EMPLOYEE NAME:

JOB POSITION: HOSPITAL BILLING MANAGER (PATIENT, CORPORATE & HMO)

PURPOSE: Billing manager performs various functions in ensuring the effective
management of the hospital billing department.

ESSENTIAL JOB DESCRIPTIONS AND FUNCTIONS

1. Perform as a practice expert at the department on all issues relating to billing processes.
2. Supervise the billing department operations; perform duties such as approval and
posting of hospital and professional charge entries, HMO insurance verification, claim
submissions, and accounts receivable follow-up.
3. Review applications for promissory note availments.
4. Communicate and maintain improved customer relations with physicians, patients, and
other stakeholders in relation to billing.
5. Train, allocate work, and resolve problems among billing office personnel.
6. Carry out performance evaluation of personnel and recommend necessary actions.
7. Provide motivation to employees to achieve their best performance and high degree of
productivity.
8. Ensure quality and appropriate trainings are provided to newly hired and existing billing
staff through effect supervision and coordination of the training process, and by
adhering to established company operating policies, procedures and systems, protocols,
techniques, and standards.
9. Carry out analysis of trends affecting charges, accounts receivable, and collection, and
assign manageable tasks to billing staff.
10. Collaborate with other departments to get and analyze additional information about
patients to be able to record and process billing effectively.
11. Ensure the billing/intake department carries out all its activities in accordance with its
overall protocol, and that they complied with DOH requirements, regulations, and
guidelines.
12. Give report of all concerns and issues at the department to the Finance Manager for
prompt necessary action.
13. Assist in annual or periodic audit by preparing assigned reports or providing
documentation as directed by the Accounting Manager.
14. Research and recommend programs, policies and procedures to improve the
effectiveness and efficiency of the billing function, including new software, internal
controls, new electronic payment technologies, and customer service.
15. Work effectively with colleagues by practicing punctuality, respect for deadlines,
collaborative problem solving, and honest communication.
16. Build trusting relationships by acting with integrity, courtesy, and responsibility, even in
the face of stress or demanding workplace conditions.
17. Meet all required standards of confidentiality and safety.
18. Maintain work areas in a clean and orderly manner.
19. Assist with other projects as needed.

MONTHLY DELIVERABLES: Must be submitted on or before fifth day of the following month.

 Updated Summary of Discharge Patient Billings

 Summary of Transmitted Claims from HMO
 Summary of PN availments