Support the designated leadership team in Revenue Cycle in the selection, direction and development of Accounts Receivable department team members.
Assist team members with problematic claims and answering questions regarding operational processes.
Responsible for performance and effectiveness of the department's staff.
Develop and manage departmental budget, including overtime.
Prepare monthly reports as requested.
Establish departmental goals with the staff to optimize performance and meet budgetary goals while improving operations to increase customer satisfaction and meet financial goals of the organization.
Work with internal and external customers to make key decisions, impacting either the organization as a whole or an individual patient.
Plan agendas and lead meetings, as appropriate, to enhance communication, including providing notes from meetings to all attendees.
Requirements
3 to 5 years of management experience in healthcare industry
Medicare and Medicaid billing experience required
Must have specific HIS computer systems knowledge (i.e. Epic, Cerner, Meditech, etc)
Intermediate experience in using Microsoft Excel
Excellent Verbal skills.
Problem solving skills, the ability to look at account and determine a plan of action for collection.
Critical thinking skills, the ability to comprehend tools provided for securing payment, and apply them to differing accounts to result in payment.
Adaptability to changing procedures and growing environment.
Proficient knowledge of Medicare, Medicaid and other third-party payer documentation, coding and billing regulations
Advanced Degree preferred
3-5 years of relevant experience in medical collections, physician/hospital operations, AR Follow-up, denials & appeals, compliance, provider relations or professional billing preferred.
Knowledge of claims review and analysis.
Working knowledge of revenue cycle.
Experience working the DDE Medicare system and using payer websites to investigate claim statuses.
Working knowledge of medical terminology and/or insurance claim terminology.