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Posted: Tuesday, March 14, 2017 2:25 PM

Job Description:/h3:
Interviews Now Being Scheduled for The Week of March 1, 2017
POSITION PURPOSE
The medical billing and collections manager is responsible for overseeing the planning, organizing and coordinating daily operations to ensure processes from charge capture, claims processing, overall revenue, including cash, collections and payment functions for all patients is effective. Responsibilities include hiring and managing related staff, providing administrative and clerical services, input into process improvement, and overall coordinating proper patient access and billing and collections. Develops and manages processes to audit and monitor charge capture, denial and adjustment management, and reimbursement analysis of payer contracts. Ensures compliance with federal and state laws specifically pertaining to the revenue cycle. Provides ongoing guidance and feedback to clinical leaders to optimize revenues and eliminate barriers that reduce collectibles.The Director of Patient Revenue Cycle also conveys a positive image of the clinic and exhibits values of respect, integrity, innovation, and compassion.
The Medical Billing Manager works under the general supervision of the Chief Operating Officer.
ESSENTIAL FUNCTIONS
Requirements:
:Ensure proper billing procedures/and intake procedures are being followed
:Resolve complex billing issues with regard to rejected claims, appeals and billing errors
:Audit accounts receivable report on overdue claims open
:Compile data for special reports as requested by management
:Answer questions and requests from all other departments with regard to billing
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Responsible for coordinating all aspects of patient billing and collection and access to service activities on a daily basis at BHCC.
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Coordinate the planning, organization, implementation, directions and schedules of all claims management processes and controls to ensure the accuracy and timeliness of authorizations, claim submissions, collections effort and payment distribution in compliance with contractual, state and federal regulations.
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Responsible for the directing and supervising of staff and all technical and clerical aspects of patient billing and collection coordination including hiring, training, monitor staff members within the department and employee disciplinary process, as needed.
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Conduct monthly accounts receivable closing process and analysis.
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Facilitate work effort to bring continuous process improvement to related functions.
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Oversee daily management of the billing department the responsibilities include, but not limited to, managing clinical billing workflow, collections, related systems and processes.
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Establish and monitor benchmarking for collections team and workflow processes.
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Oversee assignment of accounts assigned to outside collections companies and their related collection performance. Managed accounts to be written off.
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Conduct and oversee coding activity.
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Reviews and manage denials and related trending analysis and corrective action plans.
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Lead and manage executive billing overview meetings.
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Other duties as assigned by Supervisor.
PERFORMANCE REQUIREMENTS
Knowledge, Skills, Abilities
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Up to date on current Cancer Center and Imaging practices and protocols related to patient business service, including billing and collection.
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Detailed knowledge of and proficiency with CPT, current coding, and all aspects of billing and electronic claims submission required.
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Common safety hazards and precautions to establish/maintain a safe work environment.
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Personnel development, management and dealing with issues.
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Identifying problems, researching, and recommending resolutions.
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Computer operation and EMR.
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Effective and professional working relationships with patients, medical staff, and the public.
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Planning, organizing, prioritizing and supervising the work of others.
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Ability to react calmly and comp

Source: https://www.tiptopjob.com/jobs/64841959_job.asp?source=backpage


• Location: San Fernando Valley

• Post ID: 104830613 sanfernandovalley
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