Midwestern University · 4 months ago
Assistant Manager Patient Accounts, Coding - AZ - Clinic Finance
Midwestern University is a private, not-for-profit organization that provides graduate and post-graduate education in the health sciences. The Assistant Manager of Patient Accounts, Coding is responsible for overseeing coding processes and staff management in the Central Billing Office, ensuring compliance with legal standards and promoting excellent customer service.
Higher Education
Responsibilities
Organize, direct, coordinate and evaluate the daily activities of the clinic patient account specialists including work associated with claim processing
Hire, train, manage and evaluate patient accounts staff members
Ensures timely and accurate billing of accounts receivable and prompt claim follow-up through the daily supervision of the Patient Accounts staff
Review coding used for Midwestern University Clinics to ensure coding is in accordance with legal requirements, compliance standards, official coding rules, guidelines, and definitions
Review electronic health records (EHR) to determine what information is appropriate for coding purposes
Participate in provider education on proper documentation of services provided, coding and billing issues, charge capture process and reconciliation of charges as it relates to E&M coding guidelines
Train and educate finance staff on billing and coding
Participate in clinic coding assessments/audits, both internal and with external vendors
Participate in development of coding policies and procedures as needed
Identify key issues and take appropriate action to ensure revenue maximization on individual accounts
Ensure all documentation (ABNs, letters of medical necessity, Medicare Wellness forms, etc) are on file and properly filled out for patients when required
Research coding/billing guidelines for all specialties
Work in conjunction with the Manager of Patient Accounts, University Administration and Clinic Administration to reach and maintain financial and accounts receivable goals ensuring compliance of policies and procedures, HIPAA and HiTech
Ensure that all Federal, State and other third-party billing, collecting, and follow-up requirements/ regulations are achieved
Implement changes directed by regulatory agencies
Assist patients with concerns and complaints regarding billing
Promote, develop, and maintain excellent customer service with patients
Assist with month-end reporting
Participate as a member on various clinic committees
Assist patients applying to the MWU hardship program and assist in managing the program for various clinics
Other duties may be assigned
Qualification
Required
High school diploma or GED required
Certified Professional Coder (CPC) required
A minimum of 5-7 years of clinic finance experience including a minimum of 3-5 years accounts receivable experience working in a healthcare setting or medical office environment required
Knowledge of ICD-10, CPT, HCPCS and medical terminology required
Experience working with Medicare, Medicaid, Third party payers is also required
Strong analytical and problem-solving skills
Excellent verbal and written communication skills are a must
Must be able to work independently and multi-task working on several projects at once
Knowledge of Federal and State guidelines, managed care contracting, payer filing and appeal limits, and credit and collection policies is also required
Computer proficiency in MS Office (Word, Excel, Outlook)
Experience with Medical Practice Management systems, EHR, payer websites, clearinghouses
Preferred
Associate degree preferred
1-2 years of supervisory or lead experience preferred
Benefits
Medical, dental, and vision insurance plans
Life insurance
Short/long term disability
Pet insurance
Flexible spending accounts including healthcare reimbursement and child/dependent care account
Competitive time off package including paid holiday’s, sick/flex days, personal days and vacation days
403(b) retirement plan
Tuition reimbursement
Child care subsidy reimbursement program
Identity theft protection
Employee assistance program
Wellness facility on-site with a fully equipped fitness facility
Company
Midwestern University
Founded in 1900, Midwestern University is a not-for-profit graduate institution of higher education offering degrees in the health sciences on two campuses.