Assist with the training and orientation of new employees
Quality Reviews: Provide communication within 24 hours to staff regarding Error Feedback received by Quality Review and discuss overall monthly quality review scores with each staff member
Complete monthly OER/productivity reports for each staff member
Maintain attendance controller logs for each employee; monitor and approve PTO time off requests
Complete API with accurate employee information
Communicate changes in policy, payor updates, and procedures to staff as needed
Prepare and discuss monthly, midyear, and yearly performance evaluations on each employee, with documentation to support, in a timely manner to meet the deadlines provided for each
Coordinate, schedule, and communicate effectively with Manager promoting a positive and productive work team. Share organization, planning, and presentation of weekly team meetings as scheduled
Set up and perform interviews; complete hiring process for open positions in a timely manner
Adhere to and enforce the Duke Staff Handbook and complete Corrective Actions, where appropriate, in a timely manner with documentation; prepare review with Manager prior to completion
Follow FMLA guidelines, when it applies to an employee situation
Follow Injury Form requirements according to policy and procedure re and website instructions
Follow Safety website instructions and monitor timely completion by employees on a monthly basis to ensure compliance
Prepare all counseling and written documentation in a timely manner, with appropriate Performance Improvement Plans
Monitor security access for all staff and inform management of any necessary updates in a timely manner
Round with direct reports regularly per departmental policy
Acts as resource to staff and responds to inquiries and questions in a timely manner
Review and approve or deny adjustment requests following departmental policy and procedure
Track, trend, and recommend solutions for preventable adjustments (timely filing, on authorized, etc.)
Provide education and feedback to staff as needed for errors recognized during adjustment review
Review, analyze, and distribute aging A/R reports
Trend and report questionable rejections
Maintain and review high dollar balances and verify that the action taken previously was appropriate and will yield positive results
Proactively identify changes required for third party billing and collections and coordinate with the claim team, charge processing, reimbursement and/or third-party to implement changes and train staff
Notify Manager of any aging problems with supporting documentation of findings
Participates in the development of operating goals and objectives for the unit; recommends, implements, and administers operating protocol and procedures to enhance operations
Attends meetings and participates on committees, as assigned.
Review, discuss, and/or suggest any Policy and Procedure changes necessary with your manager
Make recommendations as needs are identified
Actively participate in Work Culture initiatives based off quarterly and annual work culture scores and action plans.
Requirements
5 years of healthcare experience, with a focus on hospital billing and collections
Strongly preferred: five years of healthcare revenue cycle experience, ideally with Denials and Prior Authorization, front end, and back end experience.
Knowledge, Skills, and Abilities
Experience in revenue cycle with a concentration in accounts receivable and denials
Excellent communication skills, oral and written
Ability to systematically analyze problems, draw relevant conclusions, and devise appropriate course of action
Ability to analyze data, perform multiple tasks, and work independently
Must be able to develop and maintain professional, service-oriented working relationships with senior leadership, patients, physicians, co-workers and employees
Ability to work in a fast paced environment, with focus on team building
Experience with supervising staff both onsite and remotely
Experience with billing and collections; professional and hospital
System Experience: Preferred: Masetro Care, Hyland/Onbase, Microsoft PowerPoint, FSS (Medicare Billing), Payer Portals, Lotus Notes
Required: Microsoft Word, Microsoft Excel
Benefits
Remote work
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