Peachtree Orthopedics Director of Revenue Cycle in Atlanta, Georgia
Founded in 1953, Peachtree Orthopedics is the oldest orthopedic practice in the southeast. We’ve grown over the years, but our high standards of excellence and commitment to quality personalized care have remained the same. Awarded one of Atlanta’s Top Workplaces by the Atlanta Journal Constitution three years in a row, we offer excellent growth and advancement opportunities.
The Director of Revenue Cycle will manage and report all billing and collections functions and employees resulting in the full revenue cycle of Peachtree Orthopedics clinics and Peachtree Orthopaedic Surgery Centers.
Essential Duties and Responsibilities
Responsible for maintaining HIPAA compliance within the department.
Plan and organize quarterly department meetings resulting in effective communication and follow-up.
Ensure that the registration, pre-certification, and referrals are processed accurately and timely manner resulting in an increased likelihood of payments.
Participate in Accounts Receivable month-end process resulting in the reconciliation of previous month.
Responsible for reviewing and analyzing appropriate reports to minimize outstanding AR.
Provide training/orientation of assigned personnel.
Evaluates performance and recommends merit increases, promotions, and disciplinary action in a timely and effective manner.
Develops new procedures to improve the quality and quantity of work processed
Resolves difficult insurance claim problems as needed in a timely manner.
Responsible for care and upkeep of department equipment and supplies resulting in limited downtime and efficient operations.
Coordinate compliance audits quarterly resulting in accurate claims and coding.
Determine/Process all patient refunds resulting in accurate balances for every patient.
Provides direct and indirect supervision and participates in staff performance evaluation as outlined in organizational chart resulting in documented timely employee feedback and performance reviews.
Development of employee work-related goals resulting in a motivated and challenged staff through coaching and mentoring.
Responsible for the timely and accurate dissemination of Company information to their respective employees and management.
Responsible for effective recruitment and hiring for the appropriate department when the need arises resulting in appropriately staffed departments.
Participate as a senior team member in a cohesive and constructive way resulting in senior team alignment, decision making, and problem-solving.
Review and discuss, with CFO, bad debt/write-offs on a monthly basis.
Directly supervises the Billing and Collections Departments. Is responsible for the overall direction, coordination, and evaluation of these units. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Required Knowledge, Skills, and Abilities
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.
Education and/or Experience
Associate's Degree, Bachelor's Degree preferred (Business or Healthcare Management). 5+ years of extensive experience in the medical billing office. 5+ years of supervisory/managerial experience. Must have the ability to multitask.
Certificates, Licenses, Registrations
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