Job Summary: Recruitment Contact: Valerie Fuchcar Executive Director Leadership Recruiting; 423- 778-6645 or "Please send resumes to email@example.com"
Under the direction of the AVP Revenue Cycle, the Manager of Physician Services Revenue Cycle plans, organizes, directs, monitors and reports on the operations of the Outsourced Physician Billing Vendor Partner (OPBVP). Responsibilities include monitoring and directing all facets of the physician revenue cycle to include managing and oversight of the OPBVP. S/he will work closely with both the managerial personnel of the OVP and practice leadership to develop a seamless revenue cycle. S/he will develop reports monthly that identify performance outcomes of the outsourced physician billing vendor partner to the AVP Revenue Cycle. Responsible for establishing the Executive Physician Revenue Cycle Committee. Facilitating and presenting the OPBVPs key indicators and outcomes to the Executive Physician Revenue Cycle Committee on a monthly basis.
Required: Bachelors Degree, but will consider Associates degree with additional medical billing and or practice management certification with at least 5 years prior experience in healthcare with physician practice experience.
Preferred: Bachelors Degree in finance or accounting
Required: Minimum of five years business management preferably in a healthcare setting/clinical practice Revenue Cycle management. Experience managing multiple projects and staff in fast paced, complex environment. Demonstrable working knowledge of office applications (i.e.: word, excel, e-mail) required. Excellent communication, presentation and process workflow skills. Ability to work within EChart (Epic) system relating to all Revenue Cycle responsibilities/tasks. Ability to collect, analyze, and apply data and other pertinent information to develop short and long term practice goals to maximize the revenue cycle
Preferred: Practice management and Revenue Cycle experience in a healthcare network with responsibility and oversight for multiple practice locations.
Position Requirement(s): License/Certification/Registration
Department Position Summary: Over site and Managing the Outsourced Physician Billing Vendor Partner (OPBVP): Daily monitoring the OPBVP and practice work queues. Identifying trends regarding the reasoning accounts are hitting work queues, acting accordingly by communicating back to the department/staff creating errors and delays in billing of the accounts receivable. Reporting trends by department/staff creating HAR errors to include number and dollar value. Tracking and monitoring mail correspondence received by OPBVP. This tracking includes verifying the correspondence is correctly identified and placed in OPBVPs work queues and processed accordingly. Monitor and report OPBVPs monthly patient complaints. Daily monitor OPBVPs billing submissions to insure daily billings are current with daily revenue produced by clinics. Daily monitor cash collections to ensure month to date and monthly cash goals are met or exceeded. Constantly monitor accounts receivable greater than 90 days to ensure best practice standards are met: > 90 day AR does not exceed 18% of the total AR. Established monthly accounts receivable revenue cycle reporting and provide to the AVP Revenue Cycle. Establish revenue cycle Executive Physician Revenue Cycle Committee and conduct monthly meeting presenting all revenue cycle performance outcomes. Regularly meet with SBO manager to obtain any billing concerns by the OPBVP and take the necessary actions in communicating and resolving issues reported. Work on continuous collaborative bases with senior director patient access, director of patient access, CBO, AVP revenue cycle, practice managers and directors. Acts as liaison between physician practices, PAS Director and OPBVP Supports Clinical and Office staff in creating an environment conducive to excellence in the revenue cycle. Provide oversight and implement action plans to address identified trends in denials and other unfavorable findings identified through statistical and financial data analysis.