 4+ years employed in a private medical practice
• 2+ years managing employees
• 4+ years of insurance verification
• 4+ years using billing portals
• 4+ years experience with ICD-10, CPT, & HCPCS codes
• Proficiency in EMR systems
• Proficiency in Microsoft Office (Word, Excel, Outlook)
• Strong computer skills
• Experience with home health and/or skilled nursing facilities a plus
• Competitive nature
• Happy disposition

Salary: $80,000.00 – $105,000.00 per year

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

• Monday to Friday

Ability to Relocate:
• Boerne, TX: Relocate before starting work (Required)

Work Location: In person

Submit resume to: allan@trinitystaffing.com

To apply for this job email your details to allan@trinitystaffing.com