Lead Medical Billings and Medical Records

3 weeks ago

Winnipeg, Canada Manitoba Clinic Full time

Reporting to the Billings and Accounts Manager you will be a lead in the day to day functions of 4 medical records staff. The lead Billings and Medical Records working collaboratively with all medical office assistants ensures timely submission of billings and accounts reconciliation. Responsible for all processes with medical records requests and ensuring timelines are met as records requests are time sensitive and lead will ensure the team is tracking and following up as required.

**_
Responsibilities_**

**_ Managing Daily Records requests_**
- Ensure timely sending of patient information to Hospitals and clinics on an emergency basis.
- Remediation of enrolments and de-enrollments from Shared Health data base to LibreMD
- Manage Medical Records department with respect to scanning of paper charts, destruction of charts, and logging of charts.
- Support the review and reconciliation of booked encounter sheets.

**_ Support Daily Medical Receipts_**
- Includes billing for all Manitoba Clinic MD's are accurately inputted and reconciled.
- Creating a dally submission file for all previous day billings and uploading this file to MB Health.
- Correct and investigate partial pays and rejections of claims bimonthly from payment files. This involves coding of correct revenue providers.
- Processing payments from previously invoiced claims.
- Processing all honorariums, On-call, and stipend payments to physicians.

**_Remittance Procedures bi-monthly_**
- Ensuring payment totals are consistent between Manitoba Health and LibreMD.
- Unmatched claims are matched correctly within the system.
- Managing previously queried claims, drawbacks, and credits.
- Update and maintain family medicine physicians data base in respect to chronic disease management billings.

**_Unsubmitted claims_**
- Reviewing all outstanding claims in all physicians' daily claims to ensure all billings are being submitted.
- Overseeing new tariffs/fee increases from Manitoba Health, from implementation to data base to ensure staff are well informed of such.
- Assisting Doctor's Office Assistants/ and Physicians with billing questions and problems.
- Queries prepared to Manitoba Health with corrections of claims submitted incorrectly. Resubmission of claims to Manitoba health with correct information to ensure claim is paid with accuracy.
- Managing claims against Manitoba Health 6-month cut-off deadline for claims to be submitted.

**_ Developing_**_ and _**_Managing the Medical Records team_**
- Review team competencies and provide training and development

**_Qualifications_**
- Experience with Clinical Billings and Manitoba Health
- In-depth knowledge of EMR (LibreMD or Accuro) and MB Health Medical billing best practices
- Ability to implement change along with leadership skills
- Accounting, Billing and data entry are an asset
- Excellent active listening, negotiation and presentation skills
- Competence to build and effectively manage interpersonal relationships at all levels of the company

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