Overview

Eyecare Services Partners is searching for an experienced Revenue Cycle Manager for our Regional Business Office in Owings Mills, Md. We provide a robust benefits package, a team oriented working environment where you are seen, heard and respected as well as clear career ladder opportunities. This is an in office position and not remote or hybrid.

Our Top Candidate will reside in the Baltimore, Md. metro area and bring a significant medical billing background with at least 3 years experience in ophthalmology billing and 3 years of managing a team of 8 billing associates.

EyeCare Services Partners (ESP) is creating the nation’s leading eye-care services company in both quality and scale by consolidating ophthalmologic and optometric practices and ambulatory surgery centers that are locally dominant and clinically differentiated. Eyecare Services Partners selects best-in-class ophthalmic and optometric practices that are focused on essential eye health issues. Our practice groups excel in the utilization of advanced technology and processes to provide safe and optimal outcomes for our practices. ESP and our associated practices represent a community of dedicated leaders, compassionate providers and surgeons, plus highly skilled clinical teams supporting communities and their eye care needs.

All of us at Eyecare Services Partners are committed to inclusion and belonging. We believe today more than ever that creating an environment where everyone can bring their authentic selves to work and make it easy for others to do the same will benefit us all. It isn’t speaking the words, but starts with a culture of caring, listening and service. We would thoroughly enjoy meeting with you and discussing our employment opportunities. For more information, please visit our web-page at www.espmgmt.com 

The Regional Business Office (RBO) Revenue Cycle Manager reports to the Director of Revenue Cycle. They will oversee the day to day operations of the Regional Business office for EyeCare Services Partners Management LLC (ESP). The manager will be responsible for the processing of claims through the practice management system, the reconciliation of claims to the clearing house and the follow-up of denials. The manager will support and assist in change management thorough the organization as business needs and industry standards require change to ensure corporate and regulatory standards are met.

This position requires a highly motivated, productive and experienced billing professional with a desire to work in a dynamic and fast-paced organization. As ESP expands, the RBO Manager will assist in the growth of their assigned office. 

**Eyecare Services Partners will now only consider candidates who can verify prior to hire that they either have been fully vaccinated against the Covid 19 virus or have started the vaccine process by having their initial dose before starting in their new position and are committed to completing that process within 30 days of starting work.

Responsibilities

• Directly manage and oversee the staffing, training, support and development of the Regional Business Office.
• Support and maintain standardized billing department policies and procedures and ensure clinical operations (i.e. OD’s, MD’s and DO’s) comply with SOP’s that ensure maximum collections and regulatory compliance, acting as a liaison among accounting, billing, operations and clinical staff.
• Perform analytical reviews and quality assurance on all data generated by Billing and Collection Department to ensure data integrity.
• Work closely with operations team to assure communication of information necessary to ensure efficient processes are understood and implemented in accordance with policies and procedures.
• Provide denial reports to operations and assist in helping resolve the root cause of denials.
• Ensure proper billing and collections relating to commercial and government reimbursement.
• Responsibility for regulatory compliance and credentialing as it relates to payer transactions as well as HIPAA and PHI regulations.
• Responsible for accurate and timely billing, data entry, charge corrections, adjustments and Denial management.
• Manages the EDI functions as they relate to electronic claims submission, denial management, and related systems for scope of business.
• Ensure billing software is updated with current versions; perform appropriate testing and implementation. Ensure enterprise level databases are kept current.
• Provides reimbursement direction and resources for start-up and newly acquired locations to ensure a smooth transition and uninterrupted cash flow.
• Third party claim resolution processes including denials and appeals management.
• Generate and distribute billing metrics for dissemination to the facility staff, Operations Team and Corporate Services Team.
• Considers company budget goals in assessing expenditures for reimbursement management; fiscally prudent.
• Review and approve adjustments to receivables.
• Review reimbursement levels to determine when changes take place and keep abreast of changes in the industry that will impact charging patterns and reimbursement levels.
• Follows Red Flag Policy and Procedures.
• Ensure complete patient confidentiality as established by practice policies and HIPAA.
• The person in this position is expected to be in the office during business hours, and will not work remotely.

Qualifications

• Bachelor’s degree in Business Administration, Accounting, Finance or commensurate experience in healthcare industry. 
• Must have 5-8 years of progressive work experience in revenue cycle, patient accounts, managed care and/or financial analysis in the health-care industry.
• 2-3 years of management experience.
• Strong communication skills. Ability to communicate with senior management and hourly associates that report to Manager.
• Thorough knowledge of Microsoft Excel and other billing system platforms is necessary.
• Understanding of medical coding systems. These include ICD-10, CPT, HCPCS, APG, APC, and revenue code structures.
• Financial analysis skills including strong analytical capability.
• Knowledge of industry reimbursement methodologies.
• Must have the ability to identify root cause and problem solve, adaptable communication skills, organizational/multi-tasking skills, prioritizing, etc.
• Must take and successfully pass the AAO Coding Specialist and Retina Specialist Certifications.

  In Turn We Will Offer:

• Benefits to full time team members that include comprehensive medical, dental and optical coverage, 401K and short term disability
• Company paid life insurance
• Paid holidays and generous paid time off
• Paid parking where applicable
• Team oriented working environment where you are heard and respected
• Clear career ladder opportunities

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