Growing 3 physician surgical specialty group is looking for a Practice Administrator to oversee operations of the medical practice. The Practice Administrator is responsible for all administrative functions including operations, finance, planning and development, marketing, contracting, human resources, and clinical information systems. The ideal candidate will be results oriented with a proven ability to get the job done.
Responsibilities Include:
Provide senior administrative, operational, and financial direction for the practice.
Resolve administrative problems in a timely manner and keep lines of communication open with physicians and staff to ensure high employee morale and a professional atmosphere.
Ensure compliance with all legal, organizational and ethical issues related to patient and employee data, information, confidentiality, policies, and procedures.
Work with third party payers to ensure optimum reimbursement.
Possess strong intellect, sound business sense, and ownership mentality that are necessary to function in a key leadership role.
Behave with a high sense of integrity and values.
Clearly and concisely convey complex information in understandable terms.
Requirements:
Bachelors Degree
Masters Degree- Business Administration or equivalent preferred.
3-5 years experience in healthcare specialty practice administration.
Comfortable in both the clinical and business setting:
Proficient in applicable regulatory compliance programs, including OSHA, HIPAA, Medicare, and Medicaid.
Expertise in medical insurance billing.
Experience in all aspects of practice administration, including: strategic planning, budgeting, practice management, human resources, and information systems.
Excellent verbal and written communication as well as strong interpersonal skills.
Excellent management and supervisory skills.
Expertise in MS Office applications.
Quickbooks’ experience preferred.
Ability to work under pressure, establish priorities, and motivate staff.
Leadership, management, and organizational skills.
About Virginia College Healthcare Reimbursement Services
Virginia College has graduated some of the best employees in the healthcare industry in each of the communities we serve. Many of our programs include an externship in which our students spend ten weeks working in their field of study in an actual work environment. There they get real-life experiences. Our Billing and Coding students also take part in this externship and have historically worked in physician offices, billing offices and hospitals.
We have established Virginia College Healthcare Reimbursement Services to serve two purposes:
• Offer a state of the art billing and coding business for the physician practices in our communities.
• Provide an actual business environment where our students can perform their externships just as they are doing today in the physician and billing offices in your community. Through this externship, our students will be exposed to the latest technology and be taught the billing and coding business from the professionals that work in our business. Our goal is to be able to provide to the industry graduates in billing and coding who can step right in to businesses like yours and have an immediate impact.
In order to be able to provide a gold standard service to our clients, we are assembling a team of valued professional billing and coding experts to provide outstanding service to our clients.
Job Summary:
The Manager, Billing Operations is directly responsible for the day to day billing operations in the HRS office.This position will supervise all employees that are directly involved in the billing and coding activities for its clients.This position also will be responsible for managing the Externship program in its entirety.They will also be the primary back up to the Manager, Account Services.
Duties and Responsibilities
·Monitor A/R for assigned HRS clients; identify areas for improvement which are applicable to client and HRS.
·Claim adjustments
·Problem solving complex issues for direct reports and clients
·Transition new client tasks to designated teams for claim submission, statement processing, secondary claim processing, patient inquiries and payment processing.
·Instruct Account Representatives on rejection and error research and resolution.
·Oversee payment posting of complex remits.
·Log all client issues encountered, including enhancement requests, bugs, errors, and inquiries. .
·Assist with HRS tasks as needed.
·Assist with HRS staff development, including on-going mentoring and training.
·Pursue continuing education of applicable software and hardware.
·Keep current on payment trends and coding changes.
·Participate in departmental and other meetings as requested.
·Make HRS Manager and Director of HRS aware of any client issues or problems.
Minimum Job Requirements:
Bachelor’s or Associates degree in business, health information management, or healthcare administration preferred. If not, a minimum of 5-7 years of current billing and coding experience preferably in a diverse field of specialties and ancillary services is required.5-7 years of medical billing and coding supervisory experience is also required. Applicant must be a certified medical coder by one of the industry standard accreditation associations. If applicant does not have the above credentials they will agree to gain one of these within 1 year of employment.
About Virginia College Healthcare Reimbursement Services
Virginia College has graduated some of the best employees in the healthcare industry in each of the communities we serve. Many of our programs include an externship in which our students spend ten weeks working in their field of study in an actual work environment. There they get real-life experiences. Our Billing and Coding students also take part in this externship and have historically worked in physician offices, billing offices and hospitals.
We have established Virginia College Healthcare Reimbursement Services to serve two purposes:
• Offer a state of the art billing and coding business for the physician practices in our communities.
