Manage Billing teams responsible for all daily work activities that include: demographic entry, insurance follow up, cash posting, client interaction and daily reports.
Ensure all client deadlines are met.
Appropriate training of staff including back-up and cross training in all necessary job functions.
Responsible for the appropriate and timely assignment of work to staff and daily monitoring of productivity for each function of the revenue cycle process.
Ensure accurate and correct posting of payments received on overturned accounts.
Work directly with the billing teams to facilitate the gathering of information to ensure proper response to claim denials.
Directs the training and information sharing of the revenue cycle policies and procedures to all direct reports and office staff.
Works with and provide direction to Physicians regarding coding and compliance matters.
Seek opportunities for process improvement and workflow automation and refinement; work with external and internal resources to implement necessary process and system changes.
A/R management, collections, and reconciliation.
Possess an in -depth understanding of Medicare physician payment process and commercial/third party payer regulations.
Ability to travel to a client site to design and set up logistics to successfully implement new engagements.
Design, implement, and monitor the process for data and information delivery between the client and AMAC
Assist in the preparation and delivery of status reports as well as other monthly activity and KPI reports to clients.
Ability to resolve payment issues with insurance companies; ability to interpret payer contracts.
Possess an in-depth understanding of the Medicare hospital payment process and commercial / third party payer regulations.
Must possess an aptitude for process design and re-design of existing processes to ensure the most efficient use of resources to satisfy client expectations.
The Revenue Cycle Manager is also responsible for developing and documenting revenue cycle policies and procedures, monitoring performance reports to improve practice financial position, and coaching and developing employees.
Assists with other duties as assigned
EDUCATION / CERTIFICATION REQUIREMENTS:
Five (5) years of comprehensive billing experience (coding, reimbursement, collections, etc.) in a medical office with multiple physicians.
Three (3) years of supervisory experience in a billing office role.
Bachelors Degree in Business Administration or equivalent combination of education/experience and experience preferred.
Strong working knowledge of ICD-10 and CPT coding.
Knowledge of complete Revenue Cycle flow and process.
Successful Completion of AHIMA or AAPC-Approved Certified Billing Certified Program preferred.
Strong knowledge of medical terminology, radiation oncology preferred.
Ability to read and interpret medical charts.
Proficient skills in computer programs such as EMR and Practice Management systems.
Effective time management and communication skills.
