To provide guidance, support, and oversight to Revenue Cycle team members including Patient Access Representatives and Clinical Billing Clerks as well as others as assigned. To ensure an exemplary customer service experience is provided at all sites and with all customers.
To ensure accurate, timely, and cost-effective billing/collection strategies are in place, thereby promoting and enhancing service delivery. To optimize reimbursement mechanisms and minimize the potential for denials, while remaining sensitive to the needs of program participants, patients, staff, and funders. Requirements TECHNICAL:
a. Performs all other related duties as needed or assigned.
b. Develops and implements collection procedures to optimize reimbursements.
c. Monitors and improves billing and data entry timeliness, accuracy, and productivity, in order to optimize cash flow and customer satisfaction.
d. Ensures proper protocols are followed by patient representative staff, including but not limited to, new patient registration and procedure entry.
e. Uses multiple Electronic Health Records and ensure training and competency in system utilization with all team members
f. Ensures Patient Access Representative staff have the tools needed to complete their required duties in a smooth and effective manner
g. Ensures access to cash doors daily and oversees the reconciliation of cash and receipts according to all standards protocols and agencies policy
a. Ensures operations perform within or better than national benchmark statistics.
b. Develops and maintains policy and procedure manuals for assigned staff. Reviews and updates policy and procedures, as well as specific desk procedures, as necessary.
c. Communicates with Clinical Services Management regarding pertinent issues in Patient Access, Front desk, Accounts Receivable in clinical areas.
d. Notifies program administration and staff of regulatory updates or changes in a timely manner.
e. Seeks, reviews, and recommends relevant software configuration updates and modifications as needed to further enhance existing processes.
a. All other related duties as assigned
REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES:
Must possess a comprehensive knowledge and understanding of current laws and regulations related to accounts receivable and insurance billing for clinical services (i.e. Medicare, Medicaid, and other third-party insurances); Must be self-directed and possess exceptional time management skills; Must be able to manage multiple competing priorities in order to facilitate expeditious receipt of provider payments; Must be comfortable providing guidance, direction, and feedback to others; Ability to communicate effectively with individuals at all levels, internally and externally, is critical; Must be technologically savvy and be able to quickly learn new finance software; Must be reliable, adaptable, flexible, and willing/able to work non-traditional hours as needed or assigned; Physical condition or reasonable accommodation(s) commensurate with the demands of the job.
Bachelor's Degree in Accounting, Business Administration, or related field, plus one (1) year of experience in billing and accounts receivable in a clinical or medical setting such as a hospital, outpatient clinic, or physician. Proven supervisory experience strongly preferred. Valid driver's license and use of a personal vehicle or equivalent accommodations required.
Responsible for providing supervision of assigned revenue cycle team members including functions, which includes but is not limited to:
A. Hiring, firing, discipline, performance evaluation, in-service education and training, and ensuring that there are adequate numbers of staff to fulfill assigned responsibilities.
B. Coordinating staff orientation with the Staff Training and Development Center and ensuring new-hires and existing staff receive and complete ongoing trainings.
C. Overseeing all aspects of assigned workforce, including timely completion of personnel-related paperwork, disciplinary actions, and other related matters.
D. Ensuring coverage and cross training of all assigned staff.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities.
Please view Equal Employment Opportunity Posters provided by OFCCP here.
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
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