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Billing/ RCM Manager Job in Fort Myers, Florida

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Job Title: Billing/ RCM Manager

Employer:Collins Vision
Type:FULL TIME
Skills:Billing,Revenue Cycle Management,Auditing,Compliance,
Specialties:Ophthalmology, Vision Plans
Preferred Certifications:CPB
Required Experience:3 to 4 years
Preferred Experience:5 to 7 years
Location:6900 International Center Blvd. Fort Myers 33912, FL, US
Date Posted:3/16/2021

Job Description:

This person is responsible for directing all billing operations for the practice. These tasks include, but are not limited to, resolution of billing inquiries and patient education on the billing process, appealing all denied claims, updating fee schedule annually and processing refunds. Position oversees 1 billing assistant and works closely with all other department leads on a regular basis to ensure cohesive processes and protocols for the practice.

Responsibilities:

Ongoing:

1.     Responsible for management of billing personnel including but not limited to recruitment, training, counseling, PTO approvals, annual reviews and termination of staff.

2.     Directs the billing operations including but not limited to, claim submissions, adjustments and write-offs, appeals, collections from patients, insurance companies and institutions, bad debt and refunds.

3.     Ensures that all patient inquiries and complaints regarding billing are handled in a timely manner including the logistics of refunding a patient account.

4.     Analyzes data to identify trends related to denials and rejections; develops and executes plans to avoid, reduce, and resolve denials and rejections.

5.     Maintains deep understanding of payor contract details and continually monitors and confirms that payors are adhering to the terms including, but not limited to, negotiated fee schedules.

6.     Researches additional payors/plans that should be considered by the practice on an ongoing basis.

7.     Maintains updated fee schedule including the addition of internal “CPT codes” as needed. 

8.     Works closely with Front Desk Lead to train new staff on billing and internal protocols; Works in conjunction with Front Desk Lead to continually improve patient collection processes and “chart prep processes” including the gathering of correct demographic/insurance information and authorizations.

9.     Maintains current credentialing for all doctors.

 

Annually:
1. Thoroughly reviews, analyzes and negotiates existing payor contracts?

2. Sets annual fee schedules.

3. Initiates, plans and collaborates with clinic staff to perform audits.

4. Initiates, plans, and executes annual billing and coding staff training in conjunction with Corcoran consulting.  

 
Monthly:

1.     Completes “Billing Dashboard Report” and “Productivity Report by Facility” for the previous month by the 3rd of the month (or next business day) and emails to Dr. Collins, Administrator, and Accounting Manager along with an analysis of the following KPI’s:
- Net Collections Ratio 
- Days Outstanding
- A/R Report broken down by payor
Analysis will include proposing solutions to any challenges being faced.

  1. Maintains a monthly account of receivables over 30, 60 and 90 days, seeing that over-due accounts are referred to outside collection agency as needed and worked every 28 days.
  2. Works closely with accounting manager to coordinate collection analysis of accounts receivables and collections data to seek out trends, patterns and identify ways to improve cash collections as well as reducing aging.
  3. Plans and executes monthly billing/coding training session with 1) front desk staff and 2) scribes based on researched trends and patterns. 
Weekly:

1. Research patient refund requests and ensures communication has occurred with patient regarding refund type such as credit card versus check. If check is requested, discusses with accounting manager prior to refund given. 

 Daily:

1. Ensures that claims are submitted daily by 10am for the previous business day
2. Ensures that all insurance payments received by the bank account are posted daily.
3. Ensures that patient statements are reviewed over closely before being sent out daily.


Applying

Lauren Dunford
Collins Vision | Practice Administrator

Email: lauren@collinsvision.com



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