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Reference Number:
AMJ82
Job Description:
Looking for someone who has extensive background in Billing. This is a RURAL area so someone from the Midwest would be great.
JOB SUMMARY: Manages, directs and coordinates activities of personnel engaged in the revenue cycle, including the switchboard, cashiering, billing, collecting, and admissions. Works with the HIM director on unbilled accounts and supervises the Patient Financial Services department. Works with departments to enhance the efficiency of the revenue cycle process, the charge master, denials management, and reimbursement issues.
ESSENTIAL FUNCTIONS:
1. Responsible for personnel management of Patient Financial Services Office, including but not limited to: payroll, scheduling, training, counseling, evaluations and disciplinary action.
2. Generates activity reports for the purpose of monitoring the PFS personnel and the revenue cycle efficiency.
3. Benchmarks the ongoing accounts receivables, and works with staff when key indicators show benchmarks are not being attained.
4. Directs the Charge Master and Denial Management committees. Identify, examine, and analyze patterns of rejections, partial denials, or denials from third party payers and implement changes.
5. Monitors the unbilled accounts, works with HIM director to minimize the unbilled accounts.
6. Works with department managers to enhance the charging process, to enhance reimbursement, decrease denials. Review charges for accuracy and completeness of procedural and diagnostic codes.
7. Verifies accounts to be turned over to an outside collection agency.
8. Consults with management and initiates changes in procedure with approval. Acts as a resource in the development of accurate charge capture tools.
9. Prepares Patient Financial Services Office budget.
10. Managers chart audit process.
11. Manages admission process to insure accuracy of admission, timeliness of admission, medical necessity compliance, and financial policy compliance.
Experience Level:
3 Years
Requirements:
EDUCATION: College or University Diploma required. Advanced certification preferred.
EXPERIENCE: Three years experience as a Patient Accounts Manager.
SKILLS: Computer and general office skills required.
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