Key skills
LeadershipCritical Thinking
About this role
Role Overview
- Support designated leadership team in Revenue Cycle
- Guide and develop Accounts Receivable department team members
- Assist team members with problematic claims and operational questions
- Responsible for performance and effectiveness of department staff
- Develop short and long-term plans and objectives to improve revenue
- Manage overall payment and denials trends
- Work with insurance companies to identify reasons for denied payment
- Collaborate with Coding and Billing teams to reduce denials trends
- Empower staff to develop process improvement methods
- Conduct systematic performance assessments and implement improvements
- Perform ongoing process improvement of accounts receivable functions
- Generate reports to analyze trends in unpaid claims and denial activity
- Work with appropriate departments to resolve recurring issues
- Provide guidance to department Supervisors to resolve issues
- Develop and manage departmental budget, including overtime
- Prepare monthly reports
- Establish departmental goals to optimize performance
Requirements
- 3 to 5 years management experience in healthcare industry
- Medicare and Medicaid billing experience required
- Specific HIS computer systems knowledge (i.e., Epic, Cerner, Meditech)
- Intermediate experience in using Microsoft Excel
- Excellent verbal skills
- Problem-solving skills
- Critical thinking skills
- Adaptability to changing procedures and growing environment
- Proficient knowledge of Medicare, Medicaid and other third-party payer documentation, coding and billing regulations
- Knowledge of claims review and analysis (preferred)
- Working knowledge of revenue cycle (preferred)
- Experience working the DDE Medicare system and using payer websites to investigate claim statuses (preferred)
- Working knowledge of medical terminology and/or insurance claim terminology (preferred)
Benefits
- Health insurance
- Time off
- Retirement plans
- Well-being programs
- Professional development
- Certification programs
- Incentive programs
- Tuition reimbursement