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Manager, Professional Billing office

Company: Boston Medical Center
Location: Biloxi
Posted on: June 19, 2022

Job Description:

POSITION SUMMARY: Reporting to the Senior Manager of Professional Billing and Revenue Cycle, the Manager of Professional Billing and Revenue Cycle will be the revenue cycle representative between designated department(s), the Professional Billing office, third-party vendors, and all other stakeholders, to proactively identify opportunities to improve the revenue cycle and assist in the resolution of issues. The individual will be responsible for building and maintaining collaborative and productive relationships within the organization, managing revenue cycle projects, and driving performance. Professional revenue cycle expertise and strong communication skills are required. Position: Manager, Professional Billing Office Department: Professional Billing Office Schedule: Full Time ESSENTIAL RESPONSIBILITIES / DUTIES:

  • Represent the Professional Billing Office in the role as a subject matter expert for revenue cycle items related to the designated department(s).
  • Serve as a liaison to department and practice contacts to ensure that the Professional Billing Office (PBO) is meeting service levels and to address issues that may cause challenges to meet service levels and KPIs.
  • Work collaboratively with departments, practices and third party billing vendor to drive organizational efficiencies and alignment and to ensure processes and systems are standardized and optimized for efficient and effective flow of patient accounts
  • Identify areas of opportunity to apply process changes and/or technology implementation/updates to optimize PBO performance.
  • Manage implementation of standards and systems to enhance quality, consistency, efficiency, and timeliness of responsibilities for the enterprise; designing, develop, and monitor performance improvement processes (e.g. quality, accuracy, productivity and timeliness); identify continuous improvement opportunities and manage productivity metrics and efficiencies
  • Provide consistent monitoring, reporting, and communication of department-specific trends and overall revenue cycle performance for assigned department(s).
  • Establish and maintain a close working relationship with assigned department(s) as well as other stakeholders within the organization.
  • Collaborate with the necessary team(s) to prepare standard revenue cycle reports for the assigned department(s). Review and analyze reports for identification of trends and issues.
  • Facilitate regular meetings with the assigned department(s) Administrative Directors and Physician Leaders to discuss revenue cycle metrics, key trends, and opportunities for improvement.
  • Compile and distribute meeting minutes and action items. Continue timely follow up of action items until resolved.
  • Provide general oversight of third party billing vendor(s). Develop a strong working relationship with assigned vendor Client Managers.
  • Identify opportunities to improve revenue cycle and suggest improvements to Professional Billing Office leadership and assigned department(s). Work to institute improvements in a timely manner.
  • Monitor workqueue performance by all parties, including department and third-party vendor.
  • Demonstrate proficiency in all aspects of professional revenue cycle operations to achieve increased collections, optimal billing goals, and adherence to compliance rules and regulations.
  • Participate in multiple projects simultaneously, while keeping priorities aligned with department and organizational goals.
  • Conform to hospital standards of performance and conduct, including those pertaining to patient rights, so that the best possible customer service and patient care may be provided.
    Must adhere to all of BMC's RESPECT behavioral standards. (The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required). JOB REQUIREMENTS EDUCATION: Bachelor's Degree in Business / Healthcare related field (or work experience equivalent). CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED : None EXPERIENCE: Minimum of 5-7 years related experience required. Specifically, experience in an academic medical center managing professional billing functions. 3 - 5 years Epic system experience preferred KNOWLEDGE AND SKILLS:

    • Advanced knowledge of healthcare revenue cycle functions, including coding and billing guidelines, government payer regulations.
    • Must have CPT coding knowledge.
    • Working knowledge of payer reimbursement and rules.
    • Experienced in auditing, training and communicating revenue cycle regulations and concepts.
    • Excellent interpersonal and communication skills to positively interact with a variety of hospital personnel, including administrative and management staff in a fast paced environment.
    • Strong analytical skills.
    • Highly skilled experience and knowledge of Windows-based software required, including but not limited to Microsoft Windows, Outlook, Excel and Access.
    • Proficient skills to collect, organize and analyze data, produce actionable reports and recommend improvements and solutions.
    • Possess effective oral and written skills.
    • Ability to interpret and implement regulatory standards.
    • Working knowledge of multiple healthcare applications, including but not limited to Epic.
    • Possess effective time management skills to permit handling of large workload. IND123

Keywords: Boston Medical Center, Biloxi , Manager, Professional Billing office, Administration, Clerical , Biloxi, Mississippi

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