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Market Billing Manager – Physician Services
Clark Regional Medical Center

Location: Winchester, Kentucky
Work Setting: Hospital
Job Function:
Coding Supervisor/Manager
Job Type:
Full-Time
Salary Range: $22hr-33hr/EXEMPT

Introduction

Making Communities Healthier with Comprehensive Care…

 

You can get to know who we are and what truly makes us different by our mission, ‘Making Communities Healthier’.  As health care evolves, Clark Regional Medical Center is transforming patient safety and quality care – pushing the limits and paving the way to establish new practices and set new standards.  We believe in putting the patient at the center of everything we do.  We are developing the most innovative patient experiences with our constant investment in continuing education and leadership development programs.

 

We want you on our team…Clark Regional Medical Center located in Winchester, a 15 minute drive from Lexington, KY is searching for a full-time, Billing Manager to join our Physician Services team!

 

We are committed to serving the needs of our community and our region with exceptional quality and we are passionately focused on our patients.  We consider quality more than just a set of criteria.  It is a way of life for Clark Regional, encompassing everything we do.  This is an exciting time to join our team as we continue to grow and expand with new services.

 

At Clark Regional, we believe in building careers.  That is why we offer an excellent tuition reimbursement program, competitive pay, a generous paid time off program, flexible spending account plan, choice of health insurance plans, dental, vision, life, disability plans, discounts in our café and various discounts in our community, traditional and Roth 401 (k) plans with a match, and free parking on our beautiful campus.

 

Simply put, our employees are the heart and soul of our organization.

 

Job Description

Essential functions of position include, but are not limited to:

Provider training, feedback and assistance to clinic staff relating to pre-visit revenue cycle impacting processes, including demographic and insurance entry/information, patient TOS payment collection, eligibility verification, authorizations and provider credentialing.  Oversees and performs bank/payment reconciliation and balance processes, as well as any clinic deposit and cash reconciliation processes.  Responsible to monitor clinic charge positing activities for SOX adherence/compliance, as well as assist in posting hospital/clinic charges where responsibility is designated by Director of Regulatory Compliance Physician Services.  Review/respond to/resolve claim scrubs, front-end denials, and appeals as designated by Director, including providing training, feedback, and assistance to clinics in preventing the recurrence of problematic claims.Provide PMDS and clinics with requested feedback, respond to general inquiries, process paper based requests, assist with/locate missing EOBs, post patient payments, assist with patient billing phone calls, and reconcile patient bad addresses/returned mail.Assist with insurance/patient refunds processing and reconciliation between accounting and PMDS, including reviewing lists, obtaining check numbers for refund checks processed, and assisting in the overall unapplied credits process.Oversee and monitor 3rd party payer/provider/department enrollment processes and ensure timely communication of changes/updates to clinics, PMDS and other impacted parties.Collaborate with PMDS and other LifePoint hospitals/corporate departments to disseminate best demonstrated practices.Ensures the clinic staff have applicable training necessary for the performance of their assigned duties.Ensure compliance with all relevant regulations, standards, and laws.Work on special projects, as needed, and other duties as assigned.Consults with the clinic(s)’ Practice Manager(s)/Director concerning clinic operations; assists in eliminating/correcting areas that need improvement and/or improvement of services. Reports applicable findings/solutions to the Director of Regulatory Compliance Physician Services

Required Qualifications

Education: High School diploma – required

Associates Degree- Preferred

CPC Coursework or CPC Certifications required

Coding experience required

HIM or HIT – preferred

Preferred Qualifications

Minimum Work Experience:

3-5 years of medical billing experience in a corporate or hospital-based environment.

Technical proficiency with computers, Microsoft Office, and medical software systems (PM/EHR).

Ability to create and follow written procedures.

Excellent written and verbal communication skills.

Self-starter with strong organizational skills.

Education Qualifications

Education: High School diploma – required

Associates Degree- Preferred

CPC Coursework or CPC Certifications required

Coding experience required

HIM or HIT – preferred

Compensation/Benefits

At Clark Regional, we believe in building careers.  That is why we offer an excellent tuition reimbursement program, competitive pay, a generous paid time off program, flexible spending account plan, choice of health insurance plans, dental, vision, life, disability plans, discounts in our café and various discounts in our community, traditional and Roth 401 (k) plans with a match, and free parking on our beautiful campus.

 

Simply put, our employees are the heart and soul of our organization

Instructions for Resume Submission

See link below to apply or contact Marcia Carter, Clark Regional Medical Center 859-388-4942

https://lifepointhealth.jobs.net/en-US/job/billing-manager-physician-services/J3R2ZL64RZ0H50Z2587

Apply Online: https://lifepointhealth.jobs.net/en-US/job/billing-manager-physician-services/J3R2ZL64RZ0H50Z2587

Posted: May 20, 2021 at 11:38 AM
Post ID: 60837

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