Stevens Point Orthopedics
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Are you a Billing Manager looking to join a collaborative team dedicated to helping people get back to living life pain-free? Then Stevens Point Orthopedics (SPO) is the place for you!
The SPO motto—World Class Treatment…Hometown Care—resonates throughout the walls as the entire team is committed to getting the central Wisconsin community back to doing the things they love with modern technology and authentic compassion. Upon hire, you would experience the same environment where empathy and expertise come together to provide the highest standard of quality healthcare. In addition to a newly renovated and fun‑spirited workspace, you would also receive a full benefits package.
If you share a similar goal, we’d love for you to join our team and provide patients and the community with outstanding healthcare. You too can live, work, and play in charming central Wisconsin!
Job Summary The Billing Manager at SPO oversees the daily operations of the billing and front office teams, including billing supervisors and staff, coding staff, prior authorization staff, and reception supervisors and staff. This role is responsible for assigning duties, providing training and guidance, and ensuring efficient and accurate department operations. The Billing Manager works closely with team members to maintain compliance with payer standards, optimize workflows, and uphold the mission, policies, and initiatives of SPO. Strong leadership, effective communication, and a commitment to patient confidentiality are essential in this role.
Essential Job Functions Billing and Coding Oversight:
Ensure all medical services are accurately coded and billed in compliance with regulations to maximize reimbursement.
Revenue Cycle Management:
Oversee all aspects of the revenue cycle, including claim submission, payment posting, denial management, and accounts receivable follow‑up.
Insurance and Patient Relations:
Collaborate with insurance providers and collection agencies and resolve patient account concerns in a professional and diplomatic manner.
Reporting and Analysis:
Generate detailed reports on billing activities, analyze financial data, and monitor performance metrics to identify opportunities for improvement.
Regulatory Compliance:
Stay up to date on all relevant healthcare regulations, coding updates, and insurance guidelines to ensure ongoing compliance.
Job Qualifications
Minimum of 3‑5 years of experience in medical billing, insurance claims processing, and accounts receivable management.
Minimum of 2 years in a supervisory or leadership role within a healthcare building.
Strong knowledge of CPT, ICD‑10 and insurance reimbursement practices.
Experience with EMR and practice management systems.
Special Skills/Experience
A 2‑year college degree or certification in medical office administration or medical billing is preferred.
Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), or Certified Professional Biller (CPB) credentials are advantageous.
Demonstrates strong knowledge of health insurance benefits and payment processes.
Has previous experience in orthopedics or spine specialties.
Possesses proficiency in Microsoft Excel, along with excellent typing, computer, and organizational skills for managing multiple tasks effectively.
Works independently, meets deadlines, and follows verbal and written instructions.
Communicates tactfully with staff and providers, especially in challenging scenarios.
Stevens Point Orthopedics strives to exceed expectations by providing exceptional patient care in a pleasant and caring atmosphere. We believe that teamwork, flexibility, mutual trust, and cooperation are essential to healthcare delivery. Successful applicants will share our values and put the needs of patients and customers first.
Stevens Point Orthopedics is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
Referrals increase your chances of interviewing at Stevens Point Orthopedics by 2x
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Get AI-powered advice on this job and more exclusive features.
Are you a Billing Manager looking to join a collaborative team dedicated to helping people get back to living life pain-free? Then Stevens Point Orthopedics (SPO) is the place for you!
The SPO motto—World Class Treatment…Hometown Care—resonates throughout the walls as the entire team is committed to getting the central Wisconsin community back to doing the things they love with modern technology and authentic compassion. Upon hire, you would experience the same environment where empathy and expertise come together to provide the highest standard of quality healthcare. In addition to a newly renovated and fun‑spirited workspace, you would also receive a full benefits package.
If you share a similar goal, we’d love for you to join our team and provide patients and the community with outstanding healthcare. You too can live, work, and play in charming central Wisconsin!
Job Summary The Billing Manager at SPO oversees the daily operations of the billing and front office teams, including billing supervisors and staff, coding staff, prior authorization staff, and reception supervisors and staff. This role is responsible for assigning duties, providing training and guidance, and ensuring efficient and accurate department operations. The Billing Manager works closely with team members to maintain compliance with payer standards, optimize workflows, and uphold the mission, policies, and initiatives of SPO. Strong leadership, effective communication, and a commitment to patient confidentiality are essential in this role.
Essential Job Functions Billing and Coding Oversight:
Ensure all medical services are accurately coded and billed in compliance with regulations to maximize reimbursement.
Revenue Cycle Management:
Oversee all aspects of the revenue cycle, including claim submission, payment posting, denial management, and accounts receivable follow‑up.
Insurance and Patient Relations:
Collaborate with insurance providers and collection agencies and resolve patient account concerns in a professional and diplomatic manner.
Reporting and Analysis:
Generate detailed reports on billing activities, analyze financial data, and monitor performance metrics to identify opportunities for improvement.
Regulatory Compliance:
Stay up to date on all relevant healthcare regulations, coding updates, and insurance guidelines to ensure ongoing compliance.
Job Qualifications
Minimum of 3‑5 years of experience in medical billing, insurance claims processing, and accounts receivable management.
Minimum of 2 years in a supervisory or leadership role within a healthcare building.
Strong knowledge of CPT, ICD‑10 and insurance reimbursement practices.
Experience with EMR and practice management systems.
Special Skills/Experience
A 2‑year college degree or certification in medical office administration or medical billing is preferred.
Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), or Certified Professional Biller (CPB) credentials are advantageous.
Demonstrates strong knowledge of health insurance benefits and payment processes.
Has previous experience in orthopedics or spine specialties.
Possesses proficiency in Microsoft Excel, along with excellent typing, computer, and organizational skills for managing multiple tasks effectively.
Works independently, meets deadlines, and follows verbal and written instructions.
Communicates tactfully with staff and providers, especially in challenging scenarios.
Stevens Point Orthopedics strives to exceed expectations by providing exceptional patient care in a pleasant and caring atmosphere. We believe that teamwork, flexibility, mutual trust, and cooperation are essential to healthcare delivery. Successful applicants will share our values and put the needs of patients and customers first.
Stevens Point Orthopedics is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
Referrals increase your chances of interviewing at Stevens Point Orthopedics by 2x
#J-18808-Ljbffr