Director Front-End Medical/Surgical Billing - MSRDP - Surgical Billing
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POST DATE 9/10/2016
END DATE 10/8/2016
UT Soutwestern University Medical Center
JOB DESCRIPTIONFull/Part Time/PRN: Full-Time
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information
EXPERIENCE AND EDUCATION
Bachelor's in Business Administration or Public Administration is required; a Master's in Business or Healthcare is preferred; Preferred - Revenue cycle certification, certified healthcare financial professional, coding certification; eight (8) years of relevant business experience in Billing, Revenue Cycle and Management for Medical-Ancillary/Surgical Billing Services is required.
1.Oversee and streamline Medical-Ancillary and Surgical coding and billing processes.
2.Develop Medical-Ancillary/Surgical billing functions and processes to ensure maximum workflow and productivity, communicating deficiencies as well as best practices to operations management.
3.Monitor charge lag and work queue aging and manage to meet MSRDP guidelines.
4.Has working knowledge and comfortable with interpreting payer policy for medical-ancillary/surgical billing.
5.Develop coding and documentation education and communication for new provider and new site on boarding.
6.Develop and manage processes to audit and monitor charge capture.
7.Coordinate the onboarding new providers and work with providers to improve documentation and charge capture.
8.Supervise billing managers to ensure appropriate management and oversite of collections staff on a daily basis. Role include hiring, engagement, retention, schedule, monitoring productivity standards, departmental training, approving time off, processing payroll, performance appraisals, disciplinary actions, and exit paperwork.
9.Assist the accounting department by approving all departmental bills for accounts payable and keep comprehensive records.
10.Review and post weekly metrics for supervised staff to determine when operational goals are met.
11.Communicate with leadership of any trends/issues identified.
12.Responsible for developing and maintaining data collection and issue reporting including but not limited to routine and special requests for department, management, administration and corporate offices within required timeframes.
13.Review medical records and resolves problems concerning the recording or provision of services rendered which impact on ability to submit claims and/or the willingness of patients to pay as required within Federal and State guidelines, regulations and in compliance with all laws.
14.Serve as a resource to peers, staff and others, team leader, trainer as required, provides education, develops step actions, standards of performance and monitors and reinforces.
15.Direct, monitor, assign, and evaluate work flows and processes in assigned areas. Work with other departments to ensure seamless process flow, and offer suggestions when a work flow needs to be corrected or changed.
**Other Duties: Performs other duties as assigned.
To the extent provided by applicable law, no person shall be excluded from participation in, denied the benefits of, or be subject to discrimination under any program or activity sponsored or conducted by The University of Texas System or any of its component institutions, on the basis of race, color, national origin, religion, sex, sexual orientation, age, veteran status, or disability..