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Robert Half International Director of Physician Billing Operations in LOUISVILLE, Kentucky

Description JOB RESPONSIBILITIES

 Develops and maintains billing operation performance benchmarks and implements reporting

mechanisms to monitor performance against such benchmarks. Provides training and guidance

to ensure adherence to revenue cycle policies and procedures.

 Researches and implements best practices, projects, policies and procedures to improve

performance in all areas, including, but not limited to: billing process improvement, claim/payer

edit resolution, AR and denial follow up, payment posting, patient collection processes, credit

balance resolution, bad debt management and regulatory compliance.

 Implements and manages quality assurance routines and management reporting to ensure that

staff members and vendors are performing job duties as expected; monitors staff productivity,

staffing patterns and performance issues recommending changes in either staffing levels,

workflow, and priorities as needed.

 Focus Accounts Receivable team on denial recovery to ensure maximum reimbursement for the

medical services that the physicians are providing. Develop and execute a plan for timely credit

balance resolution in order to limit patient billing errors and to confirm the accuracy of the

Accounts Receivable balance.

 Work with Revenue Cycle Business Partners to develop monthly cadence for meeting with

departments and provide insight into findings from the Accounts Receivable team in order to

help the Business Partners discover and resolve issues.

 Strive to meet KPIs currently set by the VP of Revenue Cycle in order to improve the timeliness

of filing claims and following‐up on outstanding claims in order to increase cash flow through

prompter payments.

 Documents departmental procedures and workflows and implements improvements.  Ensure system configuration and settings are accurate and complete in support of billing

processes.

 Works with employees to develop and implement departmental and individual goals consistent

with leading benchmarks of highly successful billing operations.

 Educates business and clinical staff and providers on payer specific policies and general

coding/billing guidelines.

 Stays current with legal and regulatory changes in billing and coding and analyze, quantify and

communicate reimbursement trends on a state and national level.

 Manages relationship with outsourced vendors as appropriate.

 Develops and manages the department budget.

 Perform other duties as assigned or required. Requirements Physician Coding, Microsoft Excel, Microsoft Excel, Microsoft Excel, Microsoft Excel

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Questions? Call your local office at 1.888.490.5461. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals. Visit https://roberthalf.gobenefits.net/ for more information.

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