Job ID 526578 Date posted 11/06/2024 Apply: Save Job
Description

This position will be responsible for managing all aspects and provide direction for members of the CBO as well as the Lifepoint partnership hospitals.  Additional responsibilities include:

Department specific duties:

Designing and implementing workflow improvementsTargeting and implementing relevant policies and proceduresInteracting with staff and resolve issues escalated by Patient Account RepresentativesUnderstand and interpret insurance and Medicare explanation of benefits, knowing when and how to resubmit claims for maximum reimbursement.Assist Director in identifying efficiencies related to accounts receivable management / revenue cycle management, and be able to interface with financial institutions, accounting personnel and facility management to remove obstacles to a more efficient operationPrepare and report to upper management on status of efforts related to key departmental metricsEnsure that month end process deadlines are met, and key information provided to AR Director in a timely mannerEnsure staff audits are completed, and results discussed with direct reports

Global improvement duties:

Ensure Meditech system is working efficiently and identifying any issues related to claim data.Ensure Assurance billing system is up to date with current key payers and editing claims accordinglyReview and correct Medicare claims through electronic DDE systemWork with Director to escalate issues as necessary for resolution of obstacles

Staff positions that report to this position:

BillersAccount Receivable Representatives

Qualifications

Skills:

Strong management skillsExcellent verbal and written communication skillsA high level of knowledge in managing data from disparate operating systemsStrong MS Excel and data analysis skills.

Qualifications

High School Diploma,Bachelor’s Degree preferred6 years’ experience in healthcare or related field preferredFour to five years of supervisory experience in a billing operation