Position Purpose:
Responsible for leading the patient accounts team, driving strategies to guarantee efficient patient accounts management, and adhering to regulatory requirements in an ethical manner.
This position requires detailed knowledge of the medical billing process.
Gailey Eye Clinic is committed to providing each patient with the highest quality eye care and exceptional customer service.
This position plays an integral role in accomplishing this goal by utilizing a broad range of skills related to the administrative functions of the patient accounts department.
Essential Functions and Responsibilities:
Ensures patient satisfaction is achieved through timely, courteous, professional communication.
Maximize collection of receivable through the development of effective processes/procedures.
Develop streamlined processes/procedures to create efficiencies in electronic cash posting, manual cash posting, denial resolution, checklist, and cross training opportunities for staff.
Responsible for ensuring all appeals, denials, and delinquent charges are appropriately addressed in a timely manner to maximize earned reimbursement.
Develop procedures to standardize accounts receivable follow-up process.
Maintain/develop appropriate departmental and individual KPI’s, analyze metrics to determine opportunities for process improvement and successfully achieve department goals.
Provide weekly KPI reports to department personnel and Director of Finance complete with action items for improvement.
Oversees and manages patient accounts daily performance through reviews/audits.
Promotes team-oriented environment that fosters collaboration within and outside department as well as collaborate courteously with other departments regarding process improvement opportunities.
Ensures payment postings are reconciled to cash posted to the general ledger.
Analyze denials to identify trends and improvement opportunities.
Proactively keep apprised of third party payer regulations/polices, ICD-10, and CPT coding requirements.
Maintains confidentiality and compliance with HIPAA regulations.
Conducts performance evaluations for subordinates.
Work in collaboration with Director of Finance to implement efficient and effective clinical processes and procedures in all satellites.
Provide reimbursement analysis for various charge codes.
Review charge code amounts and work with staff on price increases.
This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, duties, skills, or working conditions associated with a particular job.
It is intended to be only a general description of the principal requirements common to positions of this type.
Employees in this job may perform other duties as assigned.
Minimum Job Requirements (Education, Experience, Skills):
Bachelor’s Degree or Associates Degree preferred.
Knowledge and Experience with NextGen preferred.
Previous accounts receivable experience required.
Previous medical office experience required.
2+ years of billing leadership experience required.
Proficient in Microsoft Office required with above average Excel skills.
Possess strong communication, interpersonal and teamwork skills.
Ability to work independently and with minimal supervision.
Ability to handle multiple tasks and work with shifting priorities.
Strong analytical skills required.
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