Overview

We are seeking a dedicated and experienced professional to direct and coordinate the accounts receivable responsibilities of the Hospital (HB) claims follow-up team for the organization . In this role, you will have the opportunity to design, plan, and implement cutting-edge technology and processes to elevate our Revenue Cycle Management operations. As a key player, you will assist in resolving complex accounts receivable issues and be an interictal member of the RCM team. If you have a passion for continuous improvement and possess strong leadership skills, this is the position for you!

Responsibilities Direct and coordinate the follow-up and balance resolution efforts for outstanding accounts receivable under area of responsibility.Design, plan, and implement new technology and processes to improve hospital claims follow-up and denials operations.Supervise personnel directly responsible for resolving outstanding hospital claims.Assist employees in resolving outstanding claims issues, to prevent and/or work denials and allow for expected reimbursement.Review A/R reports and coordinate productivity of appropriate personnel to resolve outstanding claims and reduce denials.Actively participate in the implementation and maintenance of claim systems and pre-bill editing processes, as well as collaborating with IT/EPIC resources on system and operational enhancements.Work collaboratively with clinical department directors to share data and create effective workflow to positively impact AR management.Review payor websites for bulletins, transmittals, program memorandums, payor specific medical review policies, and other billing and reimbursement information.Educate and distribute relevant information to appropriate staff.Provide services with consideration of the recipient's needs.Collaborate with other RCM leaders to improve operational flow and employee satisfaction.Work with management to solve problems, enhance productivity, and handle special situations.Assist with patient complaints related to claims/billing issues.Assist other departments with billing problems.Assist with new system upgrades, changes, and testing. Qualifications High School graduate plus two years' additional education in accounting or business administration, or equivalent work experience.Minimum of five years' experience in similar healthcare Revenue Cycle Management role, preferred.Strong interpersonal and verbal communication skills.Ability to manage multiple tasks in an organized manner.Excellent analytical and problem-solving skills.Leadership skills with the ability to reach consensus.Demonstrated strong computer skills. EPIC experience, preferred.Knowledge of CPT-4, HCPCs, UB-04, and ICD-10 Coding, as well as various payor guidelines and requirements.Ability to work independently, exercising sound judgment, discretion, and initiative.

Join our team and make a meaningful impact on our Revenue Cycle Management operations!