Payment Posting Manager

Location: Provo
Job Code: 2718
# of Openings: 1

Description

At Revere Health, we value the health of our patients above all else. As the largest independent multi-specialty physician group in Utah, our healthcare system gives patients the best in communication, quality, coordination and innovation. Founded in 1960 in Provo, Utah, Revere Health has grown to include 29 medical specialties in over 100 locations throughout Utah, Arizona and Nevada.

As one of two Accountable Care Organizations accredited by Medicare in Utah, Revere Health offers a unique, patient-oriented approach to healthcare. We strive to keep medical costs at a minimum while providing the utmost in quality healthcare.

Revere Health: let’s live better.

The successful candidate will be responsible overseeing the inhouse cash posting functions for Revere Health. Develops goals and objectives, establishes policies and procedures for team operations, as well as ensuring proficiency, value and education related to cash posting guidelines. Is a subject matter expert in physician billing/cash posting and has a clear understanding of the revenue cycle in its entirety.

Essential Duties and Responsibility:

  1. Oversight of job performance, attendance and quality issues of the cash posting staff.
  2. Interview, hire and train new staff.
  3. Completion of evaluations as per Departmental and Clinic Policy.
  4. Select, assign, and sequence the appropriate cash posting methodology to ICD10--patient records and physician statements in an accurate manner according to established procedures and guidelines.
  5. Develop, coordinate, implement, and provide training on cash posting programs.
  6. Perform quality review on all cash posting procedures, providing feedback and education on areas identified as opportunities of improvement.
  7. Contact the appropriate health care provider when there is inadequate information on patient accounts or clarify inconsistent, doubtful or non-specific information.
  8. Provide the healthcare providers feedback and education on documentation practices as identified through the review process.
  9. Responsible for participation in departmental and clinic programs for Quality Assessment and Improvement and working with department management to improve the services provided.
  10. Takes on other responsibilities as assigned by clinic leadership.

Qualifications:

Education/Training:

Bachelor's degree required.

Computer literacy, knowledge of patient billing, collections and revenue cycle processes required.

Proficiency in variable staffing methodology and processes.

Proficient experience in Microsoft Word and Excel or similar computer software is required.

Experience:

Four (4) years of medical billing, collections or revenue cycle within a physician practice or healthcare facility setting.

Working knowledge of Medicare, Medicaid, managed care and commercial insurance reimbursement policies.

Knowledge of third party billing rules, reimbursement, and coverage guidelines. Demonstrated relationship-building skills in a managed healthcare environment.

 





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