East Carolina University
Manager of Accounts Receivable and Coding
East Carolina University, Raleigh, North Carolina, United States
Manager of Accounts Receivable and Coding
East Carolina University requires applicants to submit a candidate profile online in order to be considered for the position. Candidates must also submit a cover letter, resume, and a list of three references, including contact information online. Applicants must be currently authorized to work in the United States on a full-time basis. The School of Dental Medicine is composed of ten administrative offices and four academic departments. The mission of the School of Dental Medicine is to educate dental care providers and to address the oral health care needs of the rural population of North Carolina. Job Duties
This position is within the Office of Business Operations and Financial Affairs at the ECU School of Dental Medicine. The position reports to the Director of Revenue Cycle and serves as the Manager, Accounts Receivable and Coding. The position is responsible for core accounts receivable functions, including account resolution and collection of claims, workflows for B&F staff to optimize collections, determination of appeals of denied claims, and division of responsibilities between B&F and CSLC staff as it relates to account collection and resolution. The position also oversees all aspects of coding and its integration with account collection, in collaboration with the Manager, Cash Management and Claims, the interface of coding related to pre-submitted claims, and the overall communication and education/training of coding with Faculty and Students, including annual changes in codes and/or their interpretation. The Manager of Accounts Receivable and Coding is responsible for the composition and administration of the SoDM’s prospective audit, communications with Faculty to discuss claims which require changes, education of both Faculty and students on aspects of coding their services and specific coding interpretations, and interfacing with and alignment with the Office of Institutional Integrity (OII) on any external coding audits or inquiries. Core Process Management: 60% The Manager, Accounts Receivable and Coding manages the business functions of outstanding receivable accounts for both insurance and patients, interpreting insurance company billing policies, implementing internal policies to determine which claims are considered resolved, under what auspices denied claims will be considered unresolved and appealed, and which amounts unpaid by insurance will be transferred to patients. Business Administration: 20% The position provides leadership, administrative direction, and training in the development of processes, policies, and systems that contribute to successful business operations. The position applies techniques, practices, and procedures and robust continuous improvement efforts in both dental/clinical operations and financial operations to optimize performance in a rapidly changing regulatory and operational environment. Departmental/Vendor Liaison: 10% The position works effectively in a team environment, with other B&F management staff, Clinical Affairs and CSLC management and their staff, with other internal University Departments, and external stakeholders such as insurance companies and private and public entities. Research and Analysis: 10% In support of the Director and B&F, the position conducts analyses, documents findings, prepares presentations, provides recommendations, and executes agreed-upon plans. The position keeps current knowledge of payor, regulatory issues, and actively applies operational changes necessary to optimize functions in this changing environment. Qualifications Bachelor’s degree in business administration, public administration, or related business area; or equivalent combination of training and experience. Previous experience in a healthcare setting working with patient billing, strong verbal and written communication skills, and strong analytical skills are preferred. East Carolina University is committed to workforce success and cultivating a culture of care for our employees. ECU prohibits unlawful discrimination and harassment based on race/ethnicity, color, genetic information, national origin, religion, sex, sexual orientation, gender identity, age, disability, political affiliation, and veteran status. All qualified applicants will receive consideration for employment without regard to their protected veteran status or disability.
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East Carolina University requires applicants to submit a candidate profile online in order to be considered for the position. Candidates must also submit a cover letter, resume, and a list of three references, including contact information online. Applicants must be currently authorized to work in the United States on a full-time basis. The School of Dental Medicine is composed of ten administrative offices and four academic departments. The mission of the School of Dental Medicine is to educate dental care providers and to address the oral health care needs of the rural population of North Carolina. Job Duties
This position is within the Office of Business Operations and Financial Affairs at the ECU School of Dental Medicine. The position reports to the Director of Revenue Cycle and serves as the Manager, Accounts Receivable and Coding. The position is responsible for core accounts receivable functions, including account resolution and collection of claims, workflows for B&F staff to optimize collections, determination of appeals of denied claims, and division of responsibilities between B&F and CSLC staff as it relates to account collection and resolution. The position also oversees all aspects of coding and its integration with account collection, in collaboration with the Manager, Cash Management and Claims, the interface of coding related to pre-submitted claims, and the overall communication and education/training of coding with Faculty and Students, including annual changes in codes and/or their interpretation. The Manager of Accounts Receivable and Coding is responsible for the composition and administration of the SoDM’s prospective audit, communications with Faculty to discuss claims which require changes, education of both Faculty and students on aspects of coding their services and specific coding interpretations, and interfacing with and alignment with the Office of Institutional Integrity (OII) on any external coding audits or inquiries. Core Process Management: 60% The Manager, Accounts Receivable and Coding manages the business functions of outstanding receivable accounts for both insurance and patients, interpreting insurance company billing policies, implementing internal policies to determine which claims are considered resolved, under what auspices denied claims will be considered unresolved and appealed, and which amounts unpaid by insurance will be transferred to patients. Business Administration: 20% The position provides leadership, administrative direction, and training in the development of processes, policies, and systems that contribute to successful business operations. The position applies techniques, practices, and procedures and robust continuous improvement efforts in both dental/clinical operations and financial operations to optimize performance in a rapidly changing regulatory and operational environment. Departmental/Vendor Liaison: 10% The position works effectively in a team environment, with other B&F management staff, Clinical Affairs and CSLC management and their staff, with other internal University Departments, and external stakeholders such as insurance companies and private and public entities. Research and Analysis: 10% In support of the Director and B&F, the position conducts analyses, documents findings, prepares presentations, provides recommendations, and executes agreed-upon plans. The position keeps current knowledge of payor, regulatory issues, and actively applies operational changes necessary to optimize functions in this changing environment. Qualifications Bachelor’s degree in business administration, public administration, or related business area; or equivalent combination of training and experience. Previous experience in a healthcare setting working with patient billing, strong verbal and written communication skills, and strong analytical skills are preferred. East Carolina University is committed to workforce success and cultivating a culture of care for our employees. ECU prohibits unlawful discrimination and harassment based on race/ethnicity, color, genetic information, national origin, religion, sex, sexual orientation, gender identity, age, disability, political affiliation, and veteran status. All qualified applicants will receive consideration for employment without regard to their protected veteran status or disability.
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