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City of Baltimore · 1 month ago

RCM Billing and Reimbursement Manager II, Grant Service Specialist III (NCS) - Baltimore City Health Department

Baltimore, MD

Full-time

Onsite

Senior Level

$64K/yr - $111K/yr

6+ years exp

The City of Baltimore is committed to driving social impact and serving its citizens. The RCM Billing and Reimbursement Manager II is responsible for overseeing medical billing and reimbursement processes within the Bureau of Maternal Child Health, ensuring proper charge capture, claims submission, and resolution of claims denials while providing excellent customer service to community partners and internal teams.

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Responsibilities

Working knowledge with medical claims clearinghouse

Charge capture

Processing & Submitting Claims, and Resolving Claim Denials

Patient Communication - Verifying Patient Insurance - Data Entry

Generating monthly reports / maintaining billing dashboard / Ad-hoc reports

Revenue Cycle Management integrity

Resolve A/R discrepancies - Claim denials management

Timely filing guidelines - Medicaid, Medicare, third party billing guidelines

Interpreting EOBs, payer remits from various insurance payers

Working knowledge of CPT and ICD-10 code application

Qualification

Medical billing experienceClaims processingRevenue Cycle ManagementCPTICD-10 knowledgeEpic EMR/PMMS Office proficiencyCustomer serviceIndependent decision makingTeam collaboration

Required

Have a bachelor's degree from an accredited college or university

Have six (6) years of experience in medical billing and reimbursement in a physician office or group setting

Must have previous experience with physician billing system

Must have previous experience with MS Office products (Word, Excel, Outlook)

Epic Emr/Pm - Required

Must have verifiable 6 or more years hands on experience in working knowledge with medical claims clearinghouse

Must have verifiable 6 or more years hands on experience in charge capture

Must have verifiable 6 or more years hands on experience in processing & submitting claims, and resolving claim denials

Must have verifiable 6 or more years hands on experience in patient communication - verifying patient insurance - data entry

Must have verifiable 6 or more years hands on experience in generating monthly reports / maintaining billing dashboard / ad-hoc reports

Must have verifiable 6 or more years hands on experience in revenue cycle management integrity

Must have verifiable 6 or more years hands on experience in resolving A/R discrepancies - claim denials management

Must have verifiable 6 or more years hands on experience in timely filing guidelines - Medicaid, Medicare, third party billing guidelines

Must have verifiable 6 or more years hands on experience in interpreting EOBs, payer remits from various insurance payers

Must have verifiable 6 or more years hands on experience in working knowledge of CPT and ICD-10 code application

Must be able to read, write, and speak the English language in an understandable manner

Must be able to work independently and possess the ability to make independent decisions when circumstances warrant such action

Must possess the ability to effectively communicate and deal tactfully with other personnel, visitors, patients, physicians, customers, and the general public

Must be flexible, have personal integrity, and the ability to function effectively as a team with other employees

Must be able to follow written and oral instructions