Director of Medical Billing/Revenue Cycle
4 weeks ago
Key Responsibilities: * Assist in the development of the Key Management Report (KMR) to track billing performance metrics. * Supervise the Billing Department, ensuring efficient and accurate billing processes. * Stay updated on all Medicaid Bulletins for Georgia and Alabama Medicaid programs. * Participate in analyzing yield on all commercial contracts to maximize revenue. * Collaborate with the COO or designated personnel to reduce errors in the intake process. * Maintain the charge master for both Zoe Pediatrics (Zoe Peds) and Zoe Applied Behavior Analysis (Zoe ABA). * Develop and maintain company revenue cycle policies and procedures to ensure compliance and efficiency. * Manage and maintain staffing levels within the Billing Department, including hiring, training, and retention of Revenue Cycle Specialists. * Work with the COO and Controller to reconcile cash collections and front desk functions. * Perform other necessary duties as required by the organization.
Education/Experience: * College education required; Master's degree preferred but not required. * Certification in Billing and Coding. * Credentialing/Certification preferred but not required. * Minimum of 5 years of experience in billing and collections. * Proficiency in maintaining electronic databases. * Valid driver's license and reliable transportation required.
Job Requirements: * Strong oral and written communication skills. * Attention to detail and organizational skills. * Ability to maintain deadlines and operate in a fast-paced environment. * Demonstrated positive attitude and interpersonal skills. * Adherence to company dress code and time and attendance guidelines. * Efficient time management and ability to multitask. * Ability to accept feedback on work performance and collaborate effectively within a team.
Billing Responsibilities: * Ensure timely billing of claims for Zoe Pediatrics and Zoe ABA for all payers. * Generate and mail patient bills on a weekly basis. * Maintain billing accuracy at 95% per biller. * Keep all encounter inventories at 90 days or less from the date of service for all lines of business. * Communicate with providers regarding claims inventories and outstanding claims actions. * Transmit all claims through selected clearinghouse daily and resolve clearinghouse rejections promptly.
Payment Posting: * Post payments daily and work on ERA payer denials promptly. * Address un-reconciled balances daily to maintain financial accuracy. * Meet with CEO, COO, and Controller monthly to review and write off doubtful accounts.
Revenue Cycle Reports: * Generate biweekly reports on various aspects of the revenue cycle, including encounters, denials, and front desk errors.
\*Note: Key responsibilities are examples, and not all duties may be listed. Duties are subject to change based on business needs.
Job Type: Full-time
Benefits: * 401(k) * Dental insurance * Health insurance * Life insurance * Paid time off * Vision insurance Schedule: * 8 hour shift * Day shift * Monday to Friday
Experience: * Medical billing: 5 years (Preferred)
Work Location: In person
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