MD EyeCare Services Corporate

Revenue Cycle Manager

US-CA-La Quinta
3 weeks ago
Job ID
2017-2076
# of Openings
1
Category
EyeCare Services Partners
Type
Regular Full-Time

Overview

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This is your opportunity to join one of the areas most recognized leaders in ophthalmology and optometry. We are a nationally recognized leader in EMR and technology with an excellent clinical support team and dynamic leadership.  We are committed to customer service, and making every interaction extraordinary while inspiring the complete confidence of our patients. Our employees contribute directly to the growth and success of our practices, and take pride in being a member of our team. We strongly believe that the manner in which our patients and customers are treated by our employees is as important as the services provided by the doctor.

 

The Revenue Cycle Manager will oversee the day to day operations of the Regional Business office for EyeCare Services Partners Management LLC (ESP). The manager will be responsible for the processing of claims through the practice management system, the reconciliation of claims to the clearing house and the follow-up of denials.  The manager will support and assist in change management thorough the organization as business needs and industry standards require change to ensure corporate and regulatory standards are met.  This position requires a highly motivated, productive and experienced billing professional with a desire to work in a dynamic and fast-paced organization.  As ESP expands, the Revenue Cycle Manager will assist in the growth of their assigned office.

 

Responsibilities

  • Directly manage and oversee the staffing, training, support and development of the Regional Business Office
  • Support and maintain standardized billing department policies and procedures and ensure clinical operations (i.e. OD’s, MD’s and DO’s) comply with SOP’s that ensure maximum collections and regulatory compliance, acting as a liaison among accounting, billing, operations and clinical staff.
  • Perform analytical reviews and quality assurance on all data generated by Billing and Collection Department to ensure data integrity.
  • Provide denial reports to operations and assist in helping resolve the root cause of denials.
  • Ensure proper billing and collections relating to commercial and government reimbursement.
  • Responsibility for regulatory compliance and credentialing as it relates to payer transactions as well as HIPAA and PHI regulations.
  • Responsible for accurate and timely billing, data entry, charge corrections, adjustments and Denial management.
  • Manages the EDI functions as they relate to electronic claims submission, denial management, and related systems for scope of business.
  • Provides reimbursement direction and resources for start-up and newly acquired locations to ensure a smooth transition and uninterrupted cash flow.
  • Third party claim resolution processes including denials and appeals management.
  • Generate and distribute billing metrics for dissemination to the facility staff, Operations Team and Corporate Services Team.
  • Review and approve adjustments to receivables.

Qualifications

  • Bachelor’s degree in Business Administration, Accounting, Finance or commensurate experience in healthcare industry.
  • Must have 5-8 years of progressive work experience in revenue cycle, patient accounts, managed care and/or financial analysis in the healthcare industry.
  • 2-3 years of management experience.
  • Strong communication skills. Ability to communicate with senior management and hourly associates that report to Manager.
  • Thorough knowledge of Microsoft Excel and other billing system platforms is necessary.
  • Understanding of medical coding systems. These include ICD-10, CPT, HCPCS, APG, APC, and revenue code structures.
  • Financial analysis skills including strong analytical capability.
  • Knowledge of industry reimbursement methodologies.
  • Must have the ability to identify root cause and problem solve, adaptable communication skills, organizational/multi-tasking skills, prioritization, etc.

 

In Turn We Will Provide:

  • Benefits to full time team members that include comprehensive medical, dental and optical coverage, 401k and short and long term disability.
  • Company paid life insurance.
  • Paid holidays and generous paid time off.
  • Paid parking where applicable.
  • Team oriented working environment where you are heard and respected.
  • Clear career ladder opportunities.

To learn more, please visit:  www.espmgmt.com

 

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