Job Details
Job Location: (C)Corporate-Rev Cycle CBO Tyler - Tyler, TX
Position Type: Full Time
Salary Range: Undisclosed
COVID-19 vaccination NOT required for this position.
SECTION 1: Job Summary
Develops a cohesive work unit, consisting of the Business Office, Insurance, and Billing functions, by managing their daily operations, employees and other functions. Manages all activities of these functions, focusing on coordinating their employees, processes and procedures to provide consistency in initial and ongoing training, timely and accurate reporting and auditing, and quality patient relations services.
SECTION 2: Duties and Responsibilities
- Train and develop staff on all job related functions, to be assisted by the supervisors as needed and requested.
- Have knowledge of all processes and procedures of departments, with responsibility for reviewing and revising these as needed for ongoing efficiency.
- Prepare and present detailed reports to senior leadership and other partners as requested, which efficiently reflect the status of all areas of responsibility in each department. .
- Maintain high quality customer service in all departments of responsibility, ensuring that employees have training, coaching and guidance as needed in order to promote professional behavior at all times.
- Handle or oversee handling to resolution of all operational problems and errors incurred daily in each department of responsibility, including the evaluation of efficiency and quality, and formulating responses to address and improve operational deficiencies.
- Oversee and recommend updates as appropriate to fee schedules for commercial insurance and Medicare.
- Oversee and evaluate insurance appeals process and results, revising as needed for ongoing efficiency and ensuring training on appeals for all Business Office staff.
- Develop relationships with managed care companies and providers and with government payers.
- Implement and maintain timely internal audit functions for accuracy, consistency and efficiency. These will include, but are not limited to the following:
- Implement and ensure checks and balances from front office through billing, including identifying potential problems and developing resolutions as needed.
SECTION 5: Experience Requirements
- Minimum three (3) years insurance billing/posting experience in a customer service related industry, preferably in a medical office
- Minimum three (3) years supervisory experience, required.
SECTION 6: Knowledge, Skills and Abilities Requirements
- Thorough knowledge of medical billing coding, including CPT and ICD-10 coding, required.