• Oversee revenue cycle management including billing, collections, and denial management to ensure accurate billing and efficient account collection, maximize collections, and effectively manage accounts receivable
• Manage department staff, including day-to-day supervision as well as development opportunities, training, and mentorship

Responsibilities

• Oversee and manage department operations, directing processes to ensure accurate billing and efficient account collection to consistently meet revenue targets
• Develop, evaluate, implement, and revise written guidelines, policies, and procedures using a data-based framework
• Maintain appropriate internal controls; analyze billing and claims for accuracy and completeness, and research variances
• Generate and analyze monthly KPIs and performance metrics; audit current procedures to monitor and improve efficiency of billing operations
• Lead performance management, mentoring and staff development; ensure training and reference materials are up to date and provide training to keep staff up to date on trends
• Ensure timely and appropriate cross-functional problem and customer service escalation
• Work with key vendors (EMR, clearinghouse, BPO, etc.) to identify opportunities for improvements to the existing systems or workflows
• Commit to highest level of business and patient confidentiality possible adhering to all HIPAA and security guidelines when accessing and sharing patient information
• Keep abreast of third party and private insurance payer requirements and government regulations; participate in development of contracting and billing strategies
• All other duties as assigned

Requirements

• Bachelor's degree in business, finance, accounting or healthcare administration required; master's degree is an advantage
• 5 years managing the revenue cycle of a healthcare organization with some in a professional practice billing in multiple states