ASC - Manager Claims Business Processor - Kelsey - Seybold, Pearland.
About The Position
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation’s leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.
Requirements
- 5+ years of experience in medical billing with 3+ years of supervisory experience in designated field
- 4+ years of supervisory/management/ Administrative experience
- Extensive physician or facility billing experience
- Knowledge of ICD-9/10, CPT coding and third-party payer requirements
- Working knowledge of state and federal regulations as they relate to compliance and reimbursement
- Solid data analysis skills with at least intermediate-level Excel experience. Ability to perform profitability analyses
- Solid organizational and interpersonal skills
- Ability to communicate orally and in writing
- Direct management of 10+ staff
Nice To Haves
- Certified coder
- 8+ years of experience in designated supervision field with 5+ years of supervision responsibilities
- Experience with facility billing and coding
- Epic Resolute billing software experience
- Ambulatory Surgery Center operations background
- Direct management of 15+ employees/staff
Responsibilities
- Plan, direct and coordinate activities of the ASC Business Office to include claims processing, self-pay and insurance accounts receivable, registration and benefit verification, payor contract oversight, and statistical analysis and reporting
- Coordinate directly with the Central Business Office Director to achieve the goals of the organization’s multiple ambulatory surgery centers with case volume exceeding 20,000 per year
- Establish and maintain an effective team environment and give administrative direction to assigned staff
- Develop and implement departmental standards, policies and procedures. Optimize organizational profitability through effective revenue cycle management
- Maintain open, effective communications within the management team, staff, physicians and patients
- Responsible for providing insightful analysis and reports to administration on an as needed basis, but at least monthly
- Exhibit good interpersonal and communication skills
- Maturity to withstand pressure that may arise in relation to the public, physician or administration while displaying flexibility and adapting to changing conditions
Benefits
- a comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
No Education Listed
