Manager, Physician Billing & Collections

Responsible for achieving effective performance in terms of insurance collections, denial management and claims processing. Ensures that Revenue Cycle goals established by senior leadership are met, which may include but are not limited to: AR Days, Percent of Net Revenue, Cash Collections, and Denial Recovery Percentage. Manages independently within the work group and/or with outside departments or vendors. Acts as the liaison to the physicians, identifying trends and issues for their individual practices. Provide strategic analysis and recommendations for opportunities to increase net revenue. Works independently with little or no oversight by making decisions that will increase team productivity.

Key Accountabilities:

• Acts as the liaison to assigned physicians in Norton Medical Group and NCI to provide insight of their charges and collections, and addressing their Revenue Cycle concerns. This includes attending practice management meetings, meeting with physicians, and/or directors and other Revenue Cycle leadership.
• Manages performance for all staff and supervisor(s), including conducting performance evaluations, providing training and identifying coaching opportunities. Plans, organizes, prioritizes, and coordinates the daily work effort for all staff and supervisor(s) in the department. This ensures daily operations are running smoothly, and that all insurance accounts are worked to ultimate successful resolutions with all effort being documented in the various billing systems. Establishes achievable and quantitative performance standards for staff, in order to achieve goals set by leadership, such as: Claims Acceptance Percentages, AR Days, Cash Collection Goal, and denial recovery goals . Performs quality audits on staff to ensure set standards are met.
• Through data analysis, will identify and recommend business solutions to outstanding issues. Performs strategic analysis to determine the financial impact of the identified issue. Resolves, then escalates found issues to appropriate PFS leadership, Revenue Cycle Management, and/or third party payors, in an effort to provide education, reduce denials, and improve cash flow.
• Implements and supports current State and Federal payor regulations as well as Norton Healthcare compliance requirements. Ensures staff adheres to said regulations in their daily performance.

Required:

• With a Bachelor's Degree: three years management in a healthcare setting
• Without a Bachelor's Degree: seven years management in a healthcare setting

Desired:

• Five years management in a healthcare setting