Manager Professional Billing

📁
Revenue Cycle
💼
Cottage Health
📅
2000000N Requisition #


Responsible for managing the daily operations of the professional billing functions on the Patient Financial Services. This includes insurance follow-up of accounts receivable for professional charges. Responsible for ensuring complete, accurate and timely follow up and collection of outstanding accounts receivable for physician services rendered. The position also actively participates in other management activities including but not limited to short and long range planning processes, and budget development and implementation.

 

MAJOR ACCOUNTABILITIES / SPECIFIC JOB COMPETENCIES


Manages the daily operations of the professional billing area, ensuring all accounts are paid timely and accurately. Ensures appropriate write-offs and adjustments are accurately applied to accounts in accordance with contractual language, accepted accounting practices and regulatory requirements. Provides feedback to billing management regarding payer edits, contractual changes or other issues impacting timely, accurate payments. Identifies opportunities to reduce claim holds or rejections and payment delays. Collaborates with other teams to implement process improvements to reduce billing delays and denials. Collaborates with Patient Access and Revenue Integrity teams to ensure billing information provided is accurate and complete. Provides feedback for training purposes to these areas as necessary.


Develops and implements policies and procedures relating to the Professional billing area of the PFS team. Provides appropriate training to ensure proper application and use of department policies and procedures. Identifies training needs of the team and partners with the Revenue Cycle Education Coordinator to develop appropriate training programs.


Develops and maintains key performance indicators (KPIs) and benchmarks relative to professional billing. Also develops productivity standards for the billing team. Educates the team on performance measures and utilizes dashboard reporting to drive a targeted focus on areas of opportunity for improvement.


Collaborates with vendor partners to ensure PB claims are being worked according to quality and timeliness expectations. Ensures accounts are flowing to vendors appropriately and that internal team members are working accounts quickly to reduce the number of accounts flowing to vendors.


Provides leadership to the professional billing team to include regular department meetings, routine 1:1's with each team member, performance coaching, support for staff growth and development opportunities, clear and consistent communication, all while modeling the Cottage Health values of Excellence, Integrity and Compassion and embracing the Shared Governance culture.


QUALIFICATIONS


LEVEL OF EDUCATION


Minimum: Associates Degree in finance, accounting, business or 8 years of equivalent experience. 


Preferred: A baccalaureate degree from an accredited college or university with a degree in business, hospital administration, public health or related field.


CERTIFICATIONS, LICENSES, REGISTRATIONS


Minimum: Experience working with the EPIC electronic medical record system and/or EPIC certifications.



TECHNICAL REQUIREMENTS


Minimum: Microsoft office suite proficiencies


YEARS OF RELATED WORK EXPERIENCE


Minimum of three years of supervisory or manager level experience over professional billing functions

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