Piedmont Health Services Inc · 6 hours ago
Director of Revenue Cycle
Piedmont Health Services, Inc. is a nonprofit and Federally Qualified Health Center in North Carolina dedicated to delivering accessible primary healthcare. The Director of Revenue Cycle will supervise patient accounts, develop billing processes, and work with various stakeholders to ensure efficient claims processing and revenue management.
Health Care
Responsibilities
Directly supervise Patient Account Manager and Credentialing Specialist and all ADP related issues
Monitor supervision of staff for Patient Accounts
Develop and monitor a billing process to minimize denial and stagnant claims
Work with IT to make sure Centricity is working properly to maximum claims transmission and posting of payments and trouble shoot issues with Practice Management system vendor
Work with Site Directors to ensure understanding of claims entry, processing and reconciliation is appropriate
Work with Insurance Carriers to make sure contract and fee schedule are implemented
Work with Credentialing Specialist to ensure providers are enrolled with contracted carriers
Work with Dental Leadership to resolve account and claims issues
Generate monthly revenue reports from both Practice Management systems
Generate monthly status of claims reports for COO, Site Directors, Center Manager and patient accounts staff
Other duties as assigned
Qualification
Required
Four-year degree with Business, Accounting or Health Administration emphasis on healthcare delivery institutions
Three to five years of experience in medical/health care insurance claims processing in a health care or other institutional facility or the equivalent combination of education and experience
Managerial or supervisory experience required
CPC (Certified Professional Coder), CPB (Certified Professional Biller), CRCP (Certified Revenue Cycle Professional), CHFP (Certified Healthcare Financial Professional), or similar credentials in medical billing/coding/revenue cycle
Be medically cleared for communicable diseases and have all immunizations up-to-date prior to beginning employment
Benefits
Medical, Dental, Vision, Life Insurance (Short & Long Term Disability)
403(b) Plan
Paid Holidays
CME (Continuing Medical Education)