Supervises and monitors the staff and daily operations of physician practices to ensure that billing related functions are performed in an efficient manner consistent with department policies and procedures.
Interfaces with physicians and administrators to ensure financial growth and stability. Apprises physicians of new and revised procedures.
Monitors accuracy of fee structure and reimbursement payment schedules from third party payers, all cash payment deposits and refunds.
Acts as resource person for resolution of complex billing situations.
Supervises, hires, trains, disciplines and evaluates the performance of staff. Ensures performance appraisals are completed in a timely manner.
Analyzes, recommends, implements and monitors approved work-flow changes.
Assists in the recommendation, implementation and evaluation of approved operating budget. Maintains records, reports on performance, and recommends corrective action or justifies variances.
Prepares statistical and budgetary reports. Reviews physicians' charges against hospital account index.
Manages write-offs, adjust downs, bad debts and other delinquent accounts.
Coordinates clinical documentation requests to business office to ensure timely appeals.
Develops and implements policies and procedures to facilitate billing and maximize case collections.
Reviews and recommends improvements for financial management of each billing area.
Performs related duties, as required.
ADA Essential Functions
High School Diploma or equivalent, required. Knowledge of Management, Computerized Systems, and Third Party Reimbursement as normally acquired through the completion of two (2) years of college, business or technical school.
Minimum of three (3) years progressively responsible related work experience to ensure familiarity with billing/receivables in a medical or hospital setting, including prior supervisory experience, required.