~~Position Summary: Leads, trains and motivates a team of # employees in the central business office (CBO). This is a key role in the organization that is central to the success of the business office and company goals.
Position Details:• Serves as the lead on all issues relating to revenue cycle management, credentialing, patient access, policies, and procedures.• Manages and tracks the productivity of the billing team (charge entry, claim creation, claim processing, payment entry, denial resolution, and A/R follow-up) and to insure that billing and collection activities are timely and accurate.• Is responsible for the overall direction, strategy and coordination of CBO staffing• Responsibilities include interviewing and selecting candidates that align with company culture and values. Completing routine performance evaluations, directing work, resolving conflict and fostering a healthy team work environment.• Maintains current knowledge of coding guidelines through the use of CPT, HCPCS II and ICD-9/10 materials.• Maintains payer plans based on contractual agreements and regulatory guidelines• Assigns and allocates resources as required to ensure goals for aging and receivables are met.• Operates in a liaison capacity with the field operations and outside vendors, partners et al• Handles external inquiries such as audits, surveys etc.• Responsible for and maintains standards of company policies and procedures to ensure compliance and standardization at office level.• Medical Billing Job Duties may also include: Track, fix, re-bill and follow-up on unpaid claims; Contact insurance companies regarding denials; Verify Insurance; Send medical records for claims as well as insurance audit; Post charges; Work up accounts for refunds; Appeal claims if necessary; Assist patients with billing and account questions in a professional manner; Arrange payment plans according to company policy.• All other duties as assigned
• 3 recent years of experience in healthcare medical billing, required.• 2 years of Management/Supervisory experience, required.• Proven track record for improving process efficiencies and problem solving• Strong leadership skills with an ability to motivate direct reports• Ability to multi-task and manage multiple assignments concurrently