Classified Title: CO Associate Production Unit Manager
Working Title: Associate Production Unit Manager
Starting Salary Range:$54,639-$75,048 (Commensurate with experience)
Employee group: Full-Time
Schedule: M-F, 8:30 am - 5:00 pm
Exempt Status: Exempt
Location: 16-MD:JH at White Marsh
Department name: 10003530-SOM Neuro Sur Production Unit Billing
Personnel area: School of Medicine
Responsible for the management of professional fee billing and other processes necessary to the success of the business unit including oversight of subordinate manager and supervisor responsibilities. Provide leadership and encouragement to support University and departmental policies and initiatives. Monitor and analyze staff productivity, reimbursement patterns, practice results and makes recommendations to enhance clinical revenues. Position requires analytical thinking, ingenuity and planning skills. Maintain strict confidentiality of staff and patient information.
Principal Duties and Responsibilities:
Working knowledge of Assistant PUM roles and responsibilities.
Responsible for the management of professional fee billing and collection which may include coding, charge capture, charge entry, claims processing, insurance payment posting and insurance accounts receivables follow-up and other processes necessary to the success of the business unit including oversight of subordinate manager and supervisor responsibilities.
Provide leadership to subordinate staff and encourage staff to support both current and proposed University and departmental policies and initiatives.
Monitor and analyze staff productivity, reimbursement patterns, practice results and makes recommendations to enhance clinical revenues.
Broad scope of responsibility which requires analytical thinking, ingenuity and planning skills to promote team actions and results.
Assure that reimbursements of professional health care services sought from third party payers are justified and appropriate, in accordance with applicable rules and regulations.
Monitor staff orientation and continuing education programs.
Require appropriate medical record and billing training for any staff found to be in non-compliance as determined through the Office of Billing Quality Assurance sampling or departmental reviews.
Comprehensive understanding of the internal and external compliance audit program for professional fee billing and medical record documentation.
Analyze billing data, develop accounts receivable performance targets and devise action plans necessary to attain goals.
Interface with Information Technology personnel assigned to computer system maintenance regarding unprinted claims, dictionary maintenance, PCS compiling, ad-hoc reporting requests, and electronic tape submissions.
Monitor processing of Medicare and Blue Shield Acknowledgement reports and take corrective action as required or needed.
Serve as departmental representative on various committees.
Provide oversight over several functional areas as identified by the Production Unit Manager.
Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI).
Utilize online resources including IDX to facilitate efficient claims processing.
Requires a thorough understanding of medical billing and the unique customer service requirements as related to patients, physicians and administrative staff in a high volume medical services environment.
Excellent communication and customer service skills with the ability to work well under pressure.
Professional & Personal Development:
Participate in on-going educational activities.
Assist in the training of staff.
Keep current of industry changes by reading assigned material on work related topics.
Complete three days of training annually.
Must adhere to Service Excellence Standards.
Continuous Performance Improvement
Supervision of Others:
Provides daily supervision of assigned staff.
Additional job related experience beyond minimum experience qualifications may substitute for formal education requirement to extent permitted by JHU equivalency formula.
Five years progressively responsible professional level experience in a physician's group practice environment which includes two years supervisory experience required.
Experience in an academic medical environment strongly preferred.
Strong organizational and analytical skills.
Excellent organizational skills.
Aptitude for figures and attention to detail.
Ability to interact effectively.
Capable of meeting deadlines and working well under pressure.
Knowledge of PCs and PC applications.
Excellent interpersonal, communication and customer service skills required.
Knowledge of JHM and JHU/ PBS billing applications.
Additional education beyond minimum experience qualifications may substitute for required experience to the extent permitted by the JHU equivalency formula.
Minimum Skills & Abilities:
Able to operate basic office equipment, e.g. photo copier, fax machine, scanner, PC, telephone, etc.
The successful candidate(s) for this position will be subject to a pre-employment background check.
If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the HR Business Services Office at email@example.com. For TTY users, call via Maryland Relay or dial 711.
The following additional provisions may apply depending on which campus you will work. Your recruiter will advise accordingly.
During the Influenza ("the flu") season, as a condition of employment, The Johns Hopkins Institutions require all employees who provide ongoing services to patients or work in patient care or clinical care areas to have an annual influenza vaccination or possess an approved medical or religious exception. Failure to meet this requirement may result in termination of employment.
The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.
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