Bachelor's Degree in finance, Business Administration, Healthcare Administration, or related field OR 7+ years experience in Healthcare Billing, Collections, and/or Revenue Cycle Management.
Proficient in all Microsoft Office applications and medical office software.
Experienced with electronic Health Record Systems.
Demonstrated knowledge in healthcare billing practices.
Established understanding of health insurance providers.
Strong interpersonal and organizational skills.
Exceptional customer service abilities.
Responsibilities
Manage all departmental personnel and resource management matters.
Develop and facilitate staff training on policies, EHR software, and compliance metrics.
Create work standards and monitor quality of processed work.
Oversee the entire business function of patient visits related to billing and payment posting.
Analyze and troubleshoot performance in revenue cycle processes.
Implement process improvements to enhance collections and efficiency.
Collaborate with Health Systems Administrators to maintain optimal system configuration.
Benefits
Opportunities for professional development and training.
Collaborative work environment with all organizational levels.
Exposure to comprehensive healthcare administration procedures.
Full Job Description
Essential Functions:
Manage all departmental matters including personnel, resource management, reporting, training, and other organizational requirements
Develop training plans, facilitate staff training on policies/ procedures, EHR software, other relevant software, systems, metrics, compliance related to the revenue cycle process
Creates work standards, monitors quality and quantity of work processed, and ensures that policies are communicated and administrated consistently
Management of all business-related functions of the patient visit from point of charge posting, billing, payment posting, deposits, and accurate adjunction of the patient's accounts. Ensures all services performed are billed/collected for
Analyzes, troubleshoots, and measures performance for the processes affecting the revenue cycle. Identify all opportunities and all missed opportunities
Implement reliable solutions for improvement; continually identifying opportunities to automate processes and maximize collections
Works in partnership with the Health Systems Administrators to ensure optimal system configuration is maintained
Determines opportunities for improvement
Ensures patient credit balances are handled promptly and appropriately
Acts as the liaison between the health center and health insurance plans, practice management systems, and third-party vendors
Collaborates with all levels of the organization to drive results in the above areas. Makes strategic recommendations to improve workflow
Builds and runs reporting out of the electronic health records o facilitate collections and to build workflow with other departments
Manages outsourced collection efforts
Supports the internal QA program by developing, tracking, and improving revenue cycle KPI's
Reports all revenue cycle activities to executive management for strategic goal building and financial sustainability
Qualifications:
Bachelor's Degree in finance, Business Administration, Healthcare Administration, or related field OR 7+ Years' experience in Healthcare Billing, Collections, and/or Revenue Cycle Management
Proficient in all Microsoft Office applications as well as medical office software
