Position Overview:

Reporting directly to the Chief Financial Officer, this position directs the planning, organization and coordination of all administrative and operational activities of the Central Billing Office and Insurance Verification Department. This position will also coordinate all quality and compliance monitoring of billing and insurance verification operations.  

Essential Functions:

·         Oversees daily operations of the Central Billing Office and Insurance Verification Department, including workload and staffing; hiring, disciplining, and performance appraisals; monitoring quality of work; and training of all Central Billing Office and Insurance Verification employees.

·         Supports revenue cycle by developing and implementing collection systems; analyzing and evaluating the patient check-in, information-gathering and insurance verification processes; monitoring managed care, third party reimbursement, and accounts receivable management, including bad debt and cash collections; adhering to and anticipating changes in Federal and State reimbursement regulations.

·         Reviews claim denials and rejections pertaining to coding and medical necessity issues and, when necessary, implements corrective action plan, such as educational programs, to prevent similar denials and rejections from recurring.

·         Ensures the appropriate dissemination and communication of all regulation, policy, and guideline changes.

·         Reports noncompliance issues detected through auditing and monitoring, nature of corrective action plans, and results of follow-up audits to the Chief Financial Officer and Compliance Officer.

• Accomplishes strategies by determining accountabilities; communicating and enforcing values, policies, and procedures.

• Directs business operational strategies by anticipating requirements, trends and variances, measuring and analyzing trends; preparing critical measurements; implementing production, productivity, quality, and customer-service strategies; designing systems; resolving problems; initiating corrective actions; developing and implementing new or revised procedures, policies, and programs; analyzing and ensuring department data entry and processing effectiveness; recommending and implementing changes.

• Develops long-range and short-term goals, objectives, plans, and programs and ensures their implementation; serves as a change agent for the company.

Note: The foregoing list of job functions and responsibilities is not all-inclusive. Additional duties and responsibilities may be assigned as needed.

Qualifications:

·         Bachelor’s degree in Health Information Management (HIM), Finance, Accounting or General Business required.

·         Five years management in an Ambulatory Surgery Center, large ($50 million) Multi-specialty Group Practice or Hospital setting.

·         Certification as a Registered Health Information Administrator preferred.

·         Extensive knowledge of coding principles and guidelines.

·         Extensive knowledge of ambulatory surgery center/technical and professional services reimbursement systems.

·         Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing for professional and technical services.

·         Strong managerial, leadership, and interpersonal skills.

Skills:

Health Care Administration, Patient Services, Customer Focus, Financial Skills, Developing Budgets, Decision Making, Analyzing Information, Management Proficiency, Planning, Professionalism, Quality Management, Oral and Written Communication

To apply, please click on the link below:

https://administaff.ats.hrsmart.com/cgi-bin/a/highlightjob.cgi?jobid=55722