What are the responsibilities and job description for the Executive Director of Revenue Cycle position at Jefferson City Medical Group (JCMG)?
RESPONSIBILITIES
Job Specific Competencies:
- Responsible for all aspects of the centralized billing functions of new patient registration/insurance verification, charge entry and reconciliation, posting of payments, filing of insurance claims, statements to patients, refund processing, patient’s billing questions and concerns, daily and monthly reporting and balancing.
- Oversees all functions relating to the revenue cycle, including charge master upkeep, claims and charge processing to maximize collections of payments.
- Oversees and analyzes revenue data and performs audits to ensure revenue integrity.
- Trains the staff on revenue cycle functions.
- Plans, directs and supervises the daily operations of the payment posting, data processing within the Central Business Office (CBO).
- Interviews, hires and trains personnel in the following areas: management staff, payment posting and data processing. Completes employee performance evaluations and recommends merit increases in a timely manner.
- Establishes the short-term and long-term planning along with the budget. Responsible for staying within budget.
- Maintain the billing system data such as: procedure code, diagnosis codes, referring provider, provider appointment scheduling, insurance companies, place of services, etc.
- Prepares reports, analyzes the data and makes recommendation. Write specific reports based on requests and needs from the CBO staff, providers, clinic coordinators, accounting department, administrative management and ancillary department.
- Responsible for implementing any new billing requirements mandated by the insurance companies or government.
- Responsible for the setup of new clinics, new entities, new providers, new services for the billing process, including documentation and implementation of the process to ensure the goals are met.
- Develop and implement new procedures to improve the quality and quantity of work processed. Ensures procedures are documented, communicated and administered consistently.
- Solves difficult payment and associated problems working with the CBO staff and insurance company representatives.
- Develops and oversees business systems and works with the Information Systems Department to ensure timely and accurate implementation.
- Participates in the administrative, managed care, electronic medical records and the working compliance committees.
- Leads proactively and is a visionary who influences, mentors and holds staff accountable.
JCMG Core Competencies:
- Strives for continuous quality improvement.
- Participates in educational experiences designed to maintain and/or improve professional competence.
- Maintains high work ethic standards.
- Provides quality customer service to staff, patients and visitors at all times.
MINIMUM QUALIFICATIONS
Education:
- BA or BS degree
Experience:
- Minimum five years of medical office practices or other related experience
- Minimum three years of management experience
Certification/License:
- Certified Professional Coder Certificate
Knowledge/Skills/Abilities:
- Competency in medical terminology as demonstrated by formal training and experience
- Knowledge of office procedures, government regulations and billing requirements
- Must be able to maintain effective working relationships with staff, co-workers, providers and patients
- Computer literate, knowledge of spreadsheets and other applications
WORK ENVIRONMENT
Works in heated and air-conditioned area consistent with a normal office environment.
BENEFITS
- Health insurance & employer paid short- and long-term disability
- Generous PTO policy, beginning at 148-hours annually
- 56 hours paid Holiday Leave
- Employer Retirement Plan (401K) with employer match
- Tuition reimbursement and other professional advancements, including a Medical Assistant training program
