About The Position

The Manager, Physician Business Office shall partner with organizational leadership to oversee and optimize our centralized physician business office operations. This role is responsible to lead billing, accounts receivable, payment posting functions, and denial review and appeals for both the internal team, as well as to provide oversight and management of external vendors. The Manager will ensure there is effective collaboration and accountability of outsourced coding, billing, and follow-up services to support payer compliance, accurate reimbursement, and optimal financial outcomes. Additionally, the Manager will drive initiatives to reduce denials, improve A/R days, and strengthen overall revenue performance. This role is critical to improve revenue outcomes, enhance operational efficiency, and ensure consistent execution across the full revenue cycle. This individual will support both internal and external teams by resolving complex or escalated claims, answering operational questions, and the development of short and long-term strategies to improve cash flow, payment timeliness, and denial trends. This position may have additional duties assigned that are within scope of the role.

Requirements

  • Bachelor’s degree in Accounting, Business Administration, Healthcare Administration, or another related field required.
  • Minimum 5 years relevant experience in medical collections, physician/hospital operations, A/R follow-up, and denials and appeals.
  • Minimum 3 years management or supervisory experience required.
  • Working knowledge of revenue cycle, claims review, and analysis.
  • Working knowledge of medical terminology and/or insurance claim terminology.
  • CPAR required or obtained within 6 months of hire to role
  • Excellent knowledge of MS Office and familiarity with relevant computer software.
  • Strong team leadership skills, strong organization, interpersonal, and customer relations skills.
  • Must be able to meet strict deadlines.
  • Strong analytical and problem-solving ability, and excellent organizational skills.
  • Must be able to complete multiple tasks simultaneously.
  • Ability to remain calm in difficult situations.
  • Strong written and oral communication skills, proficient computer skills, proven track record of successful performance.
  • Ability to understand complex multifactor situations and bring appropriate solutions.
  • Ability to work both independently and in a team environment.

Nice To Haves

  • Professional billing experience preferred.

Responsibilities

  • Lead billing, accounts receivable, payment posting functions, and denial review and appeals for both the internal team, as well as to provide oversight and management of external vendors.
  • Ensure there is effective collaboration and accountability of outsourced coding, billing, and follow-up services to support payer compliance, accurate reimbursement, and optimal financial outcomes.
  • Drive initiatives to reduce denials, improve A/R days, and strengthen overall revenue performance.
  • Support both internal and external teams by resolving complex or escalated claims, answering operational questions, and the development of short and long-term strategies to improve cash flow, payment timeliness, and denial trends.
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