Canandaigua, New York, USA
25 days ago
Regional Provider Billing Manager – Specialty Practices

Full time, day schedule.

Main Function:

Provide management and supervisory support to all the associates and functions under the Provider Billing, Specialty Practices, ED, Urgent Care and Hospitalists piece of the Central Business Office.   Oversees and maintains control of daily billing and A/R activities as well as billing follow-up procedures for all Physician Billing (PB) Specialty Practices patient accounts. Ensure that all billing and payments are processed per payer regulations and contracts.  Prepares and maintains quality indicators for all associates identifying goals in each payer area.  Serves as a liaison between Patient Financial Services departments (Physician Billing, Patient Access Registration/Scheduling, Emergent Registration, Finance, Reimbursement, HIM and IT to ensure compliant billing and collection processes, HCPCS and CPT-4 codes.  Manage communications with insurance companies and 3rd party vendor IT departments.   Reviews federal and state regulations to ensure compliance for areas of responsibility and recommends updates and procedure changes to the Director of Central Business Office when required. Assist the Director of Central Business Office in planning & problem solving, goals and objectives for the PB Patient Accounts Specialty Practices areas of responsibility. Assist the Director of Central Business Office in serving as a liaison between the department and other departments regarding customer service and satisfaction. Ensures that all health System policies and procedures related to areas of responsibility are adhered to at all times. Recognizes and supports the Thompson Way.

 

Qualifications:

Bachelors Degree preferred or 8 years work related experience in health care billing required. 5 years of previous medical billing management experience required. Skills in using computers including Excel and Work required. Provider billing preferred with knowledge of specialty practices. Energetic individual who demonstrates management and supervisory qualities demanded for the changing healthcare environment.  Previous demonstrated success in supervising daily billing operations and personnel responsibilities of Provider based billing, specialty practice.    A willingness to learn and pursue excellence is necessary. Experience with EPIC is preferred. Familiarity with all form’s payer claims by paper and electronic media is preferred. Excellent public/patient relations and communication skills. Skills in using mainframe preferred.

 

Pay Range: $70,000.00 - $90,000.00

Starting Rate: Based on experience

Thompson Health is an EOE encouraging women, minorities, individuals with disabilities and veterans to apply

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