Overview

Job Description: Job Description The Assistant Director position is a full-time position responsible for the medical billing, coding and collection of the primary care clinic activities and behavioral health billing activities. Also the Assistant Director will support the Director or Receivables Management in the billing and collection of the grants, contracts, and oversee the operations of the department. This position ensures compliant billing practices, resolves complex billing issues, and ensures maximum reimbursement while maintaining excellent patient and provider relations. The Assistant Director serves as the subject matter expert for billing and coding processes and ensures compliance with all federal, state, payer, and organizational regulations. General Expectations: In the performance of their respective tasks and duties, all employees are expected to conform to the following: Adhere to all PRC policies and Code of Conduct standards and always exhibit all PRC's Core Values. Perform quality work within deadlines with or without direct supervision. Interact professionally with other employees, customers, and vendors. Work independently, while understanding the necessity for communicating and coordinating work efforts with other employees and organizations, as required. Essential Duties/Requirements: Assist in overseeing the daily operations of the billing department, including medical and behavioral health coding, charge entry, claims submission, payment posting, accounts receivable following denial management and reimbursement Responsible for the coding, billing, and collection of the primary care clinic activities and behavioral health services Work collaboratively with the physician and clinic staff to develop new service offerings to our clients Serve as the primary care clinic's subject matter expert for billing and coding processes and provide guidance to staff and providers as needed Ensure accurate and timely submission of claims to primary, secondary, and tertiary payers Monitor denied, unpaid, and rejected claims and coordinated appeals, corrections, and resubmissions Review and reconcile billing reports, payment postings, and accounts receivable balances Generate patient statements and invoices, including prior payments and outstanding balances Ensure payments are accurately posted to the appropriate patient accounts and line items Maintain current knowledge of payer requirements, coding updates, regulatory changes and communicate updates to staff on primary care and behavioral health services Monitor compliance with federal, state, payer, and organizational billing and coding regulations Maintain documentation resources and coding reference tools related to billing compliance and documentation standards Assist in developing and implementing billing policies, procedures, and workflow improvements to maximize revenue cycle efficiency Prepare and present detailed billing, collections, productivity, and reimbursement reports to leadership Collaborate with providers, clinical staff, Billing department staff, and management to resolve billing discrepancies and improve revenue cycle operations Ensure protection and confidentiality of patient information in compliance with HIPAA regulations Assist with audits and respond to billing inquiries from patients, insurance carriers, and regulatory agencies Provide support to the Director of Receivables Management in order to fill in as needed Support departmental goals and participate in process improvement initiatives Qualifications: Education: Associate degree required; Bachelor's degree in Business, Healthcare Administration, or related field preferred Experience: Minimum of three (3) years of medical billing, coding, insurance, and collections experience within a medical practice; medical clinic billing experience required. Prior supervisory or management experience preferred. Certifications: Medical coding certification preferred (CPC, CCS, or equivalent) Knowledge