Duties & Responsibilities: Job and Individual Responsibilities and Performance Expectations:
Supervises a variety of complex billing activities and functions; Directs billing and collection activities for Medicaid, Medicare, third party payers and individual pay activities; Guides and advises billing staff or team members on procedural processes in areas of responsibility, informs staff of procedural changes and assists in problem resolution; Develops and analyzes statistics and data pertinent to the billing function; Functions as primary point of contact for billing, assists departmental staff by providing guidance or information pertaining to billing; Maintains knowledge of current trends and developments in the field; Leads efforts to diversify the agency's payer sources; knowledge of credentialing processes and provides assistance in getting providers on appropriate payer panels.
Responsible for forming effective and collaborative working relationships with the Finance and Business Office personnel, as well as the Quality Assurance personnel, to ensure superior service and efficient administrative delivery to both internal and external customers in the areas of account management, billing and collections, payments, financial assistance programs and balance resolution.
Serves as subject-matter expert in Revenue Cycle best practices in the medical office/professional setting and collaborates closely with the CFO.
Ensures standardization in Revenue Cycle / operating procedures across all sites, and proactively identifies areas of opportunity to improve the efficiency and effectiveness of the client's experience in the course of their interactions during intake, financial clearance, and collections while at the agency's sites.
Provides leadership, mentoring and training to Billing staff and Front Office supervisors, as well as their direct and indirect reports, to improve job competencies and drive performance to achieve operational goals in the areas of customer service, quality, and collections; Develops a high performance team as measured through achievement of benchmark process outcomes, audit and compliance results, financial goals and employee satisfaction.
Minimum Training & Experience: Completion of an associate degree from an accredited college or university And Four years of professional experience in a related area OR Six years of professional experience in general accounting, billing and collection systems, and/or claims, two of which were in a lead worker role OR Completion of a Bachelors degree from an accredited college or university in a related area AND Two years of professional experience in a related area
Agency Specific Qualifications and/or Preferred Qualifications: AGENCY SPECIFIC QUALIFICATIONS:
Bachelor's Degree (finance, accounting, business administration, healthcare administration, or related field)
Five (5) plus years at the Manager-level or above within healthcare billing and reimbursement with both public and private funding sources and regulatory compliance
Excellent computer skills with strong proficiency in spreadsheet applications and report creation and generation, and experience on computerized accounting and billing / accounts receivable packages.
***Qualifying applicants with a Bachelors degree (finance, accounting, business administration, healthcare administration, or related field) OR 6 years of public and private billing and reimbursement experience may receive priority consideration for interview.***
AGENCY PREFERRED QUALIFICATIONS:
Ten (10) plus years of billing and reimbursement experience, prefer experience in behavioral health.
Working knowledge of Health Care reform legislation, affects, and requirements.
The ability to work proactively and independently, setting daily priorities as appropriate.
Work experience with a mental health provider.
Experience designing and administering training regarding health care billing procedures.
Professional expertise in electronic health records.
Excellent analytical and problem solving skills.
Experience implementing changes and handle the education efforts, stress, and conflicts that result.
The ability to manage, motivate, and direct others, both subordinates and peers.
Additional Information: To be considered, you must apply for this position through www.careers.ga.gov below before the announcement closes. Your resume must clearly demonstrate how you meet the Agency Specific Qualifications and any Preferred Qualifications. Candidates for selection must pass a criminal background check (including finger-printing).
View Point Health provides health benefits and 401K. We are an equal opportunity employer.
Due to the volume of applications received, we are unable to provide information on application status by phone or e-mail. All qualified applicants will be considered, but may not necessarily receive an interview. Selected applicants will be contacted by the hiring agency for next steps in the selection process. Applicants who are not selected will not receive notification.
This position is subject to close at any time once a satisfactory applicant pool has been identified.
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