This individual will work to identify and capitalize revenue opportunities and address revenue-losing processes.
Responsibilities include, but are not limited to:
• Fiscal / revenue cycle responsibilities;
• Assists with the performance and development of staff and supervises the coding team;
• Collaboratively working with the managed care contracting department performing audits and reviews, proposing and/or negotiating payor contract revisions and communicating the financial impact to the chair, administrator, practice manager and faculty;
• Analyzes and improves the performance of front-end billing operations through development and monitoring of performance criteria;
• Anticipating, understanding and meeting the needs of the patients with empathy and concern;
• Monitoring budgetary variances and progress in budget revenue performance and communicating to departmental leadership, faculty, POBO, Budget, etc.;
• Reviewing financial performance through P&L statements, A/R analysis and other reports;
• Assisting in the development of annual revenue projections for the department;
• Program Development / Departmental Initiatives.
Qualifications:
• Automated practice management system experience (IDX and EpicCare systems);
• Working knowledge of federal and state regulations regarding reimbursements required;
• Knowledge of finance, business management or related field as acquired through the completion of a Bachelor’s degree;
• At least five years substantial billing and collection experience in a large academic medical center required;
• Comprehensive knowledge of third party insurance billing policies and procedures and previous billing experience and CPT and ICD-9, ICD-10 coding;
• Certified Procedural Coder.
MBA or MPA strongly preferred
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