Medical Business Office Manager
KG Health Partners
- Clearwater, FL
- Permanent
- Full-time
(Some plans vary by state.)Full Time employees can enjoy:
- Health Coverage: Two flexible medical plans.
- Dental & Vision: Comprehensive coverage by Sun Life. Vision is company paid.
- Health Savings Account (HSA): Pre-tax contributions.
- Flexible Spending Accounts (FSA): Medical and Dependent Care options.
- Life & Disability Insurance: Company-paid, with optional additional coverage.
- Generous Paid Time Off (PTO), plus additional paid holidays.
- Employee Assistance Program (EAP): Wellness support
- 401k Retirement Plan: Participate and receive a company match after meeting eligibility requirements.
- Frequent and ongoing employee appreciation and celebration throughout the company
- Paid training
- Dynamic, challenging, and motivating work environment
- Clear career path and opportunities for growth
- VERY competitive pay and compensation package
- Outstanding employee retention rate
- True teamwork environment
- High visibility and interaction with senior management
- Enjoy an easy commute to our prime location in Clearwater's Highpoint/ICOT/Gateway area – conveniently accessible from anywhere
Location: On-Site, Clearwater, FL officeAbout KG Health Partners:
KG Health Partners, operated by Community Health Solutions of America, provides Long Term Care facilities (LTC) with specialized physician services, such as Podiatry and Wound Care. For more than 23 years, our team of highly qualified physicians, focus on the onsite diagnosis and treatment of geriatric patients within the comfort and convenience of their LTC residence. Our extended team of in-house Schedulers, Billers, Compliance and Medical Directors, Quality Assurance RN's, Healthcare IT and 24/7 Account Managers ensures the highest quality Podiatry and Wound Care accountability to the residents of LTC facilities.
Responsibilities:Essential Duties and Responsibilities:
- Manage day-to-day operations of the business office, including scheduling, insurance verification, medical billing, coding, claims submission, denial management, and payment posting for mobile podiatry services.
- Develop and implement policies and workflows tailored to mobile care delivery, including provider routing, visit documentation, and facility-specific billing requirements.
- Ensure timely and accurate claim submissions across multiple payer types including Medicare, Medicaid, and commercial plans.
- Monitor KPIs such as days in A/R, denial rates, reimbursement trends, and claim turnaround times
- Collaborate with podiatrists and mobile care teams to ensure proper charge capture and documentation compliance.
- Manage and resolve claim denials and rejections specific to podiatry services, including DME, routine foot care, and frequency limitations.
- Oversee eligibility verification and authorization processes for scheduled visits and recurring care.
- Train and supervise staff on essential functions to the business office, such as insurance verification, scheduling, billing and collections. While ensuring adherence to industry best practices and compliance regulations.
- Work with external vendors and clearinghouses to manage EDI transactions and payer communications.
- Prepare regular performance and financial reports for leadership and assist with budget forecasting.
- Stay current on payer policy changes, especially Medicare rules impacting mobile podiatry care.
- Strong organizational, interpersonal and motivational skills
- Excellent written and verbal communication skills
- Detail oriented
- High level of reasoning and analytical skills
- Ability to multi-task and work independently
- Strong understanding of podiatric billing and coding practices
- Knowledge of long-term care and facility billing requirements
- Ability to interpret payer policy changes related to mobile services
- Bachelor’s degree in Health Administration, Business, Finance, or a related field required
- Minimum of 5 years of experience in medical billing/revenue cycle, including at least 2 years in a management role.
- Experience with podiatry coding, including routine foot care, nail debridement, and DME billing is strongly preferred.
- Understanding of Medicare Part B and facility-based billing nuances required.
- Certified Professional Biller (CPB), Certified Revenue Cycle Professional (CRCP), or equivalent preferred.
- Coding certification such as CPC or specialty certification in podiatry coding (e.g., AAPC) is a plus.
- Adheres to the policies and procedures of Company
- Maintains strict confidentiality of client, company and personnel information
- Demonstrates a strong commitment to the mission and values of the organization
- Adheres to company attendance standards
- Performs other duties as assigned