8+ years of experience in medical billing with knowledge of current trends across payer-mix., 5+ years of management experience, preferably in outpatient facility coding., Bachelor’s or Associate's Degree in healthcare administration, business, accounting, or finance., Familiarity with Electronic Health Records (EHR) systems and experience with clearinghouse software is required..
Key responsabilities:
Organize and lead a team to meet performance metrics for productivity and backlogs.
Maintain fee schedule documents and master data tables.
Integrate and develop systems data to produce reports for operational and executive leadership.
Ensure consistent communication with clients, managers, and the offshore billing team.
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Founded in 2012, The Auctus Group provides growth opportunities for plastic surgeons and dermatologists by supporting and developing the business end of their practices.
We are a team of driven, diligent, forward thinking individuals that have joined together to build a better approach to medical billing and consulting. We know the value of the countless hours and tireless work our clients put into their practices as small business owners and we match it with our own. Our goal is to provide our clients with the support they need administratively, operationally and financially so they can concentrate on what they love, being surgeons and physicians, while we deal with the business end.
Services:
- Medical Billing
- Operations Consulting
- Contracting/Credentialing
- Authorizations
- Merchant Services Processing
- Medical Bookkeeping
- Staffing & Training
- Small Business Loans
Who we are: We’re big on people and culture at the Auctus Group. Our most important role as a company is to provide an amazing working environment for our team. We’ve been work-from-home-warriors since before it was cool. We have an extremely robust benefits package including health, dental, vision, disability, 401K w/ match. Our team gets a month off per year. We support (like encourage and fund) continuing education. We match charitable donations. Our whole goal is: work to live not live to work. Oh and we’re weirdos too…we do remote happy hours and have a book club and goofy stuff like that.
Who we’re looking for: Smart, talented, tech-savvy, experienced, go-getter types. You’ll do well if:
you like a fast-paced environment,
you thrive with change and development,
you like giving feedback,
you’re a team player,
you love learning/sleuthing,
you’re big on accountability.
About The Role
Organize and lead a team to meet performance metrics for productivity & backlogs for charges, claims submissions, payments, refunds, denials, and AR follow up.
Maintain fee schedule documents and all other master data tables.
Work to integrate and develop systems data to produce reports for operational, managerial, and executive leadership. Includes revenue, projected revenues, cash forecasts, denial metrics, etc.
Create and maintain process documentation to outline workflows, roles, and responsibilities required to carry out the goals of the team.
Ensure consistent and actionable communication with client contacts, other managers and executive team and offshore billing team.
Provide reporting and feedback to the team for correct coding and billing of insurance and patient accounts. Provide feedback to the executive and leadership team regarding trends, process, pain points and areas of improvement.
Maintains high ethical standards in compliance with industry and regulatory standards.
Research reimbursement guideline/requirement changes, interpret updates, and coordinate subsequent reimbursement policy changes to assure compliance. Other duties as assigned.
What You'll Do
Problem Solving/Analysis- Ability to assess problem areas and address them effectively.
Coordination - Adjusting actions in relation to others' actions.
Time Management- Managing one’s own time and the time of others.
Communication- Maintain a line of communication with supervisor, dispatcher, and customer.
Writing Skills- Written and verbal communication skills are essential to be successful in this position.
Customer/Client Focus- Working towards one goal of serving its’ clients needs.
Leadership- Ability to take responsibility for the entire team and lead the company appropriately.
Technical Skills- Previous experience with computer applications, such as Microsoft Word and Excel.
Qualifications
8+ years’ experience in medical billing, with knowledge of current trends in across payer-mix.
5+ years’ experience in management. Outpatient facility coding is strongly preferred. Plastic surgery and dermatology experience is strongly preferred.
Bachelor’s or Associate's Degree from an accredited college or university in healthcare administration, business, accounting, or finance
Ideal candidate will have experience in a multi-entity organization in the healthcare industry
Familiarity with Electronic Health Records (EHR) systems is required
Experience with clearinghouse software and oversight of claims submission processes required
The Pay Range For This Role Is
25,000 - 55,000 USD per year(Remote - United States)
Required profile
Experience
Spoken language(s):
English
Check out the description to know which languages are mandatory.