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RESPONSIBILITIES

I. JOB SUMMARY/RESPONSIBILITIES:

• Coordinates, monitors, and manages the daily operations of the professional billing department. Works with designated staff to ensure accurate and timely processing of claims, overturning denials, appeals and credits.

• Ensures functions and activities are performed in accordance with department procedures.

• Ensures operations meet quality standards and established goals, objectives, and organizational initiatives.

• Assists the Manager with activities to support the mission, vision, and strategic goals of QHS.

II. TYPICAL PHYSICAL DEMANDS:

• Seeing, hearing, speaking, finger dexterity.

• Frequent: sitting.

• Infrequent: walking, stooping/bending, reaching at and below shoulder level.

III. TYPICAL WORKING CONDITIONS:

• Not substantially subjected to adverse environmental conditions.

• Exposed to heavy paper dust.

IV. MINIMUM QUALIFICATIONS:

A. EDUCATION/CERTIFICATION AND LICENSURE:

• Associate’s degree in business, healthcare administration, health information management or related field; or two (2) years experience in billing, collections, patient access or finance may be substituted for the educational requirement.

B. EXPERIENCE:

• In addition to the educational requirement, three (3) years experience in hospital or physician practice billing/collections, preferably in a comparable organization.

• One (1) year supervisory/leadership experience.

• Knowledge of third party payor and reimbursement regulations, including Medicare/Medicaid program requirements.

• Proficiency with Microsoft Office applications (Outlook, Word, Excel and PowerPoint).

Equal Opportunity Employer/Disability/Vet