Due to our progress and growth, we are looking
for an Account Manager of Billing Operations to assist us in
providing our customers with the highest quality service at
competitive rates with emphasis on customized solutions based on the
needs, requirements and culture of each health care organization.
Position Description:
Under the general direction of the Billing
Operations Director, the Account Manager is critical in managing the
day-to-day medical claims billing operation for revenue cycle
management of assigned clients as well as assisting the Sales Team
with perspective clients. The Account Manager of Billing Operations
acts as a point of contact for staff and clients, assisting with
complex, high profile and sensitive claims problems and revenue
cycle management processes; identifying developmental needs,
providing opportunities for improvement while continuously focusing
on productivity, quality of the work and compliance.
| Knowledge
Requirements (Education & Experience): |
| |
| ± |
Bachelors
Degree or equivalent business experience in medical claims
billing, customer service, practice/facility management in a
health care environment. |
| ± |
10+
years of increasingly responsible experience within the
medical industry (including 4+ years of medical management
responsibilities) |
| ± |
Experience
with various practice management systems to include
paper/electronic billing, EMR, claims tracking, appeals,
claims imaging and claims editing). |
| ± |
A
thorough knowledge of CPT, ICD-9, HCPCS coding guidelines and
medical terminology. |
| ± |
Spreadsheet
and database experience. |
| Responsibilities
may include but are not limited to: |
| |
|
| ± |
Excellent
customer service focus experience and excellent medical
practice/revenue cycle management experience is absolutely
required. Must be able to “partner with clients” at
various levels to break through barriers and effectively
solve revenue cycle management issues. |
| ± |
Act
as the “primary contact” for both internal and external
client service issues providing effective problem solving
with respect to these issues. |
| ± |
Provide
leadership, mentoring, and training for all employees of
Billing Operations in the areas of customer service and
claims processing. |
| ± |
Provide
identification and translation of client needs/workflow
solutions. |
| ± |
Takes
responsibility for following all compliance guidelines when
developing work flows. |
| ± |
Perform
on site product presentations and on site medical revenue
cycle management assessments for optimum performance and
cash flow. Demonstrated ability to pro-actively identify and
translate client needs into system and work flow solutions |
| ± |
Ability
to travel for on site client visits for product
presentations and revenue cycle management assessments. |
| ± |
Coordinate
regular communications between the Billing Operations staff
and its clients in order to foster greater information
sharing and understanding. |
| ± |
Assist
to develop, administer, and maintain effective performance
metrics and reports related to accuracy, productivity and
quality of the data produced both internally and externally.
Measure performance against standards and foster continuous
improvement. |
| ± |
Provide
guidance, resources, technical and operational work flow
direction to both internal and external clients with respect
to all aspects of medical revenue cycle management. |
| ± |
Serve
as first line resource both internally and externally for
day-to-day questions with respect to all aspects of medical
revenue cycle management. |
| Required
of All Employees |
| |
|
| ± |
Excellent
verbal and written communication skills |
| ± |
Exceptional
organizational skills |
| ± |
Talent
for effectively interacting with individuals at all levels
of the organization |
| ± |
Ability
to follow directives |
| ± |
Demonstrated
commitment to completing tasks and objectives |
| ± |
A true
professional possessing the highest ethical and moral
standards |
| ± |
Ability
to maintain a positive mental attitude at all times |
| ± |
A team
player |
| ± |
Open
to feedback and on-going self development |
| ± |
Ability
to work with all Microsoft Office applications, including
Outlook, Word, Excel and Power Point |
Principal Healthcare Inc. offers a competitive
salary and comprehensive benefits package.
Principal Healthcare is committed to Equal
Employment Opportunity. It is our policy to encourage and support
equal employment opportunity for all Associates and applicants for
employment without regard to sex, race, color, ancestry, religious
creed, national origin, pregnancy, physical disability, mental
disability, medical condition, age, marital status, political
affiliation, sexual orientation or disabled veteran status.
Please submit your resume to sue@principalhc.com.
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