PreCert Supervisor (West Cancer Center) Job

Summary

This position will supervise and serve as a resource to the Business Office personnel and will work in tandem with the Revenue Cycle Managers and VP of Revenue Cycle to ensure and maintain accurate patient accounts and efficient billing processes.

Education/Experience/Licensure

Associate’s degree in business administration and a minimum of two to three years experience in Billing in a medical environment or equivalent combination of education and experience.  Prior supervisory experience preferred.  Data entry/accounting skills are required; 10-key by touch.   

Knowledge/Skills/Abilities

Must have excellent organization and follow-up skills; excellent verbal and written communication skills, excellent problem-solving skills, ability to organize and prioritize work assignments; ability to handle multiple priorities in a fast-paced environment; ability to analyze situations and respond in a timely manner; ability to participate in multi-functional teams; ability to supervise the work performance of others; ability to establish and maintain effective working relationships within The West Clinic; ability to establish and implement new processes; must be proficient in computer applications, including word processing, spreadsheet, and e-mail.  Additional hours may be required.

Key Job Responsibilities

  • Consolidates/communicates problems within the Accounts Receivable (AR) and EDI Teams to the Revenue Cycle Managers and works with the Revenue Cycle Managers to resolve such problems.
  • Assists with changes and/or improvements to AR and EDI internal processes, policies and procedures.
  • Performs AR and EDI Team daily tasks.
  • Reviews AR reports and EDI rejections and develops plan of action and changes in work flow to improve revenue cycle and reduce timeline for claim payment.
  • Sets up patient appointments with Patient Services Department when needed.
  • Works directly with other West Clinic Departments to improve the revenue cycle.
  • Works with payers, EMR company and clearing house to improve revenue cycle.
  • Reviews EOBone for unpaid or incorrectly paid claims.
  • Develops procedures and policies AR and EDI.
  • Works in conjunction with MLH to create charity write-offs for mutual patients.
  • Assists with training/education processes, particularly AR and EDI personnel as needed.

Physical Requirements

  • Typical clinical environment with moderate noise level.
  • Ability to sit, stand, walk, reach, climb or balance, stoop or crouch, hand/wrist use, talk, see, and hear for extended periods of time.
  • Ability to read and understand documents such as safety rules, operating and maintenance instructions, procedure manuals, correspondence.  Ability to write routine reports and correspondence.  Ability to speak and present information in small groups of customers, suppliers, or employees of the company.
  • Ability to calculate figures and amounts such as discounts, interest, commissions, percentages, area, circumference, and volume.  Ability to apply concepts of basic algebra and geometry.
  • Ability to apply common sense understanding to carry out instructions given in written, oral, or diagram form.  Ability to deal with problems involving several concrete variables in routine situations.
  • Ability to lift up to 25 lbs.
  • Some travel may be required.

Company
Methodist Le Bonheur Healthcare
Posted
03/27/2018
Type
Full time
Location
Germantown, Tennessee 38138, US