• Lillington, North Carolina
    30+ days ago

    Job Description

    Overview:

           Manages operating and capital budgets indenting over expenditures and effectively correct in a timely fashion.

           Ensures accreditation standards, licensing and regulatory requirements for JCAHO, CLIA, OSHA, Radiation Protection, HIPAA, OGI and others as required by Federal or State statues and as applicable to that specific clinic site. Develops, recommends, implements policies and procedures for the clinic in conjunction with all FH FCC, supervised, assisted and monitored by clinic administration. Hires, trains, counsels, coaches and supervises staff with assistance from FH Human Resource department and FHC associated guidelines and policies. Resolves patient complaints/concerns and reports appropriately to clinic administrations and risk management; identifies those areas where processes could be changed to assist in preventing on-going complaints of this nature, corrects and monitors. Implements, monitors, and improves effective reimbursement procedures, including CPT and ICD-10 coding, in compliance with established third party billing regulations, federal, state, commercial. Supports all administrative efforts regarding FH FCC Compliance Plan, its implementation and on going maintenance. Maintenance is defined as staff education, audits, pre and post-testing were applicable. Manages patient’s billing accounts, working denials, correcting and re-filling as needed monitoring errors and applying corrections through education of staff etc. where needed.  Manages financial planning and collections thru workable financial plans that adhere to FH finance policies while using people skills to promote patient understanding. Drops outstanding balances greater than 120 days to FHC Collections agencies once all appropriate efforts and documentation have been completed to prompt collection compliance. Monitors all operational processes throughout the clinic, identifying negative trends, patterns, patient quality care issues and implementing appropriate correction, documentation and follow-up monitoring. Monitors assist with and coordinate the correct accurate collection of co-pays and any over-the-counter payments, end of day balancing and deposits functions meeting compliance standards.

     

           

    Qualifications:

    Prefer BS Degree in Business, Accounting, Finance, Healthcare Administration, Applied Science or equivalent.  Minimum of three years experience in physician practice including supervisory responsibilities required.Financial/analytical skills.  Excellent verbal and written skills.  Excellent customer service skills. Extensive knowledge of insurance rules, including but not limited to reimbursement, third party payers, pre-certification, ICD-10 and CPT coding. Maintain strict confidentiality of medical, financial, and staff related information.  Able to perform several tasks at once in an organized manner.  Extensive knowledge of various medical software systems required. Strong organizational and people skills.

    Numbers & Facts

    LocationLillington, North Carolina

    Skills

    • Accreditation Standardsunmatched
    • Billingunmatched
    • Capital Budgetingunmatched
    • Co-Paymentsunmatched
    • Coachingunmatched
    • Credit and Collectionsunmatched
    • Current Procedural Terminology (CPT)unmatched
    • Customer Support/Serviceunmatched
    • Documentationunmatched
    • FCC (Federal Communications Commission)unmatched
    • Federal Laws and Regulationsunmatched
    • Financeunmatched
    • Financial Analysisunmatched
    • Financial Managementunmatched
    • Financial Planningunmatched
    • Financial Policiesunmatched
    • HIPAA (Health Insurance Portability and Accountability Act)unmatched
    • Healthcare Administrationunmatched
    • Healthcare Reimbursementunmatched
    • Healthcare Softwareunmatched
    • Human Resourcesunmatched
    • ICD-10unmatched
    • Insuranceunmatched
    • Interpersonal Skillsunmatched
    • Licensingunmatched
    • Maintain Complianceunmatched
    • Medical Billingunmatched
    • OSHAunmatched
    • Operations Processesunmatched
    • Organizational Skillsunmatched
    • Patient Careunmatched
    • Patient Care Denialsunmatched
    • Patient Confidentialityunmatched
    • People Managementunmatched
    • Policy Implementationunmatched
    • Presentation/Verbal Skillsunmatched
    • Procedure Developmentunmatched
    • Procedure Implementationunmatched
    • Radiation Safetyunmatched
    • Regulatory Complianceunmatched
    • Regulatory Requirementsunmatched
    • Reimbursementunmatched
    • Resolve Customer Issuesunmatched
    • Risk Managementunmatched
    • The Joint Commission (TJC)unmatched
    • Third-Party Payerunmatched
    • Time Managementunmatched
    • Trend Analysisunmatched
    • Writing Skillsunmatched

    Be found by employers

    5,500+ employers search our resume database daily. Add yours to get found by recruiters looking for candidates like you.

    Level up your application

    Professional resume templates

    Browse dozens of recruiter approved resume templates, layouts and formats. Choose your favorite and make it your own in minutes.

    Free resume templates

    Free resume builder

    Improve your existing resume or start from scratch and create a standout, ATS-friendly resume. Add job-specific content, download and apply.

    Free resume builder