This is a hybrid position. In addition to the job qualifications, you must also live within 30 miles of Dakota Dunes, SD.
Candidates who meet the location and job minimum qualifications will be required to complete a video prescreen to move forward in the hiring process.
Salary Range: $60,000 to 70,000
Benefits: PTO, 401K, medical, dental, vision, life insurance, paid holidays, and more
Job Overview
Reporting to the VP of Operations, responsible for managing daily activities for PFS central business office functional area’s (billing, claim submission, A/R follow-up, denial resolution, customer service). Coaching and mentoring staff to ensure all standard operating procedures are followed. Monitoring daily KPI’s and reports to ensure all daily, weekly, and monthly goals are being met. Hiring qualified staff and training them to perform to high performance workforce company standards.
Job Duties And Responsibilities
Operations Oversight: Oversee Claim generation and billing, accounts receivable, Denial management, customer Service, patient collections, ensuring efficiency and maximized revenue
Regulatory Compliance: Ensure adherence to healthcare laws and standards, including HIPAA, in a Physician group setting
Staff Management and Development: Supervise, coach and mentor staff both on-shore and off-shore, focusing on performance management and professional development. Responsible for interviewing, selecting, and hiring professional qualified staff. Ensuring positions are staffed with appropriate coverage
Data Analysis and Reporting: Generate comprehensive reports to analyze financial and operational data, supporting strategic decision-making
KPIs: Monitor and achieve key performance indicators (KPIs) that align with the strategic objectives of both client and Currance
Qualifications
High school diploma, or equivalent
Minimum of 3 years of experience in Centralized Business Office
Minimum 5 years of extensive experience in financial management and operations within a Physician group or outsourcing setting
Minimum 3 years of experience as a hospital revenue cycle leader
Minimum 5 years of lead experience and with at least 10-12 direct reports.
CRCR certification required upon hire or must be obtained within 90 days of employment
Knowledge, Skills, And Abilities
Knowledge of rules and regulations related to healthcare revenue cycle administration, such as CMS rules, HIPAA, state compliance rules.
Knowledge of creating Microsoft Visio workflow documents
Knowledge of healthcare host systems
Skilled in communication (oral and written) required
Skilled in medical billing software, EHR systems, and other healthcare technology and software applications is essential
Skilled in leadership, communication, and strategic thinking
Skilled in healthcare financial management, billing processes, insurance, and regulatory compliance.
Ability to resolve problems and manage conflict
Ability to interact with all levels within the company and with customers
Ability to be diplomatic and resourceful in supporting customers
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Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Business Development and Sales
Industries
Internet Publishing
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