Provident Practice Management Services, LLC
Revenue Cycle Management Lead / Lead Billing Specialist
Provident Practice Management Services, LLC, Memphis, Tennessee, us, 37544
RCM Lead / Lead Billing Specialist
Eye Specialty Group is seeking a full‑time RCM Lead / Billing Specialist Lead who serves as a resource regarding all Revenue Cycle inquiries and trains employees in Revenue Cycle information. This position assists Revenue Cycle Management with achieving and implementing all Revenue Cycle initiatives.
Essential Skills / Responsibilities
Maintains current expert knowledge in Revenue Cycle Management.
Assists in auditing performance metrics and analysis for Revenue Cycle Billing assuring performance meets or exceeds expectations. Works with all Revenue Cycle Departments to ensure performance metrics are being met.
Acts as a resource to Staff regarding Revenue Cycle Management. Experience in all positions within the Revenue Cycle Management department.
Performs duties of any RCM position effectively, as needed.
Trains new and existing staff on Revenue Cycle Management and updates.
Assists with implementing all Revenue Cycle initiatives.
Manages and resolves initial patient complaints related to RCM. Escalates as needed.
Meets with Revenue Cycle Management team regularly.
Responds to all inquiries, billing denials, and other correspondence in an efficient, timely, and effective manner.
Assists Revenue Cycle Management Team with month end balancing.
Serves as a liaison between practices, providers and billing staff regarding billing questions, coding issues and updates.
Monitors denials routinely to identify clinical and / or billing issues and provides end‑user training to address root cause of common denials as needed.
Serves as main point of contact for Practice Management billing issues.
Communicates areas of deficiency to RCM Director and submits solution oriented ideas.
Assists RCM Director with tracking KPIs via reports.
Monitors denials routinely to identify clinical and / or billing issues.
Completes all RCM tasks that require expert knowledge and works to train other team members on these issues as they arise.
Learns from other departments and makes recommendations on process improvement ideas as they impact RCM functions.
Develops RCM training programs for other departments in coordination with RCM Director and department managers.
Communicates internally with all ESG / all PASCH / PPMS staff.
Communicates externally with patients, banks, etc.
Completes compliance training requested by company and required by law.
Adheres to HIPAA compliance plan.
Travels to all clinical locations as needed.
All other duties as assigned.
Requirements Education / Training High school diploma and three years related experience; OR four to seven years coding / billing experience and / or training; OR equivalent combination of education and experience. Advanced knowledge of full Revenue Cycle Management including : third‑party payers, collection laws, and procedures.
Skills
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
Demonstrated excellence in verbal and written communication.
Great interpersonal and customer service skills.
Critical thinking skills for identifying problems and resolutions in a fast‑paced environment.
Ability to calculate figures and amounts such as discounts, interest, commissions, percentages.
Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical or complex instructions and deal with several abstract and concrete variables.
Advanced knowledge of business softwares; Microsoft Products (Excel, Word, Powerpoint), Adobe, etc.
Ability to effectively communicate and train diverse learning styles.
Willing and able to manage difficult conversations.
Keyboard skills.
Attributes
Represents practice in a positive and professional manner.
Punctual.
Team player; willingness to help other staff.
Attention to detail while multi‑tasking.
Diplomacy and confidentiality with patients and staff.
Strong work ethic.
Initiative / Self‑Motivation.
Ability to maintain confidentiality.
Physical Requirements
Ability to sit / stand / walk as the job requires for long periods of time, as well as, climb / balance, lift, push / pull and stoop / crouch as needed.
Ability to operate office equipment requiring the use of one hand.
Ability to work in a moderate noise level clinic.
E / O / E E / O / E
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Essential Skills / Responsibilities
Maintains current expert knowledge in Revenue Cycle Management.
Assists in auditing performance metrics and analysis for Revenue Cycle Billing assuring performance meets or exceeds expectations. Works with all Revenue Cycle Departments to ensure performance metrics are being met.
Acts as a resource to Staff regarding Revenue Cycle Management. Experience in all positions within the Revenue Cycle Management department.
Performs duties of any RCM position effectively, as needed.
Trains new and existing staff on Revenue Cycle Management and updates.
Assists with implementing all Revenue Cycle initiatives.
Manages and resolves initial patient complaints related to RCM. Escalates as needed.
Meets with Revenue Cycle Management team regularly.
Responds to all inquiries, billing denials, and other correspondence in an efficient, timely, and effective manner.
Assists Revenue Cycle Management Team with month end balancing.
Serves as a liaison between practices, providers and billing staff regarding billing questions, coding issues and updates.
Monitors denials routinely to identify clinical and / or billing issues and provides end‑user training to address root cause of common denials as needed.
Serves as main point of contact for Practice Management billing issues.
Communicates areas of deficiency to RCM Director and submits solution oriented ideas.
Assists RCM Director with tracking KPIs via reports.
Monitors denials routinely to identify clinical and / or billing issues.
Completes all RCM tasks that require expert knowledge and works to train other team members on these issues as they arise.
Learns from other departments and makes recommendations on process improvement ideas as they impact RCM functions.
Develops RCM training programs for other departments in coordination with RCM Director and department managers.
Communicates internally with all ESG / all PASCH / PPMS staff.
Communicates externally with patients, banks, etc.
Completes compliance training requested by company and required by law.
Adheres to HIPAA compliance plan.
Travels to all clinical locations as needed.
All other duties as assigned.
Requirements Education / Training High school diploma and three years related experience; OR four to seven years coding / billing experience and / or training; OR equivalent combination of education and experience. Advanced knowledge of full Revenue Cycle Management including : third‑party payers, collection laws, and procedures.
Skills
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
Demonstrated excellence in verbal and written communication.
Great interpersonal and customer service skills.
Critical thinking skills for identifying problems and resolutions in a fast‑paced environment.
Ability to calculate figures and amounts such as discounts, interest, commissions, percentages.
Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical or complex instructions and deal with several abstract and concrete variables.
Advanced knowledge of business softwares; Microsoft Products (Excel, Word, Powerpoint), Adobe, etc.
Ability to effectively communicate and train diverse learning styles.
Willing and able to manage difficult conversations.
Keyboard skills.
Attributes
Represents practice in a positive and professional manner.
Punctual.
Team player; willingness to help other staff.
Attention to detail while multi‑tasking.
Diplomacy and confidentiality with patients and staff.
Strong work ethic.
Initiative / Self‑Motivation.
Ability to maintain confidentiality.
Physical Requirements
Ability to sit / stand / walk as the job requires for long periods of time, as well as, climb / balance, lift, push / pull and stoop / crouch as needed.
Ability to operate office equipment requiring the use of one hand.
Ability to work in a moderate noise level clinic.
E / O / E E / O / E
#J-18808-Ljbffr