Director, Professional Billing - ReqCode 2864061

Cooperative Healthcare Services, Inc., a strategic affiliate of Southeast Georgia Health System, has an exciting opportunity for a Director, Professional Billing to join our team!
The Director, Professional Billing:
* Supervises the overall operations of professional billing for all CHSI locations and systems
* Ensures revenue cycle and accounts receivable control for professional billing
* Responsible for staff supervision of 15+, coding, insurance claim submission, and collection of accounts receivable
* Periodically audits reimbursement and resolves reimbursement discrepancies
* Coordinates training, system conversions and updates for professional billing
* Ensures compliance with state and federal regulatory requirements
* Incorporates customer satisfaction in the performance of all billing operations
The Director, Professional Billing performs the following essential responsibilities:
* Plans and directs the registration and coding process with physician practices to ensure efficient account collection
* Directs and supervises the daily operations of professional billing at all CHSI locations
* Maintains the accounts receivable and ensures staff effectively and efficiently reduce outstanding balances on patient accounts
* Develops management practices, processes, procedures and policies to promote accurate and timely reimbursement of professional medical services provided
* Reviews customer satisfaction issues to determine process and procedure changes which will enhance professional billing
* Coordinates training, systems conversions and upgrades for electronic and manual claim submission and patient billing
* Prepares monthly reports as requested by the VP of Physician Practices
* Maintains appropriate internal controls over Professional Billing cash receipt and payment application functions
* Ensures timely and accurate check processing

The Director, Professional Billing will possess the following minimum qualifications:
* Associates degree in related field required; Bachelors degree preferred
* At least five (5) years professional insurance/billing and coding management experience in a healthcare setting required
* At least three (3) years supervisory experience preferred
* CMPE or CPC certification and/or equivalent experience/competency
* Knowledge of business management and basic accounting principles
* Broad-based knowledge of relevant insurance regulations and familiarity with the Health Insurance Portability and Accountability Act
* Skill in developing, implementing and administering budgets
* Ability to recognize, evaluate, solve problems and correct errors
* Ability to conceptualize work flow, develop plans and implement appropriate actions
* Skill in establishing and maintaining effective working relationships with other team members, patients, organizations and the public

All employees of Southeast Georgia Health System will promote a culture of safety, follow established policies, adhere to all state and federal regulatory requirements, Joint Commission requirements, and national patient safety standards.

All team members of Southeast Georgia Health System will promote service excellence by developing and maintaining positive relationships with customers, other team members, and the medical staff and will ensure the highest quality of care by performing their responsibilities according tot he highest professional standards.

This description of job responsibilities is intended to reflect the major responsibilities and duties of the job, but is not intended to describe minor duties or other responsibilities as may be assigned from time to time.