Manager, Revenue Cycle - Medical Billing

  • Fairfield, NJ

Employment Type

: Full-Time


: Healthcare - Allied Health

Vanguard Medical Group has an exciting opportunity available for a Revenue Cycle / Medical Billing Manager. This full-time position will be located in our Corporate office in Fairfield, NJ.


Position Overview:

Responsible for the direct oversight and management of Revenue Cycle processes, staff, and department.


Job Responsibilities:

* Create and implement a vision for the department that will incorporate best practices for a multi-location practice and set the foundation to build a ?best in class\" department that will keep pace in a high growth environment.

* Develop, maintain, and document standardized revenue cycle department policies and procedures.

* Perform analytical reviews and quality assurance on all data generated by revenue cycle department to ensure data integrity.

* Works closely with managers and directors to assure communication of information necessary to ensure efficient processes are understood and implemented in accordance with VMG policies and procedures.

* Consistently exhibit behavior and communication skills that demonstrate VMG?s commitment to superior customer service, including quality, care and concern with each and every internal and external customer.

* Directly manage and oversee the staffing, training, support, and development of the revenue cycle department.

* Responsible for accurate and timely billing, data entry, charge corrections, payment entry, adjustments, invoice corrections, software maintenance, pre-registration and collections.

* Responsible for developing a Quality Assurance program and Auditing periodically to ensure adherence to appropriate billing and collection protocols.

* Generate specific management reports and customizes key billing metrics for dissemination to the Senior Leadership Team.

* Review reimbursement levels to determine when changes take place. Keep up to date of changes in the industry that will impact charging patterns and reimbursement levels.

* Disseminate and track all pertinent information supplied to operations staff.

* Obtain and maintain appropriate reference materials for the department.

* Develop action and contingency plans to correct bottlenecks, backlogs, etc., to reach productivity and collection goals.

* Create processes necessary to implement new requirements.

* Use, protect, and disclose VMG patients? protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.

* Perform other duties to support the organization as assigned by management.

Associated topics: authorization, biller, clerk, clinical documentation specialist, front desk, medical biller, medical billing, medical coding, receivable, review

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