Description
Come and enjoy an exciting and growing team!
Summary/Objective: Manages the day to day operations for directing and coordinating the overall functions of the medical billing, workers compensation, medical records and disability departments to ensure maximization of cash flow while improving patient, physician, and other customer relations. Contributes to the delivery of excellent orthopaedic care in a patient-centered environment by ensuring all billing functions are completed for the premier orthopaedic care provided.
Essential Job Functions include but are not limited to the following:
- Oversees the operations of the billing department, payment posting, accounts receivable follow-up, and reimbursement management.
- Responsible for the supervision and management of the billing, workers’ compensation, medical records, and disability department personnel, which includes work allocation, training, and problem resolution; evaluates performance, and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performance.
- Works collaboratively with the COO, Director of Revenue Cycle, Coding Supervisor, and Billing Coordinator to provide direction and oversight to help improve operations, decrease turnaround times, streamline work processes, and work cooperatively to provide quality customer service.
- Ensures KPIs are meeting industry standards for optimizing performance of the department.
- Manages customer accounts and inquiries.
- Provides regular education to the coders, billers, business office staff, and the providers.
- Maximizes revenue through the accurate and complete capture of all charges.
- Identifies and resolves problems that are impacting the revenue cycle.
- Coordinates effective and timely denial management and appeals.
- Maintains current knowledge regarding payer requirements, policies, ensures system updates are completed accordingly and keeps team informed and updated regarding changes and requirements.
- Ensures accurate and timely month-end close process.
- Works collaboratively with the Director to conduct internal reviews of claim workflow for process improvement and compliance monitoring.
- Manages revenue cycle projects.
- Makes decisions and recommendations on HR issues affecting assigned staff, including hiring, promotion, discipline, attendance, compensation, and termination. Conducts new hire training and continuing education. Provides a consistent training program.
- Attends management meetings and assists with training and implementation of improvements based on audit results.
- Ensures that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, State, and payer regulations, guidelines, and requirements.
- Coordinates any internal and external audit processes of billing practices.
- Ensures compliance with HIPAA, OSHA, and safety compliance.
- Other duties as assigned.
Requirements
Education: High School Diploma or equivalent. Associate's degree, preferably in coding/billing, business administration, or related field is preferred.
Experience: Supervisory experience in medical billing for two (2) years and a minimum of five (5) years of medical billing experience is required. EPIC experience is required.
Other Requirements: Schedules will change as department needs change including overtime, evenings, and weekends. Travel as needed.
Performance Requirements:
Knowledge:
- Knowledge of OrthoCincy’s Mission, Vision, and Values.
- Knowledge of billing, coding, and clinic rules, guidelines, compliance, and operating policies.
- Knowledge of anatomy and medical terminology.
- Knowledge of and stays current on all billing and coding guidelines/updates.
- Knowledge of billing practices and clinic policies and procedures.
- Knowledge of electronic health records and practice management systems.
- Knowledge of HIPAA guidelines.
Skills:
- Excellent organizational, multi-tasking, and adaptability skills.
- Detail-oriented.
- Basic math skills.
Abilities:
- Ability to understand and interpret policies and procedures.
- Ability to communicate and educate staff and medical providers.
- Ability to read and interpret medical charts.
- Ability to examine documents for accuracy and completeness.
- Ability to maintain productivity set forth by leadership while ensuring accuracy.
- Ability to communicate effectively with all ages and work well with others.
- Ability to maintain a 93% accuracy rate.
Mental/Physical Requirements: Sitting about 90% in front of a computer screen. Fast-paced high productivity environment. Must be able to remain focused and attentive without distractions (i.e. personal devices).
#J-18808-Ljbffr
