We are looking for a top performer with solid knowledge of revenue cycle functions to lead the analysis and support of charge capture, billing and collections, and denial management for our hospital.
This position will be responsible for (1) daily functions of denial resolution which primarily includes researching accounts, analyzing EOB's, and interacting with insurance companies for resolution of denied balances. (2) ensuring all charges are captured correctly and timely, (3) building strong relationships and interacting with the USPI Central Services Office (CSO) to ensure all claims are being billed accurately and timely. (4) Must be a hands on problem solver and effective communicator to support the goals of the Hospital business office.
High School Diploma required
Associates or Bachelor's degree preferred
Minimum 3-5 years related experience in working denied A/R and underpaid medical accounts.
Strong collection and negotiation skills
Solid understanding of revenue cycle functions and business office operations, including charging, accounts receivable, collections, and managed care contracts
Excellent computer proof reading and attention to detail, experience in Excel required / Cerner preferred
Excellent written and verbal communication
Ability to analyze complex data and effectively communicate findings to all levels of the organization
Ability to work independently, proactively with limited supervision and a team player when called upon
Strong organizational skills and ability to manage multiple tasks
Strong customer service skills
Physical demands require employee to sit and use a computer for extended periods of time.
United Surgical Partners International