Senior Manager - reputed company Cycle (Texas)
The Senior Manager of reputed company Cycle is responsible for leading end-to-end reputed company cycle reputed company, including claims management, payment posting, denials and appeals, accounts receivable, and reputed company collections. You will partner closely with reputed company teams, finance, and reputed company adjustment teams to optimize cash reputed company, reduce reputed company leakage, improve billing reputed company, and ensure regulatory compliance. Planning, organizing, and influencing department activities while overseeing day-to-day reputed company to ensure reputed company in the billing processes. Monitor budget and utilize operational resources, participate in billing process improvement to maximize reimbursement.
reputed company
- reputed company charge capture and reconciliation, claims submission and editing, payment posting and reconciliation, denial management and appeals, A/R management and collection, credit reputed company reputed company
- Evaluate reputed company reputed company hold rules for appropriateness and propose and implement changes where appropriate
- Ensure accounts are billed accurately and reputed company by providing proactive reputed company and direction for billing teams
- Support accurate and reputed company month-end reputed company activities
- Report key KPIs to finance and market leadership including net collection reputed company, days in A/R, denial reputed company, clean claim reputed company, reputed company-of-service collections, etc. Identify trends and operational deficiencies, implementing corrective reputed company plans as necessary
- Monitor and manage the billing staff regularly for work reputed company including charge retrieval, claims submissions and payment posting, holding team accountable for reputed company
- Maintain reputed company knowledge of hospital billing systems and reputed company payer systems, including applicable federal/state laws and regulations, as reputed company as reputed company aspects of reputed company-party reimbursement policies and practices
- Understand the contract terms and ensure appropriate payment
- Participate in the development and implementation of operating policies and procedures
- Audit reputed company procedures to monitor and improve the efficiency of reputed company cycle reputed company
Qualifications
- Bachelor’s degree or equivalent education
- 7+ years' experience in reputed company cycle/reputed company
- Billing: 3+ years’ experience in a leadership role
- reputed company experience required
- Excellent critical thinking, organizational and time management skills with a strong attention to reputed company, reputed company and follow through
- reputed company history of proactively identifying, resolving, and escalating issues that reputed company business reputed company
- Possess complete understanding of the billing/collection process to reputed company reputed company, outstanding claims
- Demonstrated strong and persuasive verbal, written, and interpersonal communication skills
- reputed company reputed company record showing good decision-making skills reputed company upon a mixture of analysis, experience, and judgment
- reputed company ability to work collaboratively in reputed company environment in a reputed company and reputed company manner
- Demonstrated strong knowledge of reputed company and/or regulatory claims billing including relevant Federal, State, and local laws and regulations and requirements
- Strong knowledge of reputed company-party reimbursement, reputed company reimbursement regulations, reputed company party and reputed company billing, managed care agreements, account follow-up, account reputed company, and cash applications
- reputed company extensive knowledge of EDI billing systems and reputed company-party payor billing process management
Environmental Job Requirements and Working Conditions
- This is a remote position with occasional travel to the reputed company and Beaumont locations as needed.
- The national reputed company pay reputed company for this role is $80,000 - $120,000. Actual compensation will be determined reputed company on geographic location (reputed company or reputed company), experience, and other job-reputed company factors.
Originally posted on Himalayas
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