Job Description of a Billing Manager in a Health Care Setting

Collecting payment from patients, insurance companies and government health programs is an essential function in doctors' officers and hospitals. Understanding the medical billing process requires specific knowledge of the coding and collection process, but serving as the billing manager means you must understand the entire accounts receivable process as well as personnel management. Take a look at typical medical billing supervisor responsibilities.

Understanding Medical Coding

As a medical billing manager, it's unlikely you're involved in transcribing and coding patient care information. According to the American Academy of Professional Coders, these codes set prices on the procedures performed, and they are required by insurance companies for you to receive payment.

You must be able to understand the codes and how the price you charge might be higher than what the insurance companies will pay for certain procedures. This typically requires either a coding certificate or an associate's degree in medical billing and coding. Understanding the coding differences helps you create bills for the insurance companies or the patients as necessary.

The billing manager might also have the responsibility of talking with patients about balances – amounts not paid by the insurance companies. Therefore, you must know what kind of payment plans you can accept and when you can waive certain fees.

Billing-Related Medical Billing Supervisor Responsibilities

The billing manager creates and monitors all billing procedures for the office. A single patient's exam might require multiple bills: one to a government health program, one to the insurance company and one to the patient, for example. Each type of bill must be submitted in a certain way, either electronically or by mail.

Medical billing manager responsibilities include troubleshooting issues with electronic filings or address changes and updating billing procedures as necessary, such as when an insurance company changes its billing policies.

Following Collection Procedures

Anberry Hospital says the billing manager is usually responsible for all accounts receivable, which means following up to make sure bills are paid in full. Some bills are rejected by insurance programs because of code errors or required clarifications, so you must make sure these are resubmitted promptly.

Also, you must ensure that patients who don't pay promptly are notified about their balances and that the accounts are turned over to a collection agency when they are past due. As the billing manager, you create reports of money that's received, outstanding, in collections and uncollectable to share with management.

Managing Office Staff

Some small doctor's offices might have only one medical billing representative – you – to manage all accounts receivable. But many offices and hospitals have a team of billers who work together to ensure timely payments. For example, Riverhills Neuroscience includes supervising and monitoring other staff in its medical billing manager job description.

As the manager, you're responsible to hire, fire, train and evaluate the accounts receivable personnel. This requires basic knowledge of human resource practices and strong management skills. If some are part-time employees, you must also create a schedule to make sure your office is sufficiently staffed at all times.