GBMC HealthCare

Manager

• Responsible for the day-to-day operations in 1 – 2 designated practices within GBMC Health Partners.
• Proactively assesses and implements appropriate processes for all aspects of ambulatory practice management.
• Works collaboratively with physicians, advanced practitioners, and staff to ensure timely patient access to care and operational efficiency.
• Oversees and monitors patient experience metrics for 1 – 2 practices to ensure customer satisfaction related to patient care
• Develops and interprets information from various systems and reports for better practice management.

Ambulatory Practice Manager

Billing Specialist

• Performs all billing and collection functions on account balances within assigned financial classes
• Ensures timely submission of all claims and timely follow up
• Posts payments in EPIC
• Perform eligibility, verification and authorization requests as needed
• Manages assigned Epic work queues daily to ensure accurate billing and expedient claims follow-up
• Investigates claim denials or rejections
• Completes functions to resolve claims
• Uses all available tools to resolve claims
• Identifies appeals
• Identifies secondary billing for accounts with secondary liability
• Bills timely to patient/family
• Processes any late charge claims, claims resubmission, and/or claims corrections to payors
• Responds to patient and third-party payor inquiries regarding patient accounts
• Maintains detailed and accurate billing records for auditing purposes