Position Summary/Functional areas and services:
Under thesupervision of the Director of Revenue Cycle this position oversees thefunctionality, work flow, and day-to-day activity for the billing, coding, andcollections of the assigned CBO departments and practices and associatedbenchmarks and goals.
Essential Functions of thePosition
Identifies problem areas and develops plan of action to ensure benchmark standards are obtained and maintained.
Researches coding questions/issues and presents solutions to management.
Establishes service goals to be achieved and manages work quality; monitors compliance.
Directly oversees staff members, and is responsible for ensuring their work output is satisfactory and their concerns are resolved. Is responsible for all hiring and related personnel decisions, completing routine performance review evaluations, leading employee engagement initiatives, training, scheduling, regular staff meetings and the like.
Meets regularly with Supervisors to ensure productivity and accuracy and to ensure consistency in quality and quantity while meeting departmental goals. Reports any discrepancies or issues to Director.
Adjusts goals as needed to help increase staff performance and maintain quality.
Encourages employee participation in process improvement by listing and giving feedback with respect to departmental needs.
Monitors all billing and coding trends for issues. Works with internal departments and medical offices to offer solutions and assist in meeting revenue benchmarks.
Assists in the development of new procedures that focus on improvement in quality and quantity of work performed.
Maintains strict confidentiality in regard to patient's personal, medical and financial information.
Acts as a role model for professionalism through appropriate conduct and demeanor at all times.
Acts as a liaison between the Central Billing Office, physicians and staff. Effectively communicates issues relative to claims processing difficulties and/or patient complaints.
Offers and implements suggestions to increase work flow as appropriate.
Manages operating expenses and FTE budget to meet department goals.
Updates and creates new policies as needed in conjunction with Director.
Maintainscommunication between Central Billing Office and Billing Services to resolveissues with provider numbers, system issues, and carrier issues.
Performsadditional duties as assigned.
*Thisrole may encounter Protected Health Information (PHI) as part of regularresponsibilities. UH employees mustabide by all requirements to safely and securely maintain PHI for ourpatients. Annual training, the UH Codeof Conduct and UH policies and procedures are in place to address appropriateuse of PHI in the workplace.
Bachelor's degree required.
Credentials, Licensure or Certification (i.e. RN, RRT):
CPCor CCS-P required.
Experience & Knowledge:
Minimum 5 years of progressive experience in healthcare revenue cycle operations required.
Supervisory experience required, which includes experience hiring, training, evaluating, disciplining, developing and engaging staff members.
o Must have excellentworking knowledge of claim submission (UB04/HCFA 1500) and third party payers.o Knowledge ofFederal Billing Regulations required.o Must bedetail-oriented and organized, with good analytical and problem solvingability. o Notable clientservice, communication, presentation and relationship building skills required. o Ability to function independentlyand as a team player in a fast-paced environment required.
Must have strong written and verbal communication skills.
High tolerance level for a potentially stressful environment.
Excellent knowledge of ICD-10 and CPT coding as well as reimbursement.
Special Skills & Equipment Knowledge:
Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e. printers, copy machine, FAX machine, etc.) required.
Oracle, Kronos, Soarian, Athena, and/or claim scrubber experience preferred.
Equal Opportunity Employer – minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity