Maine Eye is hiring a Revenue Cycle Manager to manage the Revenue Cycle Department in compliance with the philosophy, policies and goals of the practice.
Ideal candidates have a high school diploma or equivalent, CPC Certification, minimum 3-4 years of revenue cycle experience in a health care organization, knowledge of medical terminology, CPT, ICD9, ICD10 and insurance claim adjudication, minimum of 1 year of supervisory experience and proficiency with Microsoft Office products.
Performance Requirements: Knowledge of organizational policies and procedures.
Ability to speak clearly and concisely.
Exceptional customer service skills.
Ability to establish, and maintain effective working relationships with staff, patients, and the public.
Exercise independent judgment.
Professional communication with internal and external contacts and patients.
Attention to detail and accuracy in a fast paced, multi-tasking environment is essential.
Maintain confidentiality.
Knowledge of proper grammar, spelling and punctuation to type patient information.
Knowledge of principals of supervision, various types of health insurance, CPT and ICD9, ICD10 coding, medical terminology, healthcare billing practices, automated billing/accounting systems, collection laws and regulations.
Ability to plan, schedule, assign, coordinate and evaluate the work of support staff; train staff, read, interpret and apply policies and procedures; analyze data, draw conclusions and make recommendations.
Operations Support: Establish and maintains billing policies and procedures for the department.
Participate in the selection of staff, orient and assist with training, evaluate and monitor the performance of department personnel.
Time card approval Manage the department in compliance with the policies and procedures of the practice.
Establishes and achieves productivity goals and objectives for the department consistent with practice goals.
MIPS Lead Works with the CEO and Operations Director on Practice Reporting Process insurance refund requests Insurance medical records requests Audit charges and follow up on communications sent to MD/OD/Techs with needed corrections in MDI from charge audit Review Held encounters for timely filing monthly And audit billing / collection work to ensure quality patient service and compliance.
Research Missing payments for finance And review missed testing Perform other tasks as required.