ACU-Serve Corp

Compensation

Full Description

Duties & Responsibilities:  * Oversee the billing functions, including the initiation of goals and procedures, overseeing daily operations, and coordinating office efforts to expedite payment of accounts. * Strong customer service skills; answering calls, prompt return and follow-up to all interactions; prompt response to request for information, both internally and externally. * Identify, implement and improve billing and collections processes that will make a positive contribution to financial results. * Develop and implement goals, policies, procedures, and guidelines, which ensure the reimbursement analysts are working efficiently and maximizing reimbursement. * Monitor the effectiveness of activities to ensure authorizations, billings, postings, collections, accounts receivable and adjustments stay within established ranges. * Prepare accurate and meaningful billing, collections, accounts receivable and bad debt reports. * Report, review, maintain, and analyze all insurance reports by tracking and monitoring codes, payments, denials, and refund processes to meet compliance and performance standards. * Oversee functionality and integrity of software to ensure timely and accurate administration of electronic claims, and electronic payment remittance. * Yearly reviews for direct staff – keeping notes on their performance both good and bad  * Monthly one on one individual meetings with your direct reports * Weekly team meetings with your team to go over issues/ideas/recommendations  * Supervise Billing and AR team through effective hiring, coaching, mentoring, and performance management. Ensure development of staff to achieve high results. * Continue education in reimbursement rules, billing rules, and coding. * Bill and Collect as needed to meet goals and expectations of the clients * Work on metrics for the Reimbursement Analysts to meet monthly and monitor and enforce these goals * Conduct conference calls weekly/bi-weekly/monthly or as requested/needed by the clients * Attend yearly conferences as requested by management  * Complete daily, weekly, and monthly assignments as assigned by Management    Qualifications and skills:  Experience with medical billing for home infusion/specialty pharmacies/DME or another area of medical billing.  Candidates should possess a roll-up-your-sleeves attitude and display a willingness to work hard and be a member of the team. Building a service-oriented practice with a positive work culture is a high priority. * Graduate of an accredited Medical Billing Program and hold billing certification preferred. * WeInfuse, CPR Plus or CareTend system use preferred * Minimum of 3 years’ experience in Billing Management/Supervision is preferred * Knowledge of Microsoft Office and proficient with spreadsheets. * Proficiency in medical terminology, HCPC and ICD 10 coding. * Proficiency in filing medical claims * Expertise in reading and interpreting EOBs * Excellent Communication Skills * Commitment to goals and Philosophy of Pinnacle Revenue Management, Inc.   * HIPAA compliance knowledge