Medical Billing - Revenue Cycle Operations Lead
Posted on: May 3, 2021
Job Description: Responsible for planning, supervising, and
coordinating the completion of all revenue cycle functions related
to billing and collections for Collect Rx client base. Creates
processes designed to enhance client satisfaction, minimize billing
throughout, reduce denials, and increase cash collections. Working
Conditions: Monday through Friday during normal business hours,
with weekend and evening hours as required. Work from home option
- Plans, supervises, and coordinates day-to-day operations of the
revenue cycle activities related to billing and collections through
various stages of the revenue cycle.
- Develop tracking reports and present findings to all levels of
management as needed.
- Stays up to date with payer and industry through payer
seminars, webinars, internet research, and relationships with other
- Troubleshoots and coordinates corrective action for identified
issues or needed updates within billing systems.
- Monitor billing and collection process flows to assists with
strategies to reduce edits and payer rejections.
- Provides guidance pertaining to client & payer policies and
regulations to ensure compliance.
- Assists in the implementation and testing for systems or
industry changes as required.
- Maximizes utilization of electronic billing processes through
constant monitoring of additions through the electronic billing
- Performs other duties as assigned.Job Requirements:
- High School Diploma required, 2 years of college
- 5-10 years of experience in healthcare business office
- Technical Certification through AAHAM required, or similar
- Extensive Knowledge of Insurance plans, coverage types, and
- Extensive knowledge of claim forms used for healthcare billing
(UB04, HCFA 1500).
- Knowledge of transaction codes sets pertaining to area of
- Ability to communicate issues effectively with all levels of
staff and departments.
- Able to lead meetings and serve as division representative as
Keywords: CollectRX, Bethesda , Medical Billing - Revenue Cycle Operations Lead, Healthcare , Bethesda, Maryland
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