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Revenue Cycle Manager - Physician Group


  • AVA Search Group
  • 12/01/18
  • Omaha, NE
  • 68101
  • Full-Time
Revenue Cycle Manager for hospital 1 hour south of Omaha

Job Summary: Responsible for managing the overall functions of the Physician Practices Central Business Office ensuring the maximization of revenue and cash flow.

Candidate Requirements:
Bachelor's Degree in Business Administration, Finance or Accounting
5+ years experience working with physician billing services is required
Prior supervisory experience is needed
Knowledge of third party and insurance company operating procedures, regulations and billing requirements, and government reimbursement programs
Proven ability to analyze problems, identify priorities and implement effective work strategies
Excellent communication skills and able to establish and maintain effective working relationships with all organizational levels of staff including physicians

Job Details:
Oversight of all business related functions of the patient visit from point of entry to accurate adjudication of the patients account
Specific areas of responsibility include registration, billing and collections insurance carrier maintenance, data processing, integrity of patient accounts and accounts receivable management
Plan and direct pre-authorization of patient insurance, registration, billing and collections, data processing to ensure accurate patient billing and efficient, timely account collection.
Liaison with physicians on behalf of billing, coding and accounts receivable staff to ensure optimal management of patients accounts.
Manage within the established budgetary guidelines
Evaluate the current status of patient accounts to identify and resolve billing and processing problems
Establish and implement a system for the collection of delinquent accounts ensuring third-party payers are contacted
Develop and recommend credit and collection policies for front and back-end personnel to administer; monitors and makes recommendations for improvement
Solve difficult payment and associated business office problems; audits problem accounts
Coordinates the exchange of information including medical record documentation to obtain and analyze additional patient information to document and process billing, respond to insurance inquiries, and manage liability accounts.
Ensures proper coding processes and procedures; ensures training and competence of clinic staff processing charges; conducts regular coding audits

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