Manage revenue cycle for a growing ob/gyn practice to achieve accurate and timely coding & billing and ensure maximum reimbursement. Maintain compliance with related policies and regulations. Provide patient financial counseling and otherwise manage patient financial inquires. Position requires outstanding attention to detail and ability to communicate effectively and positively on administrative and financial matters.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Manage day-to-day aspects of revenue cycle business in a timely fashion, including pricing, documentation, coding, billing, collecting, insurance processing, denials/appeals; follow every claim through to its proper completion
Manage and resolve Zero-Pay Worklist, Fully Worked Receivables, complete special project work, review and respond to adjustments/payment data with approval (or initiate appeal)
Ensure compliance with payer contracts and work with payers to address all discrepancies; take appropriate steps to prevent payer problems
Ensure maximum reimbursement for medical, education, and surgical services rendered by clinic providers and other health professionals
Implement all regulations and clinic policies pertaining to revenue cycle management
Issue reports related to provider and other staff performance and assist with motivating changes in coding behavior as needed; work with practice manager to ensure related clinic policies are enforced
Advise on front desk activities including patient scheduling, registration, cashiering
Promote and maintain excellent customer service with patients/clients
Provide patient financial counseling services; manage related patient billing programs and vendors (e.g., EHR, Collections, etc.)
Manage A/R and keep bad debt to a minimum
Manage refunds to patients and third parties
Attend staff meetings and communicate with staff and providers on issues related to revenue cycle management
Cross-train and serve as backup for other administrative positions as needed; perform other tasks as directed by Practice Manager
Conduct all activities with professionalism and a positive attitude
Understand and support clinic mission
Minimum two years’ full-time experience as a medical billing professional in a private practice and strong knowledge of ICD-10, CPT-4, documentation, and MACRA/MIPS guidelines
CPC or credential from an accredited coding program is required.
Associate's degree in finance, business administration, healthcare management, or related field
Experience working in ob/gyn, pediatric, or primary care office
Outstanding customer service skills (telephone and in person) with a positive, friendly attitude
Must be a self-starter with ability to multi-task effectively
Strong computer knowledge and experience with electronic medical records and billing systems (experience with Athena EHR is a plus)
Experience scheduling appointments, referrals, pre-certification, insurance verification, charge entry, and working insurance denials and patient collections
Additional Salary Information: Benefits include health insurance, dental, vision, retirement, paid holidays and PTO.
Internal Number: 2
About Reply Ob/Gyn & Fertility
Reply Ob/Gyn & Fertility is a growing ob/gyn clinic in Cary, North Carolina that features fertility awareness and cooperative clinical care. Providers are credentialed with UNC Chapel Hill or WakeMed Cary Hospital.