Description Direct the day to day operations that contribute to the capture, management, and collection of revenue Oversees the daily operation of Patient Accounting and Patient Access Departments. Ensure timely activity on accounts receivable to maximize collections in compliance with all state and federal regulations as well as payers contractual agreements. Work across functional lanes to help monitor and improve all aspects of revenue cycle, including, but not limited to, patient registration, insurance verification, authorization, co-pay collection, billing, AR follow-up, denial management, payment posting, refund and account reconciliation. Build a strong team with the daily quality control of the patient registration (quality assurance) and lead process improvement activities including coaching and training to the admitting staff. Conduct routine staff meetings to discuss challenges in patient registration, billing, follow-up, payment posting, and under-payment audit and establish solutions or written policies and procedures that govern proper processes of all functions in the Revenue Cycle department. Actively participate in internal quality improvement teams and work with members proactively to drive quality improvement initiatives in accordance with the mission and strategic goals of the organization, federal and state laws and regulations, and accreditation standards, when assigned. Actively participate in organizational activities with the understanding that success is achieved through teamwork. Conduct routine staff meetings to discuss challenges in patient registration, billing, follow-up, payment posting, and under-payment audit and establish solutions or written policies and procedures that govern proper processes of all functions in the Revenue Cycle department. Responsible for new hire selection, orientation of the new employee and perform weekly, monthly and annually of the staff performance evaluation. Maintain best practices and alignment with the state and federal Compliance and HIPAA Guidelines at all times. Requirements 5+ years of relevant management experience in healthcare, managed care, admitting, billing and all aspect of the revenue cycle functions. Extensive knowledge with the Medicare, Medi-Cal, Managed Care and other third party payer's admitting billing and follow-up rules and regulations. Experience with multiple payment methodologies, including MS-DRG, APR-DRG, CMG, PDPM, APC, Fee for Service (Medicare & Medi-Cal Fee Schedules), Capitation, Draw Rate and Reciprocity Contractual Payment Rate. Must have ability to manage multiple projects concurrently and must possess the ability to seek out new methods and principles and be willing to incorporate them into existing practices. Proficiency with Microsoft Office Products (Word/Excel/PowerPoint/Access) Bachelor's degree in business administration/finance/accounting or equivalent extensive experience in professional or healthcare business-oriented industry. Team player with strong interpersonal skills and ability to build effective working relationships throughout all levels of the organization. Excellent verbal and written communication. Additional Information
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