Keystone Healthcare Management
  • 01-Sep-2017 to 31-Oct-2017 (EST)
  • Medical Billing
  • Plano, TX, USA
  • Full Time

Medical, Dental, Vision, LTD, STD, 401K, PTO, 11 Paid Holidays


GENERAL SUMMARY:   

This position has primary oversight of the Billing, Cash Management and Accounts Receivable functions to assure:

    • Timely and accurate billing of insurance claims and patient statements;
    • Timely follow-up on outstanding accounts receivable; and
    • A high level of patient satisfaction.  

DESCRIPTION OF DUTIES:

  • This position also collaborates closely with other KMBS departments to achieve both operational and revenue cycle initiatives.

 

    • Provide a positive, collaborative work environment for all staff members.
    • Manage the accounts receivable to:
      • Meet specific goals set by the organization, including but not limited to:
        • Cash collections per patient
        • A/R over 120 days
        • Days in A/R
        • Quality
      • Respond in a timely manner to payer rejections and denials.
      • Maintain work queue inventories below stated thresholds
      • Oversee offshore resources with regard to outcomes and quality
    • Manage the Patient Contact Center to:
      • Deliver outstanding customer service to Keystone patients.
      • Meet specific goals set by the organization, including but not limited to:
        • Service Level Agreement (SLA)
        • Abandoned call rate
        • Quality
      • Maintain correspondence inventory levels at or below stated thresholds.
    • Manage the Cash Management department to:
      • Meet specific goals set by the organization, including but not limited to:
        • On-time month-end close
        • Maintain unapplied cash inventory levels
        • Quality
      • Maintain posting inventory levels at or below stated thresholds.
      • Oversee offshore resources with regards to outcomes and quality
    • Act as liaison for collection agencies and provider enrollment
    • Troubleshoot Electronic Funds Transfers and Electronic Remittance Advices as needed
    • Create policies and procedures for all assigned processes
    • Provide feedback regarding areas of improvement
    • Provide technical and operational support as needed
    • All other duties as assigned.

QUALIFICATIONS:

 

  • High School Diploma is required; 5+ years of experience in a physician office, billing office, or hospital preferred
  • Must possess excellent communication and relationship skills
  • Proficient in Microsoft Outlook, Word and Excel
  • Detail oriented and able to multi-task
  • Ability to function under stressful situations and deadlines and demonstrate solid judgment; must be a team player.
  • High degree of confidence and ability to interact with all levels of the company
  • Ability to balance team and individual responsibilities

WORKING CONDITIONS:

  • General office environment
  • Hours Monday Friday 8:00AM 5:00PM
  • This position requires sitting and typing for extended periods, some bending, stretching and stooping.
  • Requires manual dexterity sufficient to use a keyboard, normal range of hearing and vision, verbal communication and professional use of the telephone.
  • Work in sometimes stressful situations.
  • This position is based in Plano, Texas

 

EOE

Keystone Healthcare Management
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