Medical Billing Manager

Salary: $33.49 - $48.49 Hourly

Location : Towson, MD

Job Type: NON MERIT

Job Number: NM.-24

Department: HHS/FINANCE & ADMINISTRATION

Opening Date: 03/26/2024

Closing Date: Continuous

Regular Schedule: 34 hours per week. Plus County benefits

A Non-Merit vacancy exists in the Finance Division, Department of Health and Human Services.

Non-Merit positions are not classified within the Baltimore County Government Classification and Compensation Plan.

A list of eligible applicants will be established based on the examination as outlined below.

Current and future vacancies occurring in this class may be filled from the list of eligible applicants.
This job announcement may close at any time with little or no notice. Applicants are advised to apply promptly.

All interested candidates must apply at this time.

List all promotions and changes in job duties due to reclassification as separate work experiences on your application. Applicants must include the dates of the promotions and reclassifications.

Note: Failure to complete all fields of the "Work Experience" section of the application will result in your application not being considered. A resume will not be considered in determining your qualifications for a position. Applicants selected for an interview may provide a resume at that time.

You must attach your transcript(s)/degree(s) and license(s)/certification(s) to your application. Unofficial copies are acceptable.

Failure to submit proof of Licenses, Certifications and Education will result in your application not being considered. Proof of licenses, certifications, and/or education must be submitted with each application.

Examples of Duties

Job Purpose
Under general supervision, plans, organizes and directs a medical claims unit in the Department of Health and Human Services including managing, credentialing, billing, denials and appeals.

Essential Job Duties

• Monitors billing and Department-wide collections, including non-medical collection activities, performance management, production standards and quality of results.
• Provides technical assistance to supervisory staff to initiate billing to all appropriate payer types including Medicare, Medicaid, MCO's, and Commercial Insurers.
• Coordinates, maintains liaisons with, and provides feedback to other divisions, and agencies to resolve problems or discrepancies and foster improvements in processing claims and billing.
• Provides responsive, high quality service to agency employees, representatives of outside agencies, and members of the public by providing accurate, complete, and up-to-date information, in a courteous, efficient, and timely manner.
• Analyzes data for bill presentation based on technical and compliance requirements and reviews claims for quality and compliance.
• Prepares, or supervises the preparation of, and analyzes pre-billing and pre-closing processes and bill presentation to ensure quality, accuracy, and compliance with governmental regulations.
• Includes providers and medical personnel working within the electronic medical records to verify correct coding and processes.
• Supports the technical application of systems such as billing modalities, benefit plans and system set up and reviews and interprets the impact of new applications or updates.
• Evaluates statistical reports to monitor revenue production for management and identifies potential issues and controls for use in training and development.
• Provides technical help desk support as needed and identifies trends for potential training and development of staff, programs, and management.
• Ensures agency is informed of and implements any changes in State regulations regarding billing requirements of governmental aid programs.

Examples of other Duties
Performs other related duties as required.

NOTE: The duties and responsibilities listed above are for the purpose of determining a common set of minimum qualifications for this position. They may not include all of the essential job functions of this position. Each position may not be required to perform all of the essential job functions listed.
Qualifications

Required Qualifications
Graduation from an accredited college or university with a bachelor's degree in business or public administration, economics, finance, accounting or a closely related field;
Plus
At least four years' experience in financial operations supervision or complex financial administrative management.

Additional education in the fields listed above may be substituted for the required experience on a year for year basis up to a maximum of two years.

Additional experience in the areas listed above may be substituted for the required education on a year for year basis up to four years.

Preferred Experience
Two years' experience managing a medical billing program
Knowledge of basic medical terminology
Experience using health informatics

Knowledge, Skills, and Abilities

• Knowledge of Federal, State and County codes, rules and regulations related to Health Services fiscal operations.
• Knowledge of HIPAA regulations and datasets, terminology and processes contained within the Transaction and Code Sets Rule including ANSI x12, ICD, SNOWMED, LOINC, HCPCS etc.
• Knowledge of electronic eligibility, submission of electronic claims and electronic remittance.
• Knowledge of methods and procedures of financial and statistical record keeping.
• Knowledge of basic medical terminology.
• Knowledge of principles and practices of supervision.
• Knowledge of current technology and trends in the profession.
• Knowledge of IT and operational aspects of practice management systems.
• Knowledge of programs and services offered by the County and other local health care providers.
• Ability to create, maintain and update NPI information for the organization.
• Ability to create, maintain and update enrollment with insurance payers, including Trading Partner Agreements.
• Ability to work with Electronic Health Records.
• Ability to learn and follow County and departmental rules, regulations, policies, and procedures.

Proof of Licenses, Certifications and Education
Applicants are required to submit proof of licenses, certifications and education beyond high school to meet the required and preferred qualifications of the position. Diplomas or transcripts must show the applicant's major field of study. Copies and unofficial transcripts are acceptable.

Failure to submit proof of Licenses, Certifications and Education will result in your application not being considered. Proof of licenses, certifications, and/or education must be submitted with each application.

Proof of Degree Equivalency
Applicants who have obtained a degree from outside the United States of America are required to submit degree equivalence documentation from World Education Services, Inc.

Mail or deliver documents to:

ATTN: Medical Billing Manager - Non-Merit
Office of Human Resources
Baltimore County Government
308 Allegheny Ave.
Towson, MD 21204

You must attach your transcript(s)/degree(s) and license(s)/certification(s) to your application. Unofficial copies are acceptable.

EXAMINATION PROCEDURE
Applicants will be qualified based on an evaluation of their training and experience, as stated on their application, which includes answers to the supplemental questions. Applicants must state the dates and duties of past and present experience clearly and completely for evaluation purposes
Conditions of Employment

Employees hired after July 1, 2022 are required to participate in the Baltimore County Employees' Retirement System, with very limited exceptions.
Physical and Environmental Conditions
The work of this classification is essentially sedentary with some walking, standing, or other limited physical activity.

Some duties entail the operation of office and other equipment requiring manipulative and coordinative skills.
Some duties may require traveling between work sites.
Medical Examination and Employment Background Investigation
Applicants selected for employment with Baltimore County must successfully complete a physical examination, drug screening and employment investigation, including, but not limited to criminal background, education certification and fingerprinting checks.

Employment Benefits for Non-Merit or Non-Classified, Part-Time Employees

Baltimore County General Government offers the following benefits to part-time, non-merit or non-classified employees. New employees are eligible for benefits upon hire, unless noted otherwise.

Equal Opportunity Employer
Baltimore County is an equal opportunity employer and encourages minority, female and disabled applicants.

Smoke free workplace
All Baltimore County offices are smoke free.

Drug free workplace
Baltimore County provides a drug free workplace. Prospective employees are required to submit to urinalysis drug testing as part of the pre-employment physical examination.

Employee Assistance Program . click apply for full job details