Essential Functions:
- Recruits, hires, trains and supervises highly skilled individuals to support the claim billing process.
- Monitors accounts receivable activity.
- Develop and maintain working relationships with health plans to ensure efficient and effective problem solving and issue resolution.
- Analyze and manage payer denials and develop strategies to minimize denials and write-offs.
- Evaluates effectiveness of billing and collection processes and work flow.
- Recommends and implements changes to revenue procedures as appropriate.
- Maintains ongoing collaboration with the Arizona Alliance billing group.
- Oversees the provider and site credentialing with payers.
- Develops innovative methods for increasing staff productivity, quality and effectiveness of revenue cycle management.
- Maintains regular communication with the company’s EHR platform representative regarding revenue cycle and claims processing functions.
- Support the training of the front desk staff as it relates to the revenue cycle.
- Communicates regularly with providers relating to ongoing coding changes and provides training as needed..
- Monitors and prepares the AHCCCS reconciliation on a regular basis.
- Performs other duties as required.
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