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Under general direction, supervise, direct, and monitor activity of staff; designs and monitors workflow; establish productivity goals; interacts with insurance companies, various levels of clinical department staff, and Practice Management Operations (PMO) staff.
Strong problem solving skills
Working knowledge of physician practice management systems
Working knowledge of third party payers including state and federal agencies
Strong verbal and written communication skills
Customer Service skills
Ability to work under stressful and fast paced conditions
Working knowledge of ICD-10 and CPT coding
Working knowledge of medical terminology
Ability to maintain accuracy
Ability to manage multiple tasks independently
Ability to initiate and follow through on projects
Ability to prioritize
Associates degree; supplemented with four (4) years experience in business or related field, with two (2) years of supervisory experience in accounting or financial institution.
Leads the activity of the customer service and credit balances teams; trains new employees; interviews and is responsible for performance management
Monitors effective patient flow in customer service areas; reports on self-pay accuracy for quality assurance; oversees all functions related to customer service, insurance verification, cash collections and clinical departments to maximize revenue reimbursements; responds to legal requests as requested; acts as liaison with self-pay company to assist with patient payment collections
Leads special projects, such as refund audits, and completes the refunds for the project; approves individual refunds above and beyond a specified limit
Completes quality assurance checks for customer service phone calls and insurance verifications; is responsible for measures for daily improvement (MDI) and leads daily huddle for Customer Service and Credit Balances teams
Prepares, monitors, and reviews policies, procedures, and productivity standards for staff taking necessary steps to correct and or improve; attends committee meetings on behalf of PMO teams and acts as liaison for PMO Billing Operations and committee members.
Performs other duties as assigned.
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