What are the responsibilities and job description for the REVENUE CYCLE CENTRAL BILLING OFFICE MANAGER-Full Time Days position at Centra Medical Group?
The Revenue Cycle Central Billing Office Manager is responsible for effectively managing and providing leadership and oversight of the processing, validation, and submission of professional and acute claims within the organization. The manager will be responsible for implementing, reviewing, and enforcement of productivity standards and expectations. This position will oversee the team leads to provide support, education, and direction to achieve set goals for the revenue cycle department. The manager will be responsible for trending, tracking, and reporting key performance indicators to leadership monthly. The manager will have overall responsibility for initial billing and follow-up for acute and professional services. This position is a key change agent in the initial billing and follow-up policies, processes, and procedures. The manager will be expected to work closely with the senior leadership team to achieve and/or exceed key performance indicators. The manager will continually strive for improvement of processes within the claims processing workflow.
Required Education: High School Diploma / GED
Preferred Education: Associate's degree
Required Experience: Minimum seven (7) years of experience with payment allocation and/or reconciliation. Experience with automated RCM systems and electronic and manual payment posting. Strong PC skills, including word processing and spreadsheets. Must have the ability to learn and utilize custom systems and applications. Ability to reconcile multiple accounts efficiently and analyze large volumes of transactional financial data. Results-oriented mindset coupled with the ability to work both collaboratively and autonomously. Ability to convey technical information to a non-technical audience in an engaging manner. Experience analyzing healthcare claims data in a healthcare environment is preferred.
Responsible for the day to day supervision of team leads and general staff within the Central Billing Office.
Develops proposals regarding long and short-term goals, objectives, and strategies for claims processing operations.
Responsible for analyzing and addressing DNFB trends and issues.
Responsible for ensuring accounts receivable are worked timely and efficiently.
Works with denial team to update pre-billing processes to help reduce denials.
Tracks and trends payer issues for claim validation and submission.
Coordinates all functions within the business office to ensure adequate coverage and efficiency of processes.
Works with the revenue cycle information technology team to implement, track, and update claim edits and holds within the applicable system.
Ensures all policies and procedures are followed by staff for claim resolution and follow-up.
May perform other duties as assigned or requested and job specification can be modified or updated at any time.
