Revenue Cycle Manager - Elizabethtown - Communicare Inc

    Communicare Inc
    Communicare Inc Elizabethtown

    4 days ago

    Default job background
    Description

    Job Title:

    Receivables and Billing Specialist

    Summary:

    The Receivables and Billing Specialist is responsible for the oversight of patient billing and patient accounts receivable. This includes maintaining day-to-day operations and reporting requirements.

    Key Responsibilities:

    Accounts Receivable Functions:

    • Coordinate billing and collection activities.
    • Monitor accounts receivable activity.
    • Oversee monthly closing processes.
    • Ensure accurate billing of insurance providers and consumers.
    • Research billing denials from insurance providers.
    • Evaluate billing processes and procedures, making adjustments as needed.
    • Maintain timely follow-up with payers regarding collections of accounts receivable.
    • Update the electronic health record as needed.
    • Serve as a liaison between the electronic health records revenue cycle management staff for accounts receivable.
    • Ensure data is assembled and submitted to process or re-file claims.

    Billing Functions:

    • Communicate and disseminate billing information to appropriate staff.

    Supervisory Functions:

    • Supervise the revenue cycle department in various duties, such as account management, communications with insurance providers, collections, cash posting, contract analysis, and billing.
    • Train and orient new employees to departmental policies and procedures.
    • Interview and recommend employee personnel actions (hiring, firing, promotions, etc.).
    • Assist with training staff on the electronic health record.

    Miscellaneous Responsibilities:

    • Meet productivity standards as assigned.
    • Facilitate all compliance-based data submissions within established deadlines.
    • Work cooperatively with all Inlet staff members and contract entities to facilitate smooth corporate functioning.
    • Participate in regulatory visits by external entities as assigned.
    • Attend all mandatory in-service and other training/educational programs as required and attend all periodic meetings and/or trainings as assigned.
    • Provide well-grounded advice both proactively and reactively.
    • Adhere to all organizational policies and procedures.
    • Perform other duties or responsibilities as needed or assigned.

    Qualifications:

    • Bachelor's degree in accounting or finance, and five years of related experience in accounts receivable, preferably dealing with insurance, Medicare, and Medicaid.
    • Must have a valid driver's license and insurable driving record.
    • Must be willing to travel between divisions regularly.
    • Must have references that report successful experience in accounts receivable and billing.
    • Must have references that report exceptional skills at self-direction, planning, and organization.
    • Must pass all required background checks.

    Mandatory Requirements:

    • Adhere to all policies and procedures of Inlet Health and subsidiaries.
    • Attend mandatory in-services and other training/educational programs as required.


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