Revenue Cycle Manager - TRH Job at Taylor Health Care Group, Hawkinsville, GA

T2lkdXRaZUdzRmxQZ0ZYM2h3LzFoZGdiTHc9PQ==
  • Taylor Health Care Group
  • Hawkinsville, GA

Job Description

Responsible for overall functions of the Business office, supervising staff, monitoring productivity and reports to insure timely and accurate reimbursement.

Job Duties:

  • Provides oversight and accountability to the Business Office, Registration, Data Processing, Financial Counseling, Denials Management and Precertification department.
  • Assists the Revenue Cycle Director
  • Reviews electronic claims workflow for current and pending claims
  • Reviews denial management for discrepancies and inefficiencies
  • Monitors reports for accuracy and timeliness of billed claims and follow-up
  • Monitors and reviews patient outstanding balances, collections and bad-debts
  • Reviews remittance advices; determines problems causing rejections and denials
  • Ensures that the pre-cert department is obtaining prior authorizations or approvals in a timely manner
  • Communicates with third party payers in regards to claims processing difficulties or new processing procedures
  • Maintains extensive knowledge of revenue cycle and regulatory requirements associated with governmental, managed care, and commercial payers.
  • Maintains an effective and efficient workload for each hospital biller

Education:

  • High School Diploma or Equivalent
  • Bachelor’s Degree in related field is preferred – experience in lieu of education may be substituted

Training/Experience:

  • 2 years supervisory experiences required
  • 3 years Billing/AR – Denial Management with hospital and/or professional claims which demonstrates attainment of the required requisite job knowledge and abilities.

Skills/Qualifications:

  • Proficient in Microsoft Office products, specifically Excel
  • Proven leadership skills and ability to gain cooperation and support from a diverse body of individuals
  • Highly dependable in both production and attendance
  • Ability to effectively prioritize and execute tasks while under pressure; make decisions based on available information and within the scope of authority of the position; excellent customer service skills, including professional telephone interactions.
  • Exceptional organization, problem solving, and time management skills with an attention to detail
  • Excellent verbal and written business communication skills sufficient to clearly document issues and effectively communicate.
  • Promote the mission, vision, and values of Taylor Regional Hospital.
  • Maintain confidentiality of all patient, medical, financial, and legal information.
  • Represent the organization in a positive amp; professional manner.
  • Ability to handle difficult situations involving patients, physicians, staff and others in a positive and professional manner.
  • Comply with all organization policies and standards
  • Consistently demonstrate the value of team concept.
  • Understands and abides by OSHA, HIPAA and CLIA standards
  • Understanding of HIPAA regulations and proven ability to ensure confidentiality with respect to sensitive information

Job Tags

Similar Jobs

23 Skiddoo Cafe

Head Barista Job at 23 Skiddoo Cafe

 ...Cafe in Bloomfield, NJ is looking for head barista to join our team. We are located on 33...  ...Job Functions: Make and serve specialty coffee, espresso, and tea beverages. Cocktails...  ...Physical Setting: Bakery Coffee shop Schedule: ~10 hour shift ~12 hour... 

European Wax Center - Astoria

Esthetician/Wax Specialist Job at European Wax Center - Astoria

 ...understanding of the EWC values, vision and strategy.* Sales experience is preferred.* Required license or certification: Waxing License, Esthetician License or Cosmetology LicenseWe are an equal opportunity employer and value diversity at our company. We do not discriminate on... 

Royal Caribbean Group

Assistant Waiter Job at Royal Caribbean Group

POSITION SUMMARY: Assistant Waiter will perform the functions of the restaurant sequence of service and all essential duties and responsibilities outlined below. These locations include but are not limited to Main Dining Room, Windjammer, and Specialty Restaurants...

USAA

Customer Service Advisor Job at USAA

Why USAA?At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.Embrace a fulfilling career at ...

Andrews Recruitment Group Limited

Health & Safety Trainer / Consultant Job at Andrews Recruitment Group Limited

 ...Job Title: Health & Safety Trainer / Consultant Location: Flexible (Kent-based preferred) Salary: 50,000 - 60,000 per annum (DOE) + Benefits Employment Type: Full-Time, Permanent Are you passionate about shaping safer workplaces and mentoring...