What are the responsibilities and job description for the Head of Medical Reimbursement position at Medical Business Services?
Revenue Cycle Role
The Director Revenue Cycle is responsible for ensuring 100% capture of collectible dollars. This includes overseeing provider insurance credentialing, billing platform maintenance, setting up new insurances, updating fee schedules, creating/updating claim adjustment codes, and assisting with streamlining processes. The role also involves following up on returned claims, correspondence, denials, account reconciliations, and rebills, as well as maintaining an organized, efficient, and professional work environment.
Main Goals
The Director Revenue Cycle is responsible for ensuring 100% capture of collectible dollars. This includes overseeing provider insurance credentialing, billing platform maintenance, setting up new insurances, updating fee schedules, creating/updating claim adjustment codes, and assisting with streamlining processes. The role also involves following up on returned claims, correspondence, denials, account reconciliations, and rebills, as well as maintaining an organized, efficient, and professional work environment.
Main Goals
- Ensure billing and coding compliance
- Optimize cash flow
- Exceed gross charge goals
- Reduce AR days and exceed MBS net income goal
