OVERVIEW: Collaborates with peers to address trends or root causes for issues and implements education programs and tactics for staff and physicians to solve revenue cycle and compliance problems. Oversees assigned revenue cycle functions including financial clearance, charge capture, billing, coding, denials, and customer service. Manages revenue cycle resources using workload standard and performance expectations. Participates on Clinic-wide or Emory Healthcare wide revenue cycle initiatives. Participates in developing departmental goals and objectives. Meets with other staff members to discuss progress and to develop future courses of action. Keeps abreast of all regulations and standards that apply to billing and collections; monitors compliance with regulatory agencies and third party payers; determines impact of changes. Interprets policies. Communicates policy and procedure changes to staff. Supervises staff and manages employee performance. Provides on-going performance feedback, addresses problems, determines staffing needs, interviews and hires staff, orients and trains employees, verifies competency and identifies and suggests ways to develop skills. Establishes departmental standards of customer service to ensure activities related to the collection of patient accounts are handled in a courteous and professional manner. Works with supervisor to formulate plan for professional development. Attends educational in-services as appropriate. Participates in professional activities and organizations to maintain knowledge of current trends, practices, and developments. Initiates revenue cycle impact studies as clinic specialties consider business or program development strategies. Provides revenue cycle performance analyses to explain variances and develops implementation strategies to provide solutions to unfavorable variances. Provides summary analysis of revenue cycle performance for assigned areas of responsibility, and other forums designed to report on found issues, solutions initiated by this position and specific activities assigned to execute improvements.
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Job Type
Full-time
Career Level
Manager
Number of Employees
5,001-10,000 employees