MCP Referral Coordinator / Insurance Verification (Viceroy) – New Opening
Immediate opening for an individual to perform all activities associated with gathering, verifying, applying and maintaining accurate patient demographic and insurance information at a satisfactory level of productivity with direct supervision. Perform all activities associated with obtaining referrals and authorizations for dialysis patients. 2-3 years medical office experience, Knowledge of Medicare and commercial insurance, superior organizational skills, accurate data entry ability, and legible handwriting.
Billing Collections Supervisor (Viceroy) – New Opening
Immediate opening for an individual to work closely with the collections team to ensure understanding of practice and department goals and mentors the team to achieve those goals. This individual is responsible to accomplish objectives by measuring billing results, trending denials, and productivity of staff while continuing to evaluate and make recommendations to improve the collections process. Responsibilities also include guiding employees by researching, education, and developing of guidelines that provide standardization as identified. Must understand payer policies and how the appeal process works, how to read EOBs and identify issues and how to work credit balances to resolution. Must have at least three years Supervisor experience and able to mentor and educate the team when questions are presented. This individual will work closely with the Director, Assistant Director, Coding, Managed Care/Credentialing and PI Supervisor and team when issues are identified and works to implement a plan or process until resolution has been obtained.
Financial Rep (Viceroy) – New Opening
Experienced bilingual financial representative needed to handle newly transplanted patients, 36-month post patients, and dialysis patient accounts. Position includes counseling patients experiencing financial hardship and enrolling them in anemia assistance programs and/or indigent programs through social services. Knowledge of Medicaid benefit screening and ESRD coordination of benefits a plus. Prior experience on a computerized billing system is required.
Credentialing Specialist (Viceroy)
This position will have primary responsibility for the development, maintenance and care of provider files and documentation to streamline the process of obtaining privileges, credentialing and re-credentialing. Requirements include 3 yrs experience in physician credentialing with an associates’ degree preferred. Strong business management background and experienced and knowledgeable of privacy law, Superior analytical and organizational skills. CPCS or equivalent preferred.
Assistant Director of Revenue Cycle Management (Viceroy)
This position will work with the director on the day to day operations of DNA’s Billing and Managed Care departments to ensure the strategic initiatives remain aligned in the department and provide support to the Supervisors.
This Position will also be responsible for the following:
> Monitoring all billing and collection activities to ensure the organization optimizes all revenue.
> Understand the audit process and assist with review and process
Direct administrative responsibilities for:
> Monitor Patient Financial Services and assignment of accounts to outside entity
> Ensure Revenue Integrity Billing and Compliance are followed
> Assist with improving organizational performance by identifying opportunities for improvement in the revenue cycle process
> Provide hands-on guidance in the tactical, day-to-day activities
> Ensuring efficient and correct payment processing to reduce the cost of patient accounting operations.
Requirements: Ideal candidate will possess 10-year experience in a large Physician practice or Practice Management Organization with a Bachelor’s degree preferred.