Rural Physicians Group

Medical Billing and Coding

• May be required to do one or all of the following dependent on the business needs (including but not limited to): Patient demographic data entry
• Obtaining referrals and pre-authorizations as required for procedures.
• Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.
• Reviewing patient bills for accuracy and completeness and obtaining any missing information.
• Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
• Following up on unpaid claims within standard billing cycle timeframe.
• Checking each insurance payment for accuracy and compliance with contract discount.
• Calling insurance companies regarding any discrepancy in payments if necessary
• Identifying and billing secondary or tertiary insurances.
• Reviewing accounts for insurance of patient follow-up.
• Researching and appealing denied claims.
• Answering patient or insurance telephone inquiries pertaining to assigned accounts.
• Setting up patient payment plans and work collection accounts.

Medical Billing Specialist

Recruitment

• Lead a team of Physician Recruiters, providing guidance, mentorship, and oversight to ensure the successful sourcing, qualification, and placement of high-quality Physicians and Advanced Practice Providers (APPs) across multiple specialties including Hospitalists, General Surgery, Telehealth, and Specialty Care while maintaining the sourcing, recruiting and staffing of a region of 12 plus programs.
• Mentor, coach, and onboard team members to elevate overall team capability and performance
• Serve as a subject matter expert and go-to resource for complex or escalated issues
• Anticipate challenges and propose proactive solutions
• Oversee the development of comprehensive job descriptions and marketing strategies to attract top-tier candidates
• Supervise and refine the end-to-end recruitment process, including sourcing, screening, interviewing, and onboarding to ensure alignment with organizational goals
• Audit and optimize job postings across relevant platforms and online sources to maximize visibility and attract diverse, qualified applicants
• Review resumes and conduct interviews for high-priority or leadership-level positions while providing support to team members in their recruiting activities
• Monitor recruitment metrics and team performance, identifying areas for improvement and implementing solutions for operational efficiency
• Foster relationships with internal and external stakeholders to ensure alignment with hiring goals, support business development, and identify opportunities for new or expanded services
• Participate in and support new facility startup/launch processes by providing recruitment leadership and operational insight
• Ensure accurate and up-to-date customer data and recruitment metrics are maintained in the ATS and CRM systems
• Serve as a liaison between recruiting, operations, and clinical leadership to ensure smooth onboarding and integration of new hires
• Facilitate continuous education and training for team members, including best practices in physician recruitment and compliance standards
• Lead initiatives to enhance recruitment branding, candidate experience, and strategic outreach, leveraging tools like LinkedIn Recruiter and data-driven insight
• Represent the recruiting team in meetings with various stakeholders in the absence of the Director of Physician Relations.

Lead Physician Recruiter

• Overseeing the revenue cycle billing processes
• Ensuring the billing team is accurately performing their job duties daily
• Confidently and accurately perform all areas of the billing cycle workflows
• Participate in hiring and training staff
• Monitor patient demographic data entry
• Ensure the billing team is obtaining referrals and pre-authorizations
• Assist the billing team with data entry and ensure 72-hour billing is met promptly
• Assist with MaxRVU billing when the coders are offline
• Review patient bills for accuracy and completeness
• Preparing, reviewing, and transmitting claims using billing software
• Follow up on unpaid claims within the standard billing cycle timeframe
• Report any billing errors to management for additional staff training

Lead Medical Billing Specialist

Operations

• Mentor, coach, and onboard team members to elevate overall team capability and performance
• Serve as a subject matter expert and go-to resource for complex or escalated issues
• Anticipate challenges and propose proactive solutions
• Maintaining all POC duties for a region of 12 plus programs.
• Monitor team performance, ensuring adherence to service-level expectations and quarterly metrics.
• Provide coaching and feedback to team members to encourage professional growth and accountability.
• Act as the initial escalation point for complex provider or scheduling issues.
• Oversee the execution of provider onboarding and orientation across multiple programs and facilities.
• Ensure consistent and standardized communication with providers across the team.
• Conduct regular check-ins with providers to assess satisfaction, compliance, and operational needs.
• Oversee creation, distribution, and updates of provider schedules to ensure 24/7/365 hospital coverage.
• Ensure the accuracy and optimization of the Provider Self-Scheduling Portal and other scheduling systems to include the migration of the cell application.
• Minimize additional compensation due to scheduling gaps or errors and report metrics to leadership.
• Work closely with Director of Physician Relations, Regional Medical Directors, Program Directors, and Hospital Leadership to ensure seamless coordination.
• Collaborate with internal teams to ensure provider-facing processes are aligned with company policies and goals.
• Represent the Provider Operations team in cross-departmental meetings and initiatives in the absence of the Director of Physician Relations.
• Lead continuous improvement initiatives to streamline scheduling, onboarding, and provider engagement processes.
• Identify process gaps and recommend scalable solutions to Director of Physician Relations.
• Ensure accurate reporting of shift changes for payroll and compliance.
• Maintain current provider contact data and documentation within the shared database.
• Assist leadership with special projects or other tasks as assigned.

Medical Billing Specialist

Lead Physician Recruiter

Lead Medical Billing Specialist

Lead Provider Operations Coordinator