Eastern Nephrology Associates, PLLC · 1 day ago
Revenue Cycle Manager (Billing and Reimbursement)
Wilmington, NC, US
Full-time
Onsite
Mid, Senior Level
5+ years expEastern Nephrology Associates is a physician-owned nephrology practice serving patients across Eastern North Carolina. They are seeking a Revenue Cycle Manager to lead daily billing and collections operations, ensuring accurate and timely reimbursement from insurance companies, third-party payors, and patients.
Hospital & Health Care
Responsibilities
Supervises daily billing and collections activities to ensure maximum efficiency. Provides guidance and direction to staff, covering all aspects of billing and collection standards/procedures, ensures adherence to policies and procedures and initiates correspondence with insurance companies for reconsideration of claims
Ensures accounts are billed within established time limits and customer service guidelines/guarantees are adhered to. Keeps abreast of billing regulations/requirements and changes to national uniform billing forms and communicates changes to staff
Monitors payment/denial activity for correct reimbursement by payor, keeps management informed of potential reimbursement issues as well as all updates/charges of billing regulations/guidelines
Maintains contact with insurance companies and administrators of state and federal programs as a Company liaison and troubleshooter to resolve complex reimbursement problems
Qualification
Required
Bachelor Degree in Related Field, and 5 years' claims/billing experience, or combination of education and experience
3+ years supervisory experience is highly preferred
Knowledge of medical billing/collection practices
Knowledge of basic medical coding and third-party operating procedures and practices
Proficiency in Microsoft Office (Word, Outlook, Excel)
Computer skills also include knowledge of applicable EHR, Practice Management, and Document Manager systems
Familiarity with CMS 1500 claim form completion
Valid drivers' license and reliable transportation to allow individuals to provide support to offsite locations, as necessary
Knowledge of healthcare billing procedures, documentation, and standards
Knowledge of cash management principles and procedures to ensure charge entry and receipt reports balance to close of the day report
Detailed oriented and excellent records maintenance skills
Strong supervision and motivational skills
Ability to communicate effectively both orally and written
Initiative-taking with the ability to be a self-starter with strong independent decision-making skills and diligence
Ability to foster and promote a cooperative work environment. Possess a willingness to accept orders and to perform repetitive tasks
Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community
Ability to always treat all employees equally and fairly
Ability to review employee situations and ensure that decisions regarding personnel are fact based
Skill in the use of personal computers and related software applications
Ability to function well while involved in multiple task assignments. Ability to concentrate on details and deal with constant interruption. Skill in organizing resources and establishing priorities
Ability to meet deadlines
Knowledge of operational characteristics and procedural requirements of third-party medical insurance payors
Knowledge or procedural requirements and ethical standards for follow-up of overdue accounts
Ability to analyze medical records and identify billable services
Knowledge of credit and collection principles, process regulations, and standards
Ability to emulate ENA's mission, vision, and values
Preferred
3+ years supervisory experience is highly preferred
Proficiency in EPIC preferred
Most current CPT and ICD coding is highly preferred
Company
Eastern Nephrology Associates, PLLC
Eastern Nephrology Associates provides comprehensive kidney care throughout eastern North Carolina and northeastern South Carolina.
Eastern North Carolina and Northeastern South Carolina, North Carolina, US
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase