General responsibilities include management and supervision of the Accounts Receivable team, to oversee day to day operations of billing and accounts receivable follow up. Working under the direction of the Director, Professional Fee Revenue Cycle to meet short- and long-term strategic goals, will create written guidelines, policies and procedures in accordance with implementation of all work processes as a result of thorough analysis.
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
. Sets clear and common work objectives for assigned staff. Recruits, selects, orients and manages appropriate staff to ensure operational objectives are consistently met.
Ensures quantity and quality of staff's work is measured and documented, and staff is held accountable for meeting productivity/quality standards.
. Prepares reports and analysis outlining billing and AR staff performance noting any adverse trends and making appropriate conclusions and decisions regarding necessary corrective action.
Plans and conducts meetings with staff to ensure compliance with department workflows, implements new policies, and makes employees aware of changes and current standards.
Ensures the proper design, testing and documentation of specialized billing system work queues to identify miscellaneous errors and discrepancies.
Coordinates the resolution of system issues identified through analysis, client or staff discovery, in conjunction with IT Billing System staff.
With assigned staff, consistently assess back-end billing efficiencies to maximize revenues and timeliness of payments, which may include the following:
A. In depth analysis of edits and denial trends by practice and by payer
B. Analysis of patterns and quantity of appeals
C. Cycle time reduction analysis
With assigned staff, analyzes and proposes revenue cycle management improvements to Senior Management. Includes:
A. Future system enhancements to provide more efficient workflow in a production environment to provide positive outcomes
B. Design performance improvement plans to positively impact front end and/or back end denials and/or Accounts Receivable Performance
Company Description The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit www.umms.org.
Qualifications
Education and Experience
Bachelor's Degree preferred or equivalent combination of education and experience will be considered.
Five years of experience working in health care revenue cycle is required.
Two (2) years of supervisory experience included within the five years of experience is also required, preferably in health care revenue cycle.
Experience with EPIC preferred.
Knowledge, Skills and Abilities
Detailed knowledge of insurance company rules and regulations, CPT and ICD-9 coding, medical necessity requirements.
Demonstrated ability to adapt to a changing environment, problem solve and develop solutions.
Demonstrated knowledge of MS Office software applications. Knowledge of Microsoft Excel and Microsoft Word is required.
Effective verbal and written communication and listening skills are required to interact with various individuals seeking accounting-related information.
Ability to maintain a culture of excellent customer service, open and friendly staff relations at all levels of staff.
Excellent business and analytical skills including strong documentation skills.
Must be detail-oriented and possess exceptional organizational skills
Working Conditions
Work is primarily performed in a standard office environment.
Additional Information All your information will be kept confidential according to EEO guidelines.