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joined 03 years, 06 months, 29 days, ago.

To obtain a position in the Business Management, Operations Managements, Medical Billing, complete ICD coding and company forecast which using my skills will be used to greatly benefit my employer as well as grant personal satisfaction and growth. Wo

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Senior Billing Manager and Revenue Cycle Analytics

  • 10 days Will deliver in:
  • 100% Rating (0 review)
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  1. Management oversight of all business related functions of the patient
    visit from point of entry to accurate adjudication of the patients’ accounts.
  2. Specific areas of responsibility include Revenue Cycle Training,
    Credentialing Registration, Claims Management, Billing, Collections, Patient
    Insurance, Data Processing, Integrity of Patient Accounts, Accounts Receivable
    Management, practice management system file maintenance, and third party
    revenue cycle vendors.
  3. Responsible for provider reimbursement programs, policies, and
    strategies to ensure unit cost controls meet or exceed corporate objectives for
    medical cost containment.
  4. Analyzes claims, utilization, and medical cost data.
  5. Develops strategic, cost effective programs, and makes system or network
    changes to enhance competitive position.
  6. Monitors aged accounts and verifies appropriate collections procedures
    are being followed.
  7. Manages revenue cycle projects at the Practice level, such as audits and
    budgets.
  8. Regularly provides upper management with revenue cycle status including
    reports, metrics, and presentations.
  9. Develops, monitors, and assesses business metrics in order to refine
    processes and improve efficiencies • Establishes internal goals and identifies
    external benchmarks.
  10. Resolves escalated reimbursement issues with Payers, Practice, US
    Oncology, and systems for optimal management of accounts receivable.
  11. Challenges the status quo and champions new initiatives.
  12. Acts as a catalyst of change and stimulates others to change.
  13. Paves the way for needed changes
  14. Manages implementation effectively
  15. Steps forward to address difficult issues
  16. Puts self on the line to deal with important problems.
  17. Takes ownership.
  18.  Develops, implements, and
    maintains the Practice’s revenue cycle standard operating procedures (SOPs)
  19. May develop training materials and facilitate staff training of SOPs,
    systems, metrics, government regulations and etc.
  20. Responsible for the overall coordination of front office duties to
    include scheduling, check-in, and co-pay/co-insurance collection
  21. Identifies goals and vision for team.
  22. Guides individuals and teams toward priorities.
  23. Clarifies roles and responsibilities of others.
  24. Coordinates resources and arranges organizational systems to meet
    objectives.
  25. Develops and implements progressive short-term goals that align with the
    company’s vision and business goals.
  26. Cascades goals down to staff’s annual objectives.
  27. Attracts high caliber people.
  28. Accurately assesses strengths and development needs of employees.
  29. Gives timely, specific feedback and helpful coaching.
  30. Provides challenging assignments and opportunities for development.
  31. Responsible for interviewing, recommending hires, assessing performance,
    recommending salary changes, and progressive discipline.
  32. Enforces adherence to the Practice’s and US Oncology’s policies.
  33. Performs other duties as requested or assigned

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  • no extras
  • + $450 ISO 27001: 2013 Certificate

    Received from DAS

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