Florence, SC, USA
10 days ago
Billing Account Manager - Revenue Cycle Management

Founded in 1906, McLeod Health is a locally owned and managed, not for profit organization supported by the strength of more than 900 members on its medical staff and more than 2,900 licensed nurses. McLeod Health is also composed of approximately 15,000 team members and more than 90 physician practices throughout its 18-county service area. With seven hospitals, McLeod Health operates three Health and Fitness Centers, a Sports Medicine and Outpatient Rehabilitation Center, Hospice and Home Health Services. The system currently has 988 licensed beds, including Hospice and Behavioral Health. The hospitals within McLeod Health include: McLeod Regional Medical Center, McLeod Health Dillon, McLeod Health Loris, McLeod Health Seacoast, McLeod Health Cheraw, McLeod Health Clarendon and McLeod Behavioral Health.  

Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values. 

Lead the revenue cycle team and collection of patient encounters from claim submission through to collections and manage accounts receivable to maximize revenue collected.

Direct staff to ensure that accurate submission of all claims and timely collections occur in accordance with all third-party contract terms including, Medicaid, Medicare, managed care, commercial insurance, and direct patient pay. 

Ensure that unprocessed claims and denials are reviewed, reworked, and resubmitted to ensure revenue maximization.

Assure maximization of cash collections through diligent and timely monitoring of all open accounts receivable balances.

Maintains knowledge of billing procedures by actively working accounts in order to provide training as well as assist during times of work backlogs or absenteeism of direct reports. 

Train new employees and provide continuing education to Patient Account Representatives so that employee performance and customer service is maximized.

Mentor employees, conduct performance evaluations, counsel and provide disciplinary actions to assigned personnel, and works to facilitate individual and team development that drives positive results.   

Prepare detailed analyses and reports of billing and accounts receivable activity and results, including performance matrices and AR days outstanding.

Prepares benchmarking data for productivity reporting and quality assurance measurements.

Conduct Quarterly AR meetings for assigned practices to review the overall financials.

Works closely with Practice Personnel and the Management Staff to monitor ongoing compliance of policies and procedures relating to the Revenue Cycle.  

Responsible for daily review and timely completion of  MPA assigned personnel attendance and payroll process. 

Demonstration of Leadership, Teamwork and participation in learning the skills for enhancing these functions. 

Completes special assignments as requested by department Director and/or AVP.

Work Schedule: 80 hours bi-weekly

Qualifications /Training:

3-5 years of healthcare billing and accounts receivable management experience preferred. Related experience with a healthcare practice management software system needed. Strong computer background in Microsoft Excel/Office and possess excellent oral and written communication skills as well as strong analytical skills. 

 

Licenses/Certifications/Registrations/Education:

High School Diploma/GED

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