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Job Description
- Leads and provides operational directives for all activities related to claims management and collections of Accounts Receivables and ensures timely, efficient cash collections to support overall financial goals of facility
- Prepares and analyzes all statistical reports to monitor trends and determine operational deficiencies and implements corrective-action plans as necessary
- Monitors unbilled account reports to determine necessary actions required to minimize number and dollar-value of accounts being held for bill production; reports findings weekly; develops, in concert with other department heads, corrective actions necessary to clear accounts held for bill release
- Determines qualifications and competence of departmental personnel who provide billing services.
- Evaluates all employee performance evaluations and annual education requirements and provides feedback to managing staff to ensure consistency in application of performance-review process
- Works with front desk and Oregon Health Plan teams to assure training around proper entry for patient registration and other data to assure all information is collected that is needed for billing
- Assists in preparation of annual departmental budgets · Maintains knowledge of current regulations and policies of Federal, State and private payers; keeps impacted departments informed of changes, revisions, and updates
- Stays abreast of latest developments and trends in field of Patient Accounting by attending seminars/workshops and actively participating in interdisciplinary committees
- Maintains confidentiality in all matters that include Patient Health Information and Employee Data
Job Requirements
- Bachelor’s degree in commerce, minimum of 10 years of medical billing experience, and minimum of 4 years’ experience working as department manager in billing, accounting, Strong working knowledge of accounting/business principles, revenue cycle management.
- High-level knowledge of practice management billing systems, electronic health records, and government payment systems
- Data-driven with excellent analytical and problem solving skills along with proven ability to assess and evaluate complex financial data and manage multiple, complex tasks
- Exceptional interpersonal, verbal, and written communication skills; and superior organizational, consultation, and mediation skills
- High-level of accuracy and attention to detail, flexibility, and ability to attend to competing priorities in an effective and timely way, and prioritize effectively in team environment
