Overview
Medical Billing Manager Jobs in Fresno, CA at BLACK Wellness & Prosperity Center
Full Job Description
MEDICAL BILLING MANAGER
Classification:Non-exempt, Full Time
Department:BLACK Doula Network
Reports To:Contracts Administrator
Compensation:$32.50-$38.50 per hour
Travel Requirements:Local travel as required
Supervisory Responsibilities:None. Individual contributor
ORGANIZATIONAL BACKGROUND
BWPC is a research-driven social enterprise founded to make equitable policies and programs more effective. BLACK Wellness and Prosperity Center promotesBelonging, Love, Affinity, Community,andKinshipthrough culturally congruent system improvements across the prenatal to postnatal continuum of care to advance improved outcomes in maternal health and wellbeing for Black women/persons and their families. BWPC upholds racism as a root cause of adverse maternal child health experiences for Black women and babies, particularly, the negative impacts of Anti-Black Racism throughout the life course.
BWPC CREDO
BWPC is fact based and centered on trust & equity. If you have a question, ASK. Please do not make assumptions. If you have a concern, SHARE IT. Please do not spread gossip in the community or within the team. There are no BWPC “cliques.” We are ONE. BWPC encourages and promotes deep transformative thinking.
BWPC POWER-SHARING FRAMEWORK
Generate recommendations for process improvements whenever appropriate
Participate in developing best practices, sharing resources, and ongoing trainings
Ensure that all materials created are consistent with BWPC mission, vision, and values
Participate in the design of new programmatic initiatives
Apply the BWPCCredo
POSITION SUMMARY
The
Medica
l
Billing Manager
contributes to the strategic expansion of our BLACK Doula Network. This is an exciting new position within the organization and is responsible for establishing a new medical billing department for doulas and other billable services. This is a full-spectrum position that requires A-Z functional, technical, and administrative responsibilities. Department size/staffing will increase as patient load increases.
DAY-TO-DAY RESPONSIBILIES
Establish a new billing department, including billing/coding processes and workflows
Develops processes and procedures structured to optimize reimbursement, limit liability, and enhance data integrity
Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes
Monitors and reviews all medical records to ensure medical coding accuracy, including proper completion and documentation of rendering signatures
Notifies rendering providers of missing information and follows up accordingly
Assesses encounter documentation using Center for Medicare and Medicaid Services (CMS) documentation standards. Based on the provider’s documentation, identify possible documentation changes that would more accurately account for services provided if implemented
Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National Coverage Documents (LCD/NCD) directives, Medically Unlikely Edits (MUEs), and Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers
Resolve payer denials and respond to inquiries from revenue cycle teams, processing charge corrections as appropriat…
Title: Medical Billing Manager
Company: BLACK Wellness & Prosperity Center
Location: Fresno, CA
Category:
