Ask the candidate for credentials, education and about her goals for your practice.
With the increasingly restrictive Medicare regulations and declining reimbursements, it’s important for practices to hire top-notch billing managers now more than ever. Effective billing managers must think globally and also be able to manage four key relationships – that of subordinates, physicians, insurers, and patients. Read on for some key tactics on how to hire billing managers who fit the bill completely.
Qualities to look for when searching for a billing manager
Knowledgeable and Continues to Learn: Experience is key but you should not overlook someone who is knowledgeable and continues to educate herself. Ensure she has the knowhow and expertise in your specialty area. Ask for credentials, education and about her goals for your organization.
Expertise in Coding and Billing: In the end, the physician is responsible for coding, but a good billing person should be able to detect coding mistakes and provide corrective action. Enquire whether she has any coding credential such as Certified Professional Coder (CPC). She should also have a clear and complete understanding of claims processing and other billing issues.
Compliance Preparedness: See to it that the candidate is familiar with the provisions of a practice compliance plan and HIPAA as they are related to billing. It’s also important that she knows the requirements for electronic claims submissions (ECS) and basic confidentiality guidelines. Make sure they have resources to stay current as rules are finalized. (more…)