Yuma Regional Medical Center

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Manager Professional Billing

at Yuma Regional Medical Center

Posted: 10/21/2020
Job Status: Full Time
Job Reference #: 31

Job Description


Position Summary :
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

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  


Work Schedule: 8-hours, Days, Monday through Friday


Physical Requirements and working conditions for this position will be provided to you upon interview.


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!