JOB OPENING : Accounting Manager > 구인/구직

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모집 분야: Accounting manager

근무지 : City of Doravilles
근무 형태 : Office Job, Full time ( 40 hours), Exempt
근무 요일 : Mon-Friday 9AM - 5PM
급여 : 경력에 따라 상위권 수준
혜택 : Health, Dental, Vision, 403k and more


ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Develop, implement and oversee effective billing and collections procedures.
• Train and supervise appropriate billing staff to assist with the revenue cycle functions.
• Manage the configuration of all electronic billing systems to ensure proper functioning for effective and efficient billing and collection processes.
• Maintain fee schedule for each service area.
• Develop, implement and oversee procedures to ensure coding accuracy.
• Ensure timely monthly close of the billing function.
• Prepare and distribute end of month management reports.
• Provide support and training to practitioners to ensure accurate, timely filing of claims.
• Ensure the timely submission of all claims for payment to third party payers.
• Develop, implement and oversee procedures for the review, appeal and resubmission of all claim denials.
• Manage the reconciliation of all discrepancies found in billing records in a timely manner, and provide reports to management or outside entities, as appropriate.
• Develop, implement and oversee procedures for the posting of all third party payments received and the reconciliation of identified differences.
• Analyze claims data and suggest/implement procedures to maximize HEDIS and incentive revenue collections (i.e., level II HCPCS codes, ICD-10 and CPT modifiers).
• Provide oversight and management of billing staff work assignments.
• Conduct quality assurance and accuracy audits of patient accounts.
• Compile requested statistical, financial, billing or auditing reports.
• Provide personnel development at staff and practitioner meetings.
• Responsible for timely refund of account overpayments.
• Coordinate and manage the practitioner insurance empanelment process with all outside entities.
• Maintain and manage all applicable registrations and periodic reporting for CMS (Medicare and Medicaid).
• Review and recommend provider insurance plan network participation agreements.
• Manage provider patient empanelment for health plans.
• Assist with preparation of Medicare and Medicaid cost reports.
• Handle routine correspondence and other administrative tasks, as required.
 

General Responsibilities:

• Works productively and effectively in a complex environment, handling multiple and changing priorities. Deals with stress in a calm, positive and professional manner.
• Actively demonstrates a willingness to make a meaningful contribution to the work environment, as evidenced through behavior and attitude.
• Refrains from issuing unprofessional, offensive, inappropriate email, text message or other forms of written communication.
• Actively supports and participates in the organizational performance improvement program.
• Demonstrates the ability to work in a multidisciplinary healthcare team environment.
• Participates in activities promoting professional growth and development.
• Participates in the mission, vision and values of the Health Center.

Required Qualifications:

• Demonstrated knowledge of medical coding
• Associate’s degree or higher; or three years of relevant experience
• Previous experience in EHR/PMS environment
• Proficiency in Microsoft Office – Excel, Word, Outlook

Preferred Qualifications:
• Medical coding or billing certification
• RHC or FQHC billing/coding/rev cycle experience
• Previous supervisory experience

지원방법 및 문의

이메일접수 : 
      alexis.nkusi@cpacs.org 
      judith.lee@cpacs.org

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