Assistant Dir Physician Billing

Colquitt Regional Medical Center•Moultrie, GA

About The Position

This role involves managing the daily operations of physician billing, including charge processing, claim submission, payment posting, accounts receivable follow-up, denial management, and account resolution. The position requires supervising, training, coaching, and evaluating billing staff, while monitoring productivity and quality. Key performance indicators such as days in A/R, aging, denial rates, clean claim rates, charge lag, collections, and staff productivity will be closely tracked. The role also includes analyzing denial and reimbursement trends, coordinating corrective actions with various departments and payers, and resolving complex billing issues for Medicare, Medicaid, Medicare Advantage, and commercial payers. Ensuring compliance with CMS, payer, HIPAA, and organizational requirements is crucial. Responsibilities extend to assisting with the development and maintenance of billing policies, procedures, workflows, claim edits, and departmental controls, as well as supporting revenue cycle system configuration, testing, upgrades, and implementation for new providers, clinics, and services. Collaboration with physicians, practice leadership, Finance, Coding, IT, Compliance, and other departments is essential for improving revenue cycle performance. The position will also assist the Director with reporting, budgeting, staffing, audits, strategic initiatives, and special projects, and will serve as the departmental leader in the Director's absence.

Requirements

Experience in managing physician billing operations.
Knowledge of charge processing, claim submission, payment posting, A/R follow-up, denials, and account resolution.
Supervisory and staff management skills.
Familiarity with key performance indicators such as days in A/R, aging, denial rates, clean claim rates, charge lag, collections, and staff productivity.
Ability to analyze denial and reimbursement trends.
Experience in resolving complex Medicare, Medicaid, Medicare Advantage, and commercial payer billing issues.
Understanding of CMS, payer, HIPAA, and organizational requirements.
Experience with billing policies, procedures, workflows, claim edits, and departmental controls.
Familiarity with revenue cycle system configuration, testing, upgrades, and implementation.
Collaboration and communication skills to work with various departments and payers.
Experience with reporting, budgeting, staffing, audits, strategic initiatives, and special projects.

Responsibilities

Manage daily physician billing operations, including charge processing, claim submission, payment posting, A/R follow-up, denials, and account resolution.
Supervise, train, coach, and evaluate physician billing staff; monitor productivity, quality, and workload.
Monitor key performance indicators, including days in A/R, aging, denial rates, clean claim rates, charge lag, collections, and staff productivity.
Analyze denial and reimbursement trends and coordinate corrective actions with coding, registration, authorization, clinical departments, and payers.
Research and resolve complex Medicare, Medicaid, Medicare Advantage, and commercial payer billing issues.
Ensure billing activities comply with CMS, payer, HIPAA, and organizational requirements.
Assist with development and maintenance of billing policies, procedures, workflows, claim edits, and departmental controls.
Support revenue cycle system configuration, testing, upgrades, and implementation of new providers, clinics, and services.
Collaborate with physicians, practice leadership, Finance, Coding, IT, Compliance, and other departments to improve revenue cycle performance.
Assist the Director with reporting, budgeting, staffing, audits, strategic initiatives, and special projects.
Serve as departmental leader and decision-maker in the Director’s absence.