Yuma Regional Medical Center

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Manager Professional Billing

at Yuma Regional Medical Center

Posted: 2/17/2020
Job Status: Full Time
Job Reference #: 596617

Job Description

Manager Professional Billing
Yuma Regional Corporate Center
399 W. 32nd Street
Under the direction of the Director of Patient Financial Services, the Professional Billing (PB) Manager will provide overall leadership in planning, organizing and directing of the revenue cycle activities for claims submission/collection, denial management, and charge integrity for all ambulatory (physician) services provided by Yuma Regional Medical Center. The PB Manager:

* Monitors staff productivity, quality, and efficiencies to ensure financial and collection metrics are achieved
* Identifies and reports opportunities to enhance the revenue cycle to improve cash flow, reduce days in accounts receivable, minimizes write offs and decrease denials
* Will establish collaborative relationships with other departments/clinics/providers as necessary for effective revenue cycle performance
* Ensures excellent customer service and achievement of fiscal responsibility outlined in the budget
* Creates billing policy and educational materials to coincide with new contracts for both providers and staff
* Uses continuous process improvement through lean management
* Must have working knowledge of Provider Based billing and compliance regulations
* Is responsible for managing and developing service contracts with agency/vendors
Patient Financial Services
In Patient Financial Services (PFS), meeting the needs, expectations and demands of our customers requires that we conduct our services and functions with the highest degree of accuracy. We continually monitor the quality of services we provide for improvement. Services to our customers' include handling and managing the hospital's patient accounts receivable. This involves the collection of funds on patient services through: - Assisting in the process of verifying third party coverage, benefits, authorization and certification of insurance coverage. - Initial billing and follow-up on third-party liability claims. - Handling of self-pay accounts for full payment, partial payment or long-term payment arrangements; May also include Collection Agency assignment. - Receipting, posting and preparing daily funds received, to include direct posting to computer system(s). - Handling customer inquiries regarding patient account receivable. The inquiries may be received via the mail, fax, telephone and/or in person. PFS hours of operation: Monday thru Friday 8AM - 4:30PM.
M - F
Education Required:
Bachelor Degree or equivalent combination of education and revenue cycle experience

Education Preferred:
Master's Degree in related field

Preferred Certification:

Epic Resolute Professional Billing: Revenue Integrity Certification
Epic Resolute Professional Billing: Insurance Follow up Certification
Epic Resolute Professional Billing: Claims and Billing Readiness Certification
Experience Required:
* 3 years of progressive leadership experience in a provider based ambulatory business office environment

* 3 years of progressively responsible billing and/or collection of medical claims experience that demonstrates a strong understanding of the required knowledge, skills and abilities

* Must have working knowledge of Provider Based billing and compliance regulations

* Computer proficiency (must be able to pass computer proficiency assessment).

Experience Preferred:
* 5+ years of experience in the healthcare industry with emphasis on Revenue Cycle processes

* Experience with EPIC Electronic Health Record or similar electronic record systems

* Experience with continuous process improvement through the lean six sigma approach

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!