Enzo Biochem Inc.

  • Manager of Revenue Cycle

    Job Locations US-NY-Farmingdale
    Job ID 2018-1037
    # of Openings
    1
    Category
    Billing/ Revenue Cycle
    Type
    Regular Full-Time
  • Position Overview

    Revenue Cycle Manager- Farmingdale, NY

     

    Job Summary: This position is responsible for effectively managing the day to day operations of the Billing Department, not limited to medical coding, claims submissions, accounts receivable follow-up and payment posting. The Manager will work with the Department Supervisors to produce a steady and predictable cash flow. Interact with the. Director of Revenue Cycle daily. Liaison between Billing Teams, Inter-Departmental Teams and Ordering Client Offices; inform team of all updates or changes in procedures, regulations, or requirements. Work with Billing Teams, Inter-Departmental Teams and Ordering Client Offices to maximize Revenue, Productivity, and Reimbursements while complying with deadline requirements. Ensure compliance with HIPPA and Sarbanes-Oxley regulations and maintain all required documentation.

    Responsibilities

    • Oversee and monitor the process for Insurance follow-up, and resolve issues.
    • Review reports sent by Supervisors
    • Analyze issues and suggest resolutions
    • Manage the process to ensure that all Client and Patient interactions are handled in a timely and professional manner.
    • Manage and implement continuous improvement processes to increase total cash deposits and reduce Accounts Receivable days outstanding.
    • Work closely with Sales to effectively balance Cash Collection efforts with Client and Patient satisfaction.
    • Monthly, analyze reimbursement from all sources, including carrier reimbursement exception reporting and report to Director.
    • Generate and provide all monthly financial statistical reports.
    • Follow-up and analyze the pending claims and denials monthly.
    • Serve as the liaison for and develop and maintain effective working relationships with all outside Billing Vendors, including Collection Agencies.
    • Review and Analyze the monthly the collection report submitted by the Supervisor and work with the Supervisor to manage the collections process on past due accounts.
    • Ensure that process backlogs in key areas, such as cash applications, daily deposits, and billing data entry, are kept to a zero level.
    • Develop, maintain, and implement SOPs for related Department functions.

    Qualifications

     

    Education:

    • Associate's or Bachelor's degree required.
    • Accounting preferred or equivalent in education and experience including Healthcare Administration, or related field

    Experience:

    • Minimum of five (5) years Medical Insurance/Healthcare Billing and Collections experience in a Medical Practice or Health System, with a deep understanding of Medical Billing Rules and Regulations in an electronic environment. Minimum of five (5) years experience Supervising Medical Billing Staff. Lab preferred.
    • Working knowledge of CPT and ICD10 coding protocols and procedures, HIPAA and Compliance Regulations, Billing and Insurance Regulations, Medical Terminology, Insurance Benefits and Appeal Processes. Knowledgeable in Denial Management, Appeals, Reimbursement systems, Regulations and Policies pertaining to Coding, Billing, and Documentation required.

    Skills:

    • Ability to research, analyze data and resolve issues.
    • Must be highly detail oriented. Strong written, oral, interpersonal and organizational skills are a must.
    • Ability to work under minimum supervision and demonstrate strong initiative. Ability to supervise and train employees. Ability to make independent decisions when circumstances warrant; make prompt and accurate judgments regarding AR, Billing and other office duties.
    • Ability to recognize, evaluate, solve problems, and correct errors, and to develop processes that eliminate redundancy.
    • Ability to conceptualize work flow, develop plans, and implement appropriate actions. Proven ability to manage people and timelines and meet deadlines. Ability to develop and maintain effective working relationships with colleagues and vendors. Computer proficiency required; experience with Seacoast SLAR billing systems preferred.

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