Billing and Revenue Cycle Manager at Long Island Vitreo Retinal Consultants P.C. in HAUPPAUGE, New York

Job Description:

We proudly offer: Medical, Dental, Vision, 401k, Certification reimbursement, and a promote-from-within policy.
We reward the hard work of our employees with exciting company events, Bowling, Holiday Party, and a generous referral bonus!
Vitreoretinal Consultants of NY is the premier retinal care destination for patients across Long Island, Queens, NYC, and beyond. Founded in 1981, our team of nationally recognized retina specialists and surgeons have established themselves as distinguished physicians, compassionate providers, and key thought leaders in the retina care community. We are committed to providing a compassionate and ethical environment that focuses on patient-centered care. From diagnostics to clinical trials, we bring clarity, transparency, and humanity to all aspects of what we do. We have a very high level of patient satisfaction and are proud of our rep
Summary:
Responsible for directing and coordinating overall functions of revenue cycle activity, ensuring maximization of cash flow while improving patient, physician, and customer relations. This includes accountability for daily reconciliation, resolution of billing inquiries and patient/caregiver education on the billing process, management of patient billing inquiries.
Billing Manager to supervise 20 employees.
Extensive knowledge of medical billing required.
Must have 5+ yrs. of billing staff management experience.
Knowledge of Athena and/or ophthalmology a plus.
Excellent salary, benefits, and work environment. Primary location will be in Hauppauge NY
Duties and Responsibilities:

Plans and directs registration, patient insurance, billing/collections, and data processing to ensure accurate patient billing and efficient account collection.

Manages practice/department within the established budget, including annual planning, and develops monthly status reports.

Reviews status of patient accounts to identify and resolve billing and processing problems in a timely manner.

Establishes and implements a system for the collection of delinquent accounts, ensuring third-party payers are contacted.

Establishes and recommends credit and collection policies. Makes recommendations for improvement.

Audits problem accounts and takes appropriate action to achieve amicable outcome between patient and the practice.

May meet with new patients and caregivers in assigned department(s) to orient them to billing processes and expectations.

Develops and implements new procedures to improve the quality and quantity of work processed. Ensure policies are communicated and administered consistently. Develops and oversees business systems and works with Information Technology to ensure timely and accurate implementation.

Initiates and answers pertinent correspondence. Prepares operational and financial reports and analysis, noting progress as well as adverse trends. Makes appropriate recommendations or conclusions. Maintains required records and files.

Monitors daily operating activities of assigned department and makes suggestions necessary for improved workflow and efficiency.

Maintains knowledge of and complies with established policies and procedures including government, insurance, and third-party payer regulations.

Works collaboratively with physician and physician staff to ensure proper coding compliance.

Liaison to insurance carrier representatives; creates and monitors special claims project appeals.

Direct liaison to pharmaceutical representative during drug reimbursement; claim reimbursement processes; prior authorization requirements, etc.

Conducts and/or leads quarterly chart audits to maintain compliance.

Works collaboratively with the CEO and RCA team on Payor contract issues/negotiations.

Works in conjunctions with CEO, CFO, and Practice Administrator to report and/or review all billing measures/KPIs.

Monitors all billing staff claims productivity, quality, and quantity, for staff working in office or remotely.

Will onboard new physicians and/or locations into the Practice Management system, and work directly with the credentialing team.

Conducts special projects and studies, as directed.