Billing Manager - Dallas

Surgery Partners•Dallas, TX

41d

About The Position

The essential functions include, but are not limited to the following: Responsible for implementing company strategies to verify coverage, minimize bad debt, improve cash flow, submit charges, and manage receivables in accordance with regulatory standards Oversees business office personnel functions, payroll approvals, and staffing levels to ensure timely completion of revenue cycle tasks Assists in credentialing of providers with all payors, including adds, terms, and demographic updates Generates and aggregates reporting information for provider charges, collections, AR, statistical performance and other financial transactions Acts as a liaison with satellite managers to organize coverage for staffing disruptions to ensure timely completion of clerical/informational processes Assists with completion of HEDIS reporting projects while monitoring for compliance and medical record accuracy Facilitates and monitors billing compliance with RCM director Monitors performance of practice management system and accounts receivable for all billing and payment processes and addresses problems for corrective action Implements appropriate training programs for new staff and continuous development of technical competencies Handles complex or escalated patient complaints and issues in accordance with policies and guidelines as they relate to revenue cycle management and patient accounting Assists with supervising and improving the referral and authorization processes to ensure accurate and timely approval of clinical and surgical services Performs other work-related duties as assigned

Requirements

College level course work, BA/BS preferred
COE, COA, or OCS required
3+ yrs clinical and/or administrative experience in ophthalmology preferred
Knowledge of medical billing/collection practice
Knowledge of business office procedures
Knowledge of medical coding (CPT, HCPCS, ICD-10)
Experience working with government, Medicare advantage, and commercial payors
Ability to maintain effective working relationships with patients and employees
Ability to operate a computer, computer software and basic office equipment

Nice To Haves

3+ yrs clinical and/or administrative experience in ophthalmology preferred
College level course work, BA/BS preferred

Responsibilities

Implementing company strategies to verify coverage, minimize bad debt, improve cash flow, submit charges, and manage receivables
Overseeing business office personnel functions, payroll approvals, and staffing levels
Assisting in credentialing of providers with all payors, including adds, terms, and demographic updates
Generating and aggregating reporting information for provider charges, collections, AR, statistical performance and other financial transactions
Acting as a liaison with satellite managers to organize coverage for staffing disruptions
Assisting with completion of HEDIS reporting projects while monitoring for compliance and medical record accuracy
Facilitating and monitoring billing compliance with RCM director
Monitoring performance of practice management system and accounts receivable for all billing and payment processes and addresses problems for corrective action
Implementing appropriate training programs for new staff and continuous development of technical competencies
Handling complex or escalated patient complaints and issues in accordance with policies and guidelines
Assisting with supervising and improving the referral and authorization processes
Performing other work-related duties as assigned