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Director of Revenue Cycle

2 months ago

Annapolis, United States Covenant Physician Partners Full time

Anne Arundel Gastroenterology Associates (AAGA) a Covenant Physician Partner, located in beautiful Annapolis, Maryland, is looking for a Fulltime Director of Revenue Cycle to join our talented and growing team.

About the Opportunity

The Director of Revenue Cycle is actively involved in problem solving and conflict resolution with team members, customers, and insurance companies. Under the direct supervision of the Regional Vice President, Operations, this position requires a high level of timely, accurate, and complete analysis and oversight of the collection of revenue from the insurance companies, facility programs and the patients, as well as the protection from loss of revenue.

Essential Duties

  • Organize and assign daily workflow within the team.
  • Read and evaluate healthcare receivables reports and identify trends.
  • Cross-train the billing staff for all job functions in the Billing office (i.e. insurance authorization, charge entry, electronic and paper claims submission, payment posting, accounts receivable follow-up, denials and appeals).
  • Ensure compliance of all rules and regulations of insurance carriers.
  • Ensure all payments are processed timely and accurately.
  • Work closely with the Director of Medical Surgical Operations to ensure timely month end close and reconciliation of collections posted to the bank.
  • Identify and create solutions to problems relating to the timely processing of claims.
  • Monitor claims submissions, payments and denials to identify trends; report any issues to the Director of Medical Surgical Operations.
  • Monitor charge posting for accurate insurance coding and timely processing.
  • Develop procedures to ensure reconciliation of charge and payment posting.
  • Respond to patient account inquiries, questions, and complaints when necessary.
Education/Experience
  • Bachelor's degree preferred.
  • Five years of successful practice/ASC/Anesthesia medical billing experience.
  • Experience with practice management systems and clearinghouses; G-Med experience preferred.
Qualifications
  • Able to use personal computer, including word processing, spreadsheet, and e-mail / calendar functions for day-to-day activities.
  • Superior communication skills both verbal and written.
  • Broad knowledge of medical billing operations and third-party billing policies and procedures.
  • Outstanding customer service skills.
  • Demonstrated ability to thrive in a fast-paced setting while managing competing demands.
  • Demonstrated ability to work collaboratively with physicians and all medical professionals.
  • Prior knowledge of Microsoft Office, primarily Word and Excel.
What We Offer
  • Generous paid time off in addition to holidays
  • Medical, Dental, and Vision insurance
  • Voluntary employee and dependent life plans
  • Short and Long-term disability
  • Health Savings Account and Flexible Spending Account eligibility
  • Critical Illness, Accident, and Hospital Indemnity insurance
  • Professional development and tuition reimbursement funds provided every year
  • Invest in your future with a company match on your 401k

Anne Arundel Gastroenterology Associates is one of the top surgical centers in the country. This role entails working with compassionate, highly skilled providers and their professional support staff to provide efficient, patient-focused care in a private and comfortable setting.

The Bestgate Road office is located near excellent shopping and dining options and just a few miles from the Naval Academy. The office is easily accessible from the 50 and with much to do and see nearby

Covenant Physician Partners is proud to be an Equal Opportunity Employer. Covenant does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.