• Provide an actual business environment where our students can perform their externships just as they are doing today in the physician and billing offices in your community. Through this externship, our students will be exposed to the latest technology and be taught the billing and coding business from the professionals that work in our business. Our goal is to be able to provide to the industry graduates in billing and coding who can step right in to businesses like yours and have an immediate impact.
In order to be able to provide a gold standard service to our clients, we are assembling a team of valued professional billing and coding experts to provide outstanding service to our clients.
Job Summary:
Under the direct supervision of the Manager, Billing Operations.The Billing/Coding Representative II is responsible for the overall billing process for clients.Included in this responsibility are customer dispute resolution and resolving customer training issues.
Duties and Responsibilities:
·Primary role is the resolution of errored, rejected and delinquent claims and frontline billing support for the HRS clients.
·Complete rejection reports, send to client and work with the client representative to resolve any errors or rejections due to coding errors, updates or charge entry errors or omissions.
·Complete all aspects of claim processing for assigned clients in a timely, accurate, and high-quality manner.Tasks include, but not limited to, claims preparation, submission, reconciliation, correction of claim errors and rejections.These tasks also apply to all claims whether primary or secondary claims.
·Assist and interact with all HRS teams to resolve database or client issues.
·Implement and train clients on the use of document manager and practice management system as needed.
·Log all client issues encountered, including enhancement requests, bugs, errors, and inquiries.
·Keep current on payment trends and coding changes.
·Follow-up on delinquent claims using Care Complete and Dashboard as needed.
·Assist, train, and consult with other HRS departments as needed.
·Complete other tasks as assigned by Manager or Director.
·Pursue continuing education of applicable software and hardware.
·Participate in departmental and other meetings as requested.
·Provide oversight and instruction for members of the billing team as needed
·Make HRS Manager and Director of HRS aware of any client issues or problems.
Minimum Job Requirements:
·Bachelors or Associates Degree preferred, if not a minimum of 3 years of current billing and coding experience preferably in a diverse field of specialties and ancillary services is required
·Applicant must be a certified medical coder and/or biller by one of the industry standard accreditation associations. If applicant does not have the above credentials they will agree to gain one of these within 1 year of employment.
Consultants in Radiology, P.A (CIRPA), a Fort Worth Diagnostic Imaging Center and Radiology Practice, is seeking a Director of Billing to effectively lead billing, collections, and accounts receivable management in a fast paced environment. This position requires full understanding of revenue cycle management including billing/coding, accounts receivable, and collections.The Director will manage all activities of a centralized billing staff through analysis and daily supervision.
Position Description:
Oversee and manage a staff of 14 billing associates.
Ensure the accurate submission of all claims and timely collections of receivables occurs in accordance with all third party contract terms including Medicare/Medicaid, managed care, commercial insurance, and direct patient pay.
Establish and maintain all billing and financial data including medical billing code tables, rate schedules, and payer information.
Analyze reimbursement from all sources including carrier reimbursement exception reporting.Follow-up pending claim analysis and denials management.
Assure maximization of cash collections through diligent and timely monitoring of all open accounts receivable balances.
Maintain and enhance billing policies and procedures for each function in the revenue cycle process and ensure staff adherence to policies.
Prepare detailed reports of billing and accounts receivable activity and results including performance matrixes, bad debt expense, and AR days outstanding.
Work closely with finance/accounting with the reconciliation of billing and accounts receivable to the general ledger.
Effectively interact with all associates and all levels of management.
Manage all outreach billing operations including hiring, orientation, training, development, mentoring, coaching, corrective actions, and ongoing monitoring of all staff work-related activities.
Ensure consistent quality of billing services by distributing and assigning duties and responsibilities to employees; ensure skill levels are appropriate to the assigned tasks and monitor the department’s productivity.
Requirements:
Bachelor’s degree in Finance or Accounting (Healthcare Administration also considered).
Seven plus years of medical reimbursement experience, with progressive supervisory management in an automated billing environment.
Experience with a Radiology / Diagnostic Imaging practice preferred.
Well-versed with all federal, state and HIPPA privacy regulations with thorough knowledge of CPT and ICD-9 coding protocols and procedures.
Knowledge of medical necessity rules and procedures impacting insurance reimbursement.
Strong supervisory and management experience required.
Knowledge of GE Healthcare (IDX) billing system strongly preferred.
Strong Microsoft Excel and financial reporting skills
Detail oriented with demonstrated ability to effect positive change.
Strong organizational and leadership skills in a fast paced environment. Ability to maintain relationships with internal department heads and external vendors.
Consideration:
Excellent opportunity for the right person.Stable and growing company that offers a competitive salary, excellent benefits, and opportunity for growth and advancement.
For consideration, interested and qualified candidates can send resume and cover letter, including salary history, to
