<p>All Employees of Premier Medical Group are required to demonstrate our core values of Integrity, Respect and Compassion throughout their employment with us, placing patients first. Our employees must commit to always acknowledging our patients positively; showing genuine concern for their needs, identifying themselves and how they and others on the team can help, keeping patients informed and offering thanks for choosing and trusting us with their healthcare needs.</p> <p>Job Purpose: This position is chiefly responsible for direction and oversight of the day-to-day functions of the CBO. The position utilizes Central Billing Office Supervisor, Group Lead(s), Billing Coordinators, Medical Records, and Referral staff to manage the duties and functions of Central Billing Office staff in the areas of charge posting, EDI / billing, insurance A/R follow up, CPT and ICD coding, fee schedule maintenance, responsible party A/R follow up, credit balance resolution, credentialing and provider enrollment.</p> <p>Essential Functions: (Examples of Duties)</p> <ul> <li>Oversee functions of Central Billing Office Supervisor, Group Lead(s), Billing Coordinators, Medical Records, and Referral staff in the course of the following: </li><li>Assign and monitor workload of staff members within department guidelines. </li><li>Perform audits of work done by staff members, reviewing production levels and accuracy; prepare consolidated reports on productivity and results of the functional area(s) for which Supervisors and/or Group Leaders are responsible. </li><li>Coordinate identification of new employees by conducting interviews and assessing candidates. </li><li>Coordinate training of new employees by using standardized orientation and training programs. </li><li>Evaluate employees' performance, prepare regular evaluations and counsel employees as necessary. </li><li>Review and monitor employee payroll and attendance, including authorizing time off requests. </li><li>Perform monthly 1:1 meetings with your direct reports. </li></ul> <ol start="2"> <li> <p>Establish policies and procedures for department activities consistent with local, state and federal regulations. Review periodically the effectiveness and need for change of policies and procedures and make appropriate suggested changes to Administration. Including being a resource to the clinics for any/all CBO functions.</p> </li><li> <p>Oversees compliance with regulatory requirements, such as Medicare, Medicaid, Worker's Compensation and FDCA standards.</p> </li><li> <p>Establish and monitor departmental benchmarks and indicators related to reimbursement, accounts receivables and staff productivity levels.</p> </li><li> <p>Support the managed care contracting process by supporting Administration with reimbursement reviews and denial monitoring, and fee schedule maintenance.</p> </li><li> <p>Collaborate with coding for quality improvement and manage action plans accordingly. Areas include charge capture and entry, billing processes, collections, denial management, coding, and general departmental operations.</p> </li><li> <p>Prepare or assist in the preparation of month-end reports, accounts receivable aging, CBO indicator performance and other reports as necessary.</p> </li><li> <p>Prepare regularly planned and ad hoc reports detailing various aspects of charges, payment or accounts receivable. These may include reports detailing provider performance, payor analyses, procedure code reviews and gross collections analyses.</p> </li><li> <p>Prepare and present reimbursement and accounts receivable data in written and oral format. Target audience may include subordinates, site personnel, members of the administrative team, providers, various committees and the Board of Directors.</p> </li><li> <p>Participate and coordinate activities of staff meetings in the CBO. Also, provide assistance to clinics for their staff meetings.</p> </li><li> <p>Provide oversight of financial patient terminations; including the process and approval.</p> </li><li> <p>Participate on subcommittees within the management team.</p> </li><li> <p>Assist accounting department with month end close.</p> </li><li> <p>Adhere and assist with the strategic initiatives of the group as directed by Administration and the Board of Directors; including culture, training, onboarding, etc.</p> </li><li> <p>Maintains confidentiality.</p> </li><li> <p>Performs related work as assigned.</p> </li></ol> <p>Qualifications</p> <p>Job Requirements/Qualifications: (Describe minimum qualifications, preferred or required)</p> <p>Education: Bachelor's degree in Finance or Accounting or other related field. Additional professional experience may be substituted for educational experience.</p> <p>Experience: Five years' experience in physician accounts receivable management, claims adjudication, revenue management and staff supervision. Experience in a large complex multi-specialty environment is expected</p> <p>Knowledge and Skills: Thorough understanding of the medical reimbursement process. Skill in computerized billing software. Knowledge of accounting principles, and familiarity with third party payor contractual negotiations. Skill in time management and customer service. Ability to gather and analyze information, both written and verbal. Ability to handle multiple projects simultaneously and set priorities. Ability to lead, guide, coordinate and monitor the activity of subordinates. Ability to work effectively with all levels of personnel including physicians, managers and other staff. Ability to be highly efficient, organized and accurate in work. Knowledge of word processing programs, systems, other software and office equipment. Skill in verbal and written communication.</p> <p>Licenses/Certifications:</p> <p>Working Conditions: Office setting.</p> <p>Physical Demands: Sitting 6-8 hours a day. Occasional stress from dealing with deadlines and regulatory requirements. Requires use of computer and office equipment.</p>