Director of Medical Billing/Revenue Cycle
Company: Zoe Pediatrics
Location: Columbus
Posted on: May 9, 2024
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Job Description:
Job Summary:The Director of Billing is a key member of our
organization, responsible for overseeing and optimizing all aspects
of our billing operations. This role entails managing the Billing
Department, ensuring compliance with Medicaid regulations,
analyzing commercial contracts, and maintaining revenue cycle
policies and procedures. Additionally, the Director of Billing is
tasked with hiring, training, and retaining a skilled team of
Revenue Cycle Specialists. This position reports to the Chief
Operating Officer (COO) and collaborates closely with the
Controller to reconcile cash collections and front desk
functions.Key Responsibilities: Assist in the development of the
Key Management Report (KMR) to track billing performance metrics.
Supervise the Billing Department, ensuring efficient and accurate
billing processes. Stay updated on all Medicaid Bulletins for
Georgia and Alabama Medicaid programs. Participate in analyzing
yield on all commercial contracts to maximize revenue. Collaborate
with the COO or designated personnel to reduce errors in the intake
process. Maintain the charge master for both Zoe Pediatrics (Zoe
Peds) and Zoe Applied Behavior Analysis (Zoe ABA). Develop and
maintain company revenue cycle policies and procedures to ensure
compliance and efficiency. Manage and maintain staffing levels
within the Billing Department, including hiring, training, and
retention of Revenue Cycle Specialists. Work with the COO and
Controller to reconcile cash collections and front desk functions.
Perform other necessary duties as required by the
organization.Education/Experience: College education required;
Master's degree preferred but not required. Certification in
Billing and Coding. Credentialing/Certification preferred but not
required. Minimum of 5 years of experience in billing and
collections. Proficiency in maintaining electronic databases. Valid
driver's license and reliable transportation required.Job
Requirements: Strong oral and written communication skills.
Attention to detail and organizational skills. Ability to maintain
deadlines and operate in a fast-paced environment. Demonstrated
positive attitude and interpersonal skills. Adherence to company
dress code and time and attendance guidelines. Efficient time
management and ability to multitask. Ability to accept feedback on
work performance and collaborate effectively within a team.Billing
Responsibilities: Ensure timely billing of claims for Zoe
Pediatrics and Zoe ABA for all payers. Generate and mail patient
bills on a weekly basis. Maintain billing accuracy at 95% per
biller. Keep all encounter inventories at 90 days or less from the
date of service for all lines of business. Communicate with
providers regarding claims inventories and outstanding claims
actions. Transmit all claims through selected clearinghouse daily
and resolve clearinghouse rejections promptly.Payment Posting: Post
payments daily and work on ERA payer denials promptly. Address
un-reconciled balances daily to maintain financial accuracy. Meet
with CEO, COO, and Controller monthly to review and write off
doubtful accounts.Revenue Cycle Reports: Generate biweekly reports
on various aspects of the revenue cycle, including encounters,
denials, and front desk errors. Note: Key responsibilities are
examples, and not all duties may be listed. Duties are subject to
change based on business needs.Job Type: Full-timeBenefits: 401(k)
Dental insurance Health insurance Life insurance Paid time off
Vision insuranceSchedule: 8 hour shift Day shift Monday to
Friday
Experience: Medical billing: 5 years (Preferred)
Work Location: In personby Jobble
Keywords: Zoe Pediatrics, Montgomery , Director of Medical Billing/Revenue Cycle, Accounting, Auditing , Columbus, Alabama
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