University of Pittsburgh Physicians is looking for a full-time Revenue Cycle Coordinator to join their team with UPMC Pain Management in Shadyside! This position is Monday through Friday, daylight hours, with no evenings, weekends, or holidays! The Coordinator will be required to work in person for the first six months of training, and then will have the opportunity to work from home 1-2 days a week.
The primary responsibilities of this role include overseeing physician billing workques for the division, partnering with the central revenue cycle management team to maintains oversight of insurance changes, aiding in the development of authorization acquisition workflow, and managing designated practice staff.
Responsibilities:
Work with Department Administrator, division managers and revenue cycle staff to develop and review comprehensive revenue cycle reports/statistics with appropriate physicians and management.
Ensure all facilities are compliant and that billing practices are consistent with established UPP and federal and state policy.
Manage clinical revenue cycle for department in accordance with departmental and UPP policies and standards, including: Supervision of revenue cycle staff, Billing, Coding, Charge Lag process, Cash Payment Collections, Reimbursements, Denials, Report Generation.
Work closely with Administration and Medical leadership and others as appropriate to ensure that they are receiving necessary support services for their areas of responsibility and provide intervention when required.
Engage in open communication with UPP management regarding Information Systems, 3rd party payers, and regulatory updates and/or enhancements.
Evaluate Accounts Receivables by division, 3rd party payors, site of service, CPT, etc.
Determine trends and issues and work with division manager to resolve.
Generate reports to evaluate physician productivity.
Demonstrate a leadership role in all aspects of EPIC computer system.
Provide assistance when opening new divisions/sites, including assessment and evaluation of staff needs, revenue cycle management, physician scheduling and other areas as required.
Coordinate EPIC training for new staff and assist with the orientation of new staff.
Provide leadership, oversight and direction for assigned Special Project activities.
Analyze staff development needs and initiate training programs with Education and Training.
Educate physicians to improve their understanding of productivity reports and standards, documentation requirements, and CPT/ICD-9 coding changes.
Bachelor's degree preferred.
3-5 years of experience in either information systems, patient business services of staff development for a professional billing group or other health care environment required.
Equivalent combination of education and experience acceptable.
Previous supervisory experience required.
Applicable federal, state and local laws as they pertain to physician practice management.
Revenue cycle, physician service coding and billing and clinical operations. Licensure, Certifications, and Clearances:
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