Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Directs and oversees all functions of coding, claim management, billing, payment, collections, and insurance enrollment
• Compiles and analyzes detailed revenue information for the organization
• Reviews billing practices to ensure accuracy and proper revenue recognition
• Develops forecasting tools to analyze revenue variances
• Develops EPIC reporting to support efficient data analysis for tracking revenue and other metrics
• Designs and implements strategies to achieve revenue generation and cost savings opportunities
• Researches and compiles revenue cycle information for special projects
• Develops billing office policies, procedures, and guidelines
• Analyzes AR reports to identify problems on accounts and creates and monitors projects based on findings, with appropriate colleagues
• Measures and evaluates effectiveness of trainings provided to trainees
• Conducts billing and coding audits
• Serves as the subject matter expert regarding the revenue cycle process for billing department management staff, clinic managers, directors, and executive staff
• Collaborates with the Director of Operations and Chief Operating Officer
• Acquire and maintain current knowledge of Medicare, Medicaid, and other third-payer rules and regulations with respect to billing and communicate this information to providers and other appropriate personnel to help ensure increased cash flow and profitability on an ongoing basis.
• Work with CFO to provide data necessary for month end and year end financial close

Assists with other projects as assigned by the CFO.

Supervisory Responsibilities

Competencies

To perform the job successfully, an individual should demonstrate the following competencies:

Use of Technology - Adapts to new technologies; uses technology to increase productivity; keeps technical skills up to date.

Problem Solving - Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully.

Project Management - Completes projects on time and within budget.

Customer Service - Manages difficult or emotional customer situations; responds promptly to customer needs; solicits customer feedback to improve service; responds to requests for service and assistance; meets commitments.

Communications - Expresses ideas and thoughts verbally; expresses ideas and thoughts in written form; exhibits good listening and comprehension; keeps others adequately informed; selects and uses appropriate communication methods.

Diversity - Shows respect and sensitivity for cultural differences.

Ethics - Treats people with respect; inspires the trust of others; works with integrity and principles; upholds organizational values.

Personal Appearance - Dresses appropriately for position; keeps self well groomed.

Attendance/Punctuality - Is consistently at work and on time; ensures work responsibilities are covered when absent; arrives at meetings and appointments on time.

Safety and Security - Observes safety and security procedures; reports potentially unsafe conditions; uses equipment and materials properly.

Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Skills and Attributes Required

• Ability to leverage large amounts of data, present in a summary format (i.e., Pivot tables, VLookups), and effectively communicate observed trends
• Ability to communicate and explain the “why” along with the “what happened”
• Fast learner, analytical, and data-driven thinker
• Ability to synthesize data, prioritize actions, understand and articulate both operational and strategic implications
• Excellent written and verbal communication skills demonstrated through the ability to synthesize complex information and regularly interact with all levels of the organization including senior leaders
• Ability to work autonomously
• Must be flexible, adaptable, and thrive in a fast-paced, changing environment

Education and/or Experience

Computer Skills

Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.