| Employer: | Dominion Medical Management |
| Job Location: |
Richmond - Henrico County |
| Employment Type: | Full Time |
| Benefits: | Competitive Benefit Package |
Description: |
Purpose: Responsible for managing all aspects of assigned anesthesia client accounts, including but not limited to, charges, payments, insurance follow up, write offs and collections. Serve as the internal point person on assigned accounts. Provide Client Account Managers, Operations Manager and staff with regular communication regarding the status of all aspects of assigned accounts.
Responsibilities:
Demonstrate leadership with respect to assigned accounts.
Monitor and address the progress made on each account to include Follow-Up Queue backlog.
Identify variances or abnormalities within the account and address appropriately.
Answer staff and management questions in a timely and productive manner.
Address with Operations Manager procedure/training issues that arise with individual staff members or entire departments. Assist in corrective training/action to resolve issues.
Work with Operations Manger to structure work flow.
Coordinate and oversee the work of the patient services, charge entry, follow up and payment posting departments to ensure client specific tasks are handled appropriately.
Delegate responsibilities appropriately. Review work of individual employees when necessary and provide feedback to the employee and Operations Manager.
Coordinate formal reviews through Best of Practice with Operations Manager when needed.
Ensure that all associated with the account have the training/tools they need to complete their job.
Serve as a nucleus for the client and liaison between the staff, Operations Manager, and the Client Account Manager.
Be available and open to employees for knowledge, support and training.
Maintain open and candid communication with Operations Manager regarding employee performance and demonstration of PRIDE. Provide insight into office dynamics requiring Operations Manager action. Provide structured feedback for employee annual performance reviews. Participate in reviews and/or disciplinary action when and where deemed appropriate by the Operations Manager.
Keep CAM informed of direct contact with client on issues/concerns. Follow-up with client when appropriate.
Attend scheduled client meeting quarterly.
Attend and participate in Account Manager Meetings as scheduled.
Ensure full charge capture with Operations Managers assistance.
Coordinate and conduct regular departmental meetings as appropriate.
Maintain a client log and support manual containing all aspects the client (contacts, facilities, doctors, etc.) and any issues (opened and closed) that exist or existed.
Maintain knowledge of the functions and roles of all departments to include support roles such as Programming, Systems, Coding and Compliance, Best of Practice, Credentialing, Training and Installations.
Demonstrate initiative in resolving billing/processing problems.
Maintain knowledge of all system enhancements and suggest improvements when needed. Serve as a training point person for new system enhancements.
Understand all reporting tools available and utilize appropriately.
Other duties as assigned and specified in the Account Manager Support manual.
On a daily basis:
o Review Follow-Up reports (follow-up queue, intranet)
o Monitor and process account adjustments and write-offs
o Respond and resolve escalated patient or insurance company billing questions
o EOD system balancing
On a weekly basis:
o Review variance reports for Operations Manager, Client Account Manager and Executive Committee
o Maintain client profiles
o Resolve claim issues with major insurance carriers
On a monthly basis:
o Prepare EOM Variance reports
o Approve credit balance refunds
o Review aging and EOM reports address issues accordingly
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Qualifications: |
1. 3-5 years anesthesia billing experience in a supervisory and/or account management capacity with a High School degree or equivalent. Candidate should have exposure to all aspects of the anesthesia billing industry, including charges, payments, insurance follow up, aged reports, government payer and managed care policies.
2. Strong PC skills, with intermediate to advanced knowledge of MS Word and Excel.
3. Strong communication skills, both written and verbal.
4. Ability to interact professionally and productively with all levels of the organization and our clients.
5. A do what it takes attitude, strong team focus, and a demonstrated ability to lead by example.
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