ROLE AND RESPONSIBILITIES
The CSO Billing Manager, Hospital Revenue Cycle has the responsibility to manage and maintain an environment of consistent process with a focus on compliance and efficiency. This role acts with professionalism in all aspects of their responsibilities including but not limited to, interface with facility BOM’s, CFO’s, patients, and physician offices. The Manager works closely with the Hospital Managers, Director, and Sr. Director to make sure areas are properly staffed, work is accomplished, trends are communicated, audit processes / workflows and Key Performance Indicators are properly documented.
- Directs and monitors the work of the Billing Team engaged in the resolution of outstanding insurance, patient accounts and receivable.
- Ability to meet and exceed KPI targets for billing.
- Evaluates performance of staff and provides feedback and training to direct reports.
- Assists with problems and recommends methods to increase efficiency of collection efforts.
- Maintains current knowledge of regulation, state laws, and insurance requirements for the healthcare services provided in the hospitals.
- Provides ongoing training for team on related billing techniques, updates to laws, new company policies, and / or regulatory compliance.
- Correspond with clients in answering questions on services and billing matters, recommending further action required for all delinquent accounts, and proactive communication of trends or denials.
- Prepare and review of a variety of reports and statistical data and information pertaining to billing activities.
Required Skills
QUALIFICATIONS AND EDUCATION REQUIREMENTS
Bachelor Degree or equivalentMinimum 5 years management experience in healthcare with ability to lead a team and achieve objectives or 4 years supervisory experience with Associates Degree in business, healthcare or related field.Minimum 5+ years total experience in full RCM healthcare and billing experience.Understanding of medical terminology, claims submission, clearing house edits and project management.Advanced understanding of healthcare related federal, state, and health plan guidelines.Computer technology proficiency, such as Word, Excel, and Outlook.ADDITIONAL NOTES
This is not an all-inclusive list. Additional tasks and responsibilities may be added by management based on business need.
Required Experience
Qualifications :
QUALIFICATIONS AND EDUCATION REQUIREMENTS
Bachelor Degree or equivalentMinimum 5 years management experience in healthcare with ability to lead a team and achieve objectives or 4 years supervisory experience with Associates Degree in business, healthcare or related field.Minimum 5+ years total experience in full RCM healthcare and billing experience.Understanding of medical terminology, claims submission, clearing house edits and project management.Advanced understanding of healthcare related federal, state, and health plan guidelines.Computer technology proficiency, such as Word, Excel, and Outlook.ADDITIONAL NOTES
This is not an all-inclusive list. Additional tasks and responsibilities may be added by management based on business need.