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Regional Provider Billing Manager – Specialty Practices

UR Medicine Thompson Health
Canandaigua, NY Full Time
POSTED ON 1/6/2025
AVAILABLE BEFORE 3/6/2025

Full time, day schedule.

Main Function:

  • Provide management and supervisory support to all the associates and functions under the Provider Billing, Specialty Practices, ED, Urgent Care and Hospitalists piece of the Central Business Office.  
  • Oversees and maintains control of daily billing and A/R activities as well as billing follow-up procedures for all Physician Billing (PB) Specialty Practices patient accounts.
  • Ensure that all billing and payments are processed per payer regulations and contracts. 
  • Prepares and maintains quality indicators for all associates identifying goals in each payer area. 
  • Serves as a liaison between Patient Financial Services departments (Physician Billing, Patient Access Registration/Scheduling, Emergent Registration, Finance, Reimbursement, HIM and IT to ensure compliant billing and collection processes, HCPCS and CPT-4 codes. 
  • Manage communications with insurance companies and 3rd party vendor IT departments.  
  • Reviews federal and state regulations to ensure compliance for areas of responsibility and recommends updates and procedure changes to the Director of Central Business Office when required.
  • Assist the Director of Central Business Office in planning & problem solving, goals and objectives for the PB Patient Accounts Specialty Practices areas of responsibility.
  • Assist the Director of Central Business Office in serving as a liaison between the department and other departments regarding customer service and satisfaction.
  • Ensures that all health System policies and procedures related to areas of responsibility are adhered to at all times.
  • Recognizes and supports the Thompson Way.

 

Qualifications:

  • Bachelors Degree preferred or 8 years work related experience in health care billing required.
  • 5 years of previous medical billing management experience required.
  • Skills in using computers including Excel and Work required.
  • Provider billing preferred with knowledge of specialty practices.
  • Energetic individual who demonstrates management and supervisory qualities demanded for the changing healthcare environment. 
  • Previous demonstrated success in supervising daily billing operations and personnel responsibilities of Provider based billing, specialty practice.   
  • A willingness to learn and pursue excellence is necessary.
  • Experience with EPIC is preferred.
  • Familiarity with all form’s payer claims by paper and electronic media is preferred.
  • Excellent public/patient relations and communication skills.
  • Skills in using mainframe preferred.

     

    Pay Range: $70,000.00 - $90,000.00

    Starting Rate: Based on experience

    Thompson Health is an EOE encouraging women, minorities, individuals with disabilities and veterans to apply

    Salary : $70,000 - $90,000

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