Workflows and office policies support the Revenue Cycle
All front-end data collection is accurate
Pre-certs & Pre-determinations for all appropriate services are timely, accurate, and documented
Physician charges for office and hospitals are recorded timely
Completes audits as necessary to insure the above is complete as per policy and provides feedback and education / training as needed.
Directs Business Office:
Provides supervision and support to the Business Office Manager (BOM). This supervision and support involves but is not limited to:
Professional Development, Education, and Training
Assist in policy needs and development
Assists in identifying, justifying, and obtaining technology and other tools to facilitate meeting and improving Business Office operations
Monitors Business Office staffing and approves changes as needed
Provides direction and coordination the Business Office Manger related to:
Business Office workflows and policies support the Revenue Cycle
Charge entry is accurate and timely
Billing is accurate and timely
Denials are monitored, worked, and resolved timely
Missing tickets are resolved timely
Payer issues are recognized and assistance is provided to resolve timely
Self-pay collections are managed and Collection Agency referrals are done within policy
Ensures compliance with regulations and billing and collection policies in order to facilitate attainment of account receivable targets
Credentialing issues are recognized and resolved
Assists in provider documentation education when needed
Participating member of the Revenue Cycle Oversight Committee
Provides analysis of all appropriate A/R benchmarks and reports monthly to the Revenue Cycle Oversight Committee describing status of the A/R and highlighting opportunities of improving the Revenue Cycle
Recommends technology that would support the Revenue Cycle to the Revenue Cycle Oversight Committee
Acts as liaison between Clinic staff and Business Office staff to insure communications is timely and collegial.
Champions revenue cycle improvements throughout the organization including working with individuals in Billing, Collections, Auditing, Check-in, Check-out, Medical Records, Pre-certification, Managers, C-Levels, and Physicians to aid in the resolution of revenue cycle issues.
Completes reimbursement analysis of payers and coordinates conversations / negotiations with payers to improve fee schedules. Maintains relationships with payers to facilitate problem resolution and contract negotiation.
KNOWLEDGE, SKILLS, AND ABILITY REQUIREMENTS:
Must have high level of interpersonal skills to handle sensitive and confidential situations. Position requires demonstrated poise, tact, and diplomacy to achieve goals. Effective, clear, and persuasive oral and written communication skills with individuals and groups.
Strong skills in fostering working relationships and using others to accomplish tasks related to improving workflows, policies, and revenue cycle goals
Knowledge of all regulatory reimbursement and insurance related requirements
Knowledge of compliance
A systematic approach to problem solving for all types of issues
Advanced skills in computer programs especially EHRs and Microsoft Excel.
Strong working knowledge of medical terminology, CPT, HCPCS, ICD9 and ICD10.
Additional Salary Information: Salary history required
Internal Number: 01
About JWM Neurology
JWM Neurology is a premier group of Neurologists and Sleep Medicine physicians in Indianapolis, Indiana. Our physicians have been diagnosing and treating patients in Indianapolis and Central Indiana for more than 40 years.
They are specially trained to diagnose, treat and manage patients who have all types of neurologic conditions and sleep disorders. Our practice also conducts neurologic-related clinical research trials through the JWM Neurology Research Center, enabling us to offer patients the latest treatment options available.