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DATE ADDED: Wed 19/09/2018

Medical Revenue Cycle Manager

El Dorado Hills, USA
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COMPANY: MEDXPRIME

Job Description

Be a key player in our leadership team. We are a national medical sales organization with a dynamic, expanding medical billing service. Our offering and competitive differences are propelling our growth. We want an energetic and enthusiastic leader to help grow this new division. You must be a hard-working self-starter who thrives in a fast-paced environment. This is a great opportunity for someone with significant billing experience to take on both an operational and management role. We bill for a wide variety of healthcare providers including all specialties, hospitals and laboratories.

The right person will have solid leadership experience and in-depth knowledge of RCM. Take a key role in building our company and participate financially for your contribution. Your entrepreneurial instincts will be rewarded as we grow our company together.

DUTIES INCLUDE:

· Working with the Billing Manager and Managing Partner help lead the company in providing exemplary service to our clients for A/R Recovery and Medical Billing

· Control and monitor all A/R and Billing Inventory for each individual client and for the company as a whole

· Work with Billing Manager to ensure workload is distributed evenly to ensure all client’s A/R and Billing needs are being met or exceeded

· Maintain and distribute reports to clients as directed by Managing Partner

· Maintain and distribute Inventory reports to C-Level management on a timely basis

· Oversee the credentialing department to ensure timely and effective contracting with insurance companies, HMOs, IPA, MSOs, etc. for our clients as directed by Managing Partner

· Working with HR Department ensure that all new staff if oriented and on-boarded according to policy

· Facilitate telephone conference meetings with clients as scheduled for A/R and Billing reviews

· Work directly with Billing Manager to ensure all staff training needs are met

REQUIREMENTS:

· 5+ years of experience working in medical billing

· Supervisory and/or management of billing staff

· Expert knowledge of CPT codes, ICD10 codes, and modifiers; certification preferred

· Excellent problem-solving ability, attention to detail, and accuracy with reporting of Inventory/Profitability, etc.

· Able to communicate clear answers to patient and provider questions

· Interested in suggesting process changes for improving our business

· Take excellent care of our healthcare providers and their patients

SKILLS REQUIRED:

· Assertive, personable leadership experience

· Knowledge of claims and claim denials to ensure maximum reimbursement

· Knowledge of Medicare billing policies and procedures

· Knowledge of insurance guidelines, including HMO/PPO, Medicare, and Medi-Cal

· Use of computer systems, software, 10 key calculator

· Knowledge and understanding of basic medical terminology

· Effective communication abilities for phone and email contacts with clients and payers

· Problem-solving skills to research and resolve discrepancies, manage workloads

· Be proficient with writing Policies and Procedures and Manuals

· Must be able to type 45 WPM and proficient in MS Office, Excel, Word, Outlook and Google Suite (Sheets, Docs, etc.)

Be a self-starter who is able to work within a team environment

Reply with resume to Ken Newton, COO, at #removed#


Role: Medical Revenue Cycle Manager
Job Type:
Location: El Dorado Hills,

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