POSITION OBJECTIVE
Working independently, the Manager of Billing and Records supports the delivery of primary and ancillary billing services and records management at University Health and Counseling Services. Duties include ensuring all state and federal rules and regulations related to student and employee health information are in compliance. The manager is also responsible for providing support for all related billing to students, departments, and programs related to services rendered by University Health and Counseling Services.
As a student affairs professional at Case Western Reserve University, this position will be expected to contribute to building a welcoming and inclusive community, focus on the well-being of others, and encourage curiosity among those we serve.
ESSENTIAL FUNCTIONS
In conjunction with senior director of operations and director of clinical operations develop and implement a plan to bill third party payers for services. Oversee process of collecting payments from third party payers once implemented. Work closely with clinicians, mental health providers and clinic staff to ensure accuracy of medical records, treatment and procedures. Reviews patient bills and corrects any missing or inaccurate information. Provide support to students and employees who have questions or concerns regarding medical bills or insurance. Manages list of CPT codes, diagnosis codes and maintains fee schedules. Provides monthly reports to the senior director of operations regarding revenue and outstanding invoices. (40%)Provide daily oversight of the release of information functions. Coordinate release of information and medical records requests from students, insurance companies, physicians, patients, attorneys, etc. Monitor procedures associated with data collection, storage retrieval, system security, and confidentiality. Establish and maintain security of medical records to ensure patient confidentiality on an ongoing basis. Oversee the archive, destruction process of medical records for University Health and Counseling Services. Prepare medical records for the Office of General Counsel upon their request. Coordinate prior authorization requests for clinical staff. Perform other related activities to support medical records function. (30%)Oversee credentialing process as a part of new hire onboarding procedure and annually thereafter for all licensed providers within the departments. Assist with maintaining accurate employee and department records to facilitate accreditation applications and renewals. (10%)Responsible for procurement card expenditures and transactions. Review and reconcile all monthly financial statements to ensure expenses are valid and assigned to the correct funding source. Track purchase orders and payment processes. Order office supplies including purchasing products/services. Maintain accurate documentation for budget reconciliation.(10%)NONESSENTIAL FUNCTION
Provide backup coverage for department assistants. (5%)Perform other duties as assigned. (5%)CONTACTS
Department: Daily contact with the doctors, nurses, psychologist, psychiatrist, attorneys, counselors and senior director of operations
University: Daily contact with accounts payable to process purchase orders, adjust billing, submit vendor bids, and travel reimbursements. Infrequent contact with the office of General Counsel for legal documentation.
External: Daily contact with insurance companies regarding prior authorization status and approval. Daily contact with many healthcare facilities for medical records requests.
Students: Daily contact with students regarding their personal health information, registration, and billing for University Health and Counseling daily procedures.
SUPERVISORY RESPONSIBILITY
No supervisory responsibilities.
QUALIFICATIONS
Experience: 5 years of related experi