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The Director, Central Billing Office is responsible for all revenue cycle functions and overall operations of a Central Billing Office. Monitors and guides all billing functions for physician practices in accordance with applicable guidelines and policies.
Sets and oversees the revenue cycle staff productivity levels.
Runs month end close reports for all clinics and accounting staff in all applications, if needed.
Monitors clinic AR and makes staffing adjustments as needed to address problem areas.
Communicates with providers and Practice Management Team to resolve billing questions/issues.
Maintains spreadsheet and enters data for deposits of all companies and ensures that all payments are entered and deposit balances each day.
Maintains internal compliance control by working closely with accounting to answer any questions related to the spreadsheet and deposits.
Maintains open communication with the Practice Management Team regarding billing issues that will negatively impact accounts receivable.
Supervises Accounts Receivable Specialists and ensures that HR policies and procedures are followed.
Determines work assignments for Accounts Receivable Specialists to maximize skill sets and have the most beneficial impact on accounts receivable.
Serves as a Kronos timekeeper for staff and monitors their overtime.
Follows up on provider applications to ensure timely filing of all insurance claims.
Communicates directly with practice coordinators and managers to identify opportunities for improvement and staff education.
Keeps abreast of changes with Medicare, Medicaid and other major payer groups.
Coordinates ordering and maintenance of all office supplies.
Monitors employee performance and conducts performance appraisals at appropriate intervals for purposes of goal setting, wage increases, continued employment, and related personnel action.
Assumes responsibilities for personnel related duties: interviewing, disciplinary action, payroll reporting, scheduling paid leave, evaluations, and enforcing duties, rules and regulations of CBO staff.
Organizes regular office meetings.
Maintains positive Customer Service attitude with patients and staff.
Works to resolve issues and complaints with patient accounts, including phone calls and walk in customers. Sets up payment arrangements according to guidelines. Makes a positive first impression when interacting with patients and treats others as guests.
Establishes and monitors incentive plan on a monthly basis.
Ensures all staff complete tasks timely.
Reviews and approves financial account adjustments as necessary.
Interprets account activity and explains patient charges/payments as needed.
Participates in training opportunities/seminars to satisfy yearly CEU requirements and provides document to DPP assistant for processing.
Participates in teamwork and process improvements by continually working with the other staff members to identify areas of concern; works with management to identify resolutions.
Maintains thorough knowledge and understanding of practice management/billing system and is able to utilize its’ potential.
Projects and maintains positive customer service attitude with patients and co-workers. Turns negative service into positive attitude.
Effectively communicates with others.
Practices teamwork and strives for excellence in all endeavors.
Maintains professional image.
Trains new employees for the billing office as well as other new employees joining our organization.
Works with market Managers/Directors on payor credentialing.
Prepares monthly AR maps.
Maintains compliance with all rules/regulations in regard to proper billing and coding.
Follows recommended Revenue Cycle Best Practices.
Special projects as needed.
Performs audits of billing functions regularly, as directed.
Associates Degree in Business, related program preferred.
Candidate must have five (5) years of physician billing experience and a thorough knowledge of ICD-9 and CPT coding.
Ideal candidate will preferably be a Certified Professional Coder (CPC).
Microsoft Office products, Word, Excel, PowerPoint, Outlook and preferably Access.