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Under general direction, responsible for the production and quality of billing services provided to third-party insurance carriers; performs collection and follow-up activities to maximize reimbursement; maintains service orientation to faculty members and departmental staff for physician billing services; manages analysis and reporting for accounts receivable; oversees training and quality control for staff; responsible for long-range and other strategic planning.
Knowledge of IDX billing system is desirable
Supervisory and customer service skills
Report preparation skills
Effective communication with all levels of staff and external constituents
Bachelors degree, preferably in business or finance related to field; supplemented with three (3) years of related experience, which included supervisory responsibility.
Experience preferred in multi-specialty group practice, with an emphasis on billing, collections, professional fee management, regulatory provisions, and third party payment for physician services.
Directs and monitors collection of accounts receivable for insurance payers; develops and maintains effective billing and collection practices through an awareness of current developments; implements sound and documented system of processing for outstanding accounts receivable; oversees staff production, and quality assurance; establishes protocol necessary to meet/exceed department/performance goals.
Accountable for clinical department relations, and providing them with performance reviews and analysis; assists departments with analyses, understanding results and manipulating data; proactively identify problems and opportunities and take appropriate action.
Responsible for provision of monthly reports and files necessary for posting data; includes reporting of carrier issues, as well as, outcomes of staff production and quality assurance measures.
Coordinates educational programs for physicians or department staff and ensures ongoing staff training, specifically related to reimbursement policies, third party payer procedures, and data accumulation processes.
Develops long-range plan for accounts receivable area; focuses on identifying opportunities for cost containment and increased efficiencies, in conjunction with management team.
Ensures effective communication process with the front-end collection/follow-up departments and other constituencies external to the department.
Develops, recommends, and maintains policies and practices for support services; develops and establishes procedures necessary to implement new programs.
Supervises support services staff, which includes hiring, disciplinary actions, position allocations and maintaining staffing levels consistent with an efficient and effective operation; develops and monitors budgets.
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