Job description

Responsible for oversight for patient accounting functions including billing, collections, customer service, and surgery scheduling and precert as well as cash applications. Staff will be responsible for documenting patient account activity, responds to customer billing inquiries. Implements billing guideline changes and identifies trends at a payer specific level. Applies federal and state guidelines to collection efforts, interprets and follows up on Explanation of Benefits. Assuring timely collection of accounts receivable, monitoring the account activity and providing adequate follow up to ensure maximum reimbursement is received for all accounts. Maintaining specified Quantity & Quality of specific work performed. Performs other duties as assigned by management.

Key Responsibilities of staff:

• Takes appropriate follow up actions on accounts to ensure claims are paid
• Performs collection activities, such as status calls to ensure timely reimbursement, appeals and account review
• Resubmit any corrected claims for reimbursement
• Review explanation of benefits to ensure the claims have processed per our contractual agreement identifying underpaid/overpaid claims
• Ensuring appropriate information is submitted to insurance companies in order to expedite payment
• Request and prepare appropriate adjustments and refund requests based on contract, modifiers or appeal denials
• Knowledge of contractual reimbursement per specialty
• Reallocate misapplied payments and adjustments
• Utilizes the coding resources (CPT, ICD-10) to understand procedures that are denied
• Ensures the authorizations are correct on accounts
• Documents accounts correctly
• Ability to communicate well with office staff and physicians
• Manages precerting and all scheduling of all surgical procedures.
• Manages 12-15 full time employees

Qualifications:

• Bachelor's Degree required, MBA or MHA preferred
• Experience working in a medical office and/or revenue cycle oversight
• Knowledge of medical terminology and medical billing and collection experience
• Excellent telephone etiquette and communication skills (written and verbal), dealing with patient experience issues.
• Advanced computer knowledge (Internet, Excel, Word, etc.)
• Analytical skills and the ability to manage multiple tasks
• Strong team player and maintains a positive and professional attitude

Job Type: Full-time

Job Type: Full-time

Pay: $80,000.00 - $100,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Ability to commute/relocate:

• Valdosta, GA 31602: Reliably commute or planning to relocate before starting work (Required)

Education:

• Bachelor's (Preferred)

Work Location: In person

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