Assistant Manager Patient Accounts, Coding - AZ - Clinic Finance

Summary

The Assistant Manager of Patient Accounts, Coding reports directly to the Manager of Patient Accounts for Central Billing Office and is responsible for coding processes for Midwestern University Clinics. This position oversees staff responsible for coding edits, ensuring that they are providing excellent customer service, and following departmental policies and procedures for coding and claim submissions. 

Essential Responsibilities

• Organize, direct, coordinate and evaluate the daily activities of the clinic patient account specialists including work associated with claim processing.


• Hire, train, manage and evaluate patient accounts staff members.


• Ensures timely and accurate billing of accounts receivable and prompt claim follow-up through the daily supervision of the Patient Accounts staff.


• Review coding used for Midwestern University Clinics to ensure coding is in accordance with legal requirements, compliance standards, official coding rules, guidelines, and definitions.


• Review electronic health records (EHR) to determine what information is appropriate for coding purposes.


• Participate in provider education on proper documentation of services provided, coding and billing issues, charge capture process and reconciliation of charges as it relates to E&M coding guidelines.


• Train and educate finance staff on billing and coding.


• Participate in clinic coding assessments/audits, both internal and with external vendors


• Participate in development of coding policies and procedures as needed.


• Identify key issues and take appropriate action to ensure revenue maximization on individual accounts.


• Ensure all documentation (ABNs, letters of medical necessity, Medicare Wellness forms, etc) are on file and properly filled out for patients when required.


• Research coding/billing guidelines for all specialties


• Work in conjunction with the Manager of Patient Accounts, University Administration and Clinic Administration to reach and maintain financial and accounts receivable goals ensuring compliance of policies and procedures, HIPAA and HiTech.


• Ensure that all Federal, State and other third-party billing, collecting, and follow-up requirements/ regulations are achieved.


• Implement changes directed by regulatory agencies.


• Assist patients with concerns and complaints regarding billing.


• Promote, develop, and maintain excellent customer service with patients.


• Assist with month-end reporting.


• Participate as a member on various clinic committees.


• Assist patients applying to the MWU hardship program and assist in managing the program for various clinics.


• Other duties may be assigned.

Supervisory Responsibilities

This job has supervisory responsibilities .

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Must be able to work in a constant state of alertness and safe manner and have regular, predictable, in-person attendance. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

High school diploma or GED required. Associate degree preferred. Certified Professional Coder (CPC) required. A minimum of 5-7 years of clinic finance experience including a minimum of 3-5 years accounts receivable experience working in a healthcare setting or medical office environment required. Knowledge of ICD-10, CPT, HCPCS and medical terminology required. Experience working with Medicare, Medicaid, Third party payers is also required. 1-2 years of supervisory or lead experience preferred. Strong analytical and problem-solving skills. Excellent verbal and written communication skills are a must. Must be able to work independently and multi-task working on several projects at once. Knowledge of Federal and State guidelines, managed care contracting, payer filing and appeal limits, and credit and collection policies is also required.  

Computer Skills

Computer proficiency in MS Office (Word, Excel, Outlook). Experience with Medical Practice Management systems, EHR, payer websites, clearinghouses.   

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to talk, hear, stand, walk, reach with hands and arms, use hands to handle and feel. The employee must occasionally lift and /or move up to 25 pounds.  

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

Midwestern University is a private, not-for-profit organization that provides graduate and post-graduate education in the health sciences. The University has two campuses, one in Downers Grove, Illinois and the other in Glendale, Arizona. More than 6,000 full-time students are enrolled in graduate programs in osteopathic medicine, dentistry, pharmacy, physician assistant studies, physical therapy, occupational therapy, nurse anesthesia, cardiovascular perfusion, podiatry, optometry, clinical psychology, speech language pathology, biomedical sciences and veterinary medicine. Over 500 full-time faculty members and 400 staff members are dedicated to the education and development of our students in an environment that encourages learning, respect for all members of the health care team, service, interdisciplinary scholarly activity, and personal growth.

We offer a comprehensive benefits package that includes medical, dental, and vision insurance plans as well as life insurance, short/long term disability and pet insurance. We offer flexible spending accounts including healthcare reimbursement and child/dependent care account. We offer a work life balance with competitive time off package including paid holiday’s, sick/flex days, personal days and vacation days. We offer a 403(b) retirement plan, tuition reimbursement, child care subsidy reimbursement program, identity theft protection and an employee assistance program. Wellness is important to us and we offer a wellness facility on-site with a fully equipped fitness facility. 

Midwestern University is an Equal Opportunity/Affirmative Action employer that does not discriminate against an employee or applicant based upon race; color; religion; creed; national origin or ancestry; ethnicity; sex (including pregnancy); gender (including gender expressions, gender identity; and sexual orientation); marital status; age; disability; citizenship; past, current, or prospective service in the uniformed services; genetic information; or any other protected class, in accord with all federal, state and local laws, and regulation. Midwestern University complies with the Smoke-Free Arizona Act (A.R.S. 36-601.01) and the Smoke Free Illinois Act (410 ILCS 82/). Midwestern University complies with the Illinois Equal Pay Act of 2003 and Arizona Equal Pay Acts.

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