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Medical Billing - Revenue Cycle Operations Lead

Company: CollectRX
Location: Bethesda
Posted on: May 3, 2021

Job Description:

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 available.Job Tasks:

  • 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 organizations.
  • 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 vendor.
  • Performs other duties as assigned.Job Requirements:
    • High School Diploma required, 2 years of college preferred.
    • 5-10 years of experience in healthcare business office setting.
    • Technical Certification through AAHAM required, or similar experience.
    • Extensive Knowledge of Insurance plans, coverage types, and medical terminology.
    • Extensive knowledge of claim forms used for healthcare billing (UB04, HCFA 1500).
    • Knowledge of transaction codes sets pertaining to area of supervision.
    • Ability to communicate issues effectively with all levels of staff and departments.
    • Able to lead meetings and serve as division representative as needed.

Keywords: CollectRX, Bethesda , Medical Billing - Revenue Cycle Operations Lead, Healthcare , Bethesda, Maryland

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