Job Type

Full-time
Description
Who We Are:
As the only independent and physician-led faculty practice plan of the University of Tennessee Health Science Center, University Clinical Health (UCH) offers best-in-class clinical care through a network of 175 providers across 19 specialties to meet the healthcare needs of the Mid-South community. UCH is a not-for-profit, non-tax-supported group practice and is here to serve the community while providing medical excellence to our patients.
Position Summary:
This position is responsible for the management, direction, and training of assigned Accounts Receivable Workgroup. This position is responsible for overseeing the day-to-day operations for EDI rejections and insurance follow-up.
Key Results Areas (KRAs):

• Actively participates in the development and ongoing review of productivity and quality standards for all workgroups.
• Manages EDI rejection resolution.
• Manages outstanding A/R to ensure maximum reimbursement with minimal write-off adjustments.
• Create and analyze A/R metrics.
• Maintains relationships with internal and external clientele.
• EHR/PM expertise and ability to create technical solutions to resolve breakdowns.
• Create and revise policies and procedures for the departmental area.
• Supports staff with additional tasks as needed.
• Actively participates in process improvement efforts.
• Manages departmental staff schedules ensuring effective staffing support levels.
• Ensures staff is trained on work processes, and is cross-trained.
• Ensures staff is engaged and demonstrates professionalism.
• Ensures UCH policies and procedures are implemented and followed.
• Serves as an effective resource for staff.

Requirements
Core Competencies

• Strong analytical, oral, and written communication skills.
• Familiarity with health insurance and other third-party billing practices and guidelines.
• Proficient in Microsoft Word, Excel, Access, and Outlook.
• Knowledge of basic medical coding and third-party operating procedures and practices.
• Previous management experience preferred.
• Demonstrates a commitment to providing high levels of dedication and quality.
• Demonstrates the ability to work both independently as well as with a team concept.

Education & Experience:

• High school diploma or equivalent required
• 3 - 5 years of experience in a medical office working with insurance claims processing involving CPT, HCPCS, ICD-10CM, and CMS regulations required
• Familiarity with CMS1500 and UB04 claim form completion required
• NextGen and/or Epic experience preferred.
• Previous A/R third-party management experience required.
• Previous management experience is required.

EOE- University Clinical Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, genetic information, or any other characteristic protected by federal, state, or local laws. University Clinical Health is a VEVRAA Federal Contractor - priority referral Protected Veterans requested.