44 applicants

Company

Medasource · 2 days ago

Acting Director - Professional Billing Operations

United States

Full-time

Remote

Director/Executive

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Health CareMedical

Growth Opportunities

Hiring Manager

Lindsey T.

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Responsibilities

Directing and administering the Professional Accounts Receivable operations, programs and activities of the Central Business Office (CBO)

Providing guidance, leadership, and direction to all of those who are involved or responsible for obtaining accurate and timely insurance benefit verification and authorization

Timely billing and collection of accounts receivables in order to achieve targeted KPIs and exceed cash collection goals

Mentoring and coaching to produce optimum work habits and achieve the highest level of competency of leadership and staff

Managing components of the Revenue Cycle for multiple entities

Establishing relationships at all facilities and being familiar with each institution's computer environment and payer contracts

Qualification

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Revenue Cycle ManagementProfessional Billing PracticesEPICCRCE/CMPA/CHFP CertificationThird-party BillingAccounting PrinciplesFederal Compliance KnowledgePatient Accounting TechnologyNetworking InfrastructureMedical TerminologyPC ApplicationsCustomer Service Skills

Required

Bachelor's Degree in Accounting, Business Administration, Finance or a related field

Comprehensive understanding of departmental procedures and the Revenue Cycle, with emphasis on professional billing practices

Strong PB Professional EPIC knowledge

Knowledge of third-party billing and collection processes

Knowledge of accounting principles

Knowledge of operations and patient flow to identify and analyze potential sources of errors or patient dissatisfaction

Up-to-date knowledge and understanding of Federal compliance and OIG initiatives that impact the healthcare industry

Knowledge of technology alternatives applicable to the patient accounting environment – i.e., optical imaging, call center processing, collector workstation, etc.

Generalized understanding of networking infrastructure issues that impact the organization

In-depth knowledge of system applications related to the hospital revenue cycle including knowledge of the key master files and transaction flow

Understanding of medical terminology

Knowledge of standard PC word processing, spreadsheet, and database applications

Excellent interpersonal skills in dealing with subordinates, co-workers, hospital staff, patients, and payer representatives

Proven analytical ability and organizational skills necessary to organize/assess information and provide timely recommendations based on data analysis

Excellent verbal and written communication skills to support interaction and participation in meetings with patients, physicians, payer representatives, MHA, and representatives of other departments

Leadership and mentoring skills necessary to provide support to work group and promote employees

Managerial abilities necessary to motivate and control the activities of a large production unit

Synthesize large data sets and summarize for large and diverse audiences

Strong customer service skills and a customer-centered approach to leadership