Address
Form of work
SalaryDescription:
What does the position do? Supervises the day to day Revenue Cycle operations in order to maximize the collection of medical services payments and reimbursements from patients, insurance carriers, financial aide, and guarantors. Supports and adheres to the US Oncology Compliance Program, to include Code of Ethics and Business Standards, and US Oncology's Shared Values. Receive escalation The essential duties and responsibilities: Supervises the daily business functions of the patient visit from point of entry to accurate adjudication of the patients' accounts. Scope of responsibilities includes appointment scheduling, insurance eligibility processes; charge processing; claim submission and processing; payment processing; collections and accounts receivable management; denial management; reporting of results and analysis; concurrent and retrospective auditing; proper coding; credentialing; customer services relative to Revenue Cycle; training and development relative to Revenue Cycle; analytics, and all other Revenue Cycle management activities. Resolves escalated and unique Revenue Cycle issues. Responsible for quality work, meeting deadlines, and adherence to the Practices Standard Operating Procedures (SOPs); regularly audits staffs work to ensure compliance. Monthly, prepares Revenue Cycle financial analysis, including aged accounts. Monitors and assesses business metrics in order to refine processes and improve efficiencies. Guides individuals and teams toward priorities; clarifies roles and responsibilities of others; coordinates resources to meet objectives. Cascades goals down to staffs annual objectives. Champions new initiatives; acts as a catalyst of change and stimulates others to change; paves the way for needed changes; manages implementation effectively. Steps forward to address difficult issues; puts self on the line to deal with important problems; takes ownership and accountability. Develops, implements, and maintains the Practice's Revenue Cycle training materials. Conducts training of SOPs, systems, metrics, government regulations, and etc. Responsible for the overall coordination of front office duties to include scheduling, check-in, and co-pay/co-insurance collection. Attracts high caliber people, accurately assesses strengths and development needs of employees; provides timely, specific feedback and helpful coaching; provides challenging assignments and opportunities for development. Responsible for interviewing, recommending hires, assessing performance, recommending salary changes, and progressive discipline. Enforces adherence to the Practice's and US Oncology policies. Other duties as requested or assigned.
Skills:
Revenue Cycle management, medical insurance billing, hmo, ppo, healthcare administration management, athena idx
Top Skills Details:
Revenue Cycle management,medical insurance billing,hmo,ppo,healthcare administration management
Additional Skills & Qualifications:
Associates or Bach degree in Finance, Business or equivalent & 4 years Revenue Cycle experience required. 4 years of medical Revenue Cycle work experience required with a consistent track record of achieving metrics 2 years experience in healthcare management: managing, delegating, and following up on work priorities of others is highly preferred but not required Individual must have strong knowledge of medical insurance billing and collections with CPT, ICD9, and HCPC coding and medical terminology, as well as an overall understanding of managed care products (HMO, PPO, etc). Proficiency in Excel Understand insurances: referrals, HMO, PPO Must be Polished & professional; must be "straight to the point", not bubbly!
Experience Level:
Expert Level
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
