Manages Billing Department to ensure timely processing of patient accountsManages Authorization and Verification department to ensure timely processing of verification and authorizationDevelops processes and procedures to ensure maximum reimbursement for all services

Responsible for analyzing, monitoring and auditing billing processes, quality of documentation to support billing, and coding and billing practices to help assure compliance with applicable healthcare billing regulations. In addition,will be responsible for identifying and implementing best practices, process improvements, internal controls, and corrective actions when appropriate.Works collaboratively with Patient Financial Services, Health Information Management, Coding, and the clinical areas as needed

Manages operations of the Support department staff and impacts to the Revenue Cycle including the planning, organizing, directing, controlling and evaluating the management of systems and staffDevelops guidelines for producing work activitiesDevelops and updates department policies and proceduresOversees and supports the departments customer service initiativesWorks collaboratively with other departments to improve the health care delivery system as a wholeIdentifies and coordinates activities to develop, evaluate and implement systems, procedures and standards that promote cost effective quality servicesManages overall budget process including operating expenses, capital equipment, space and long range needs and staffing requirements

responsible for contract management including contract evaluation, reimbursement verification, etc.recommend organizational policies to ensure maximize third party reimbursement through billing, collections and receivable activitiesanalyze data, identify trends and create reports on accounts receivableevaluate and maintain fee schedulerecommend policy and/or procedural changes in order to streamline the revenue cycle practicesassist in performance review and personnel concernsinvestigates, coordinates and resolves patient concerns in conjunction with management

Patient Financial Servicesdevelop and revise training materials for staffestablish and implement ongoing quality monitors for Patient Financial Services departmentprovide orientation to Patient Financial Services staff and document competenciessupervise and evaluate personnelprepare monthly quality monitoring reportsassist development of department budgetanalyze operation performance and reporting and make recommendations for process improvement

develop programs to enable clients to gain work experiencemake referrals to clients for other community programs and agencies determine initial and continuing eligibility for financial assistance benefitsassemble information in order to complete records and financial application formsinterview clients to gather dataestablish and maintain files and records

developed employee lead workshops retain history of customers accountmanage bankruptcy and legal accountsreceive written and telephone inquires regarding status of customer accountparticipated as Peer Advisor for Learning Center

department liaison, served as representative on many committees created admitting procedure book and trained staff conducted performance reviewsscheduled employeesperformed electronic billing and follow up on claim payment