Oversee the physician billing operation for MCMF, including both the services provided for Nautilus MSO clients and for the physicians of MemorialCare Medical Group. Responsible for ensuring effective revenue cycle management protocols, compliance with regulatory requirements, and achievement of industry standard accounts receivable performance metrics. Provide high level analytics and report as required to MCMF stakeholders.
Essential Functions and Responsibilities of the Job
Demonstrate strong verbal and written communication skills while cultivating a wholesome environment of team spirit and high achievement.
Provide professional and courteous service to all customers.
Maintain clean, well-organized, properly stocked and secure working area.
Maintain complete patient/employer confidentiality per company and HIPAA requirements.
Perform job functions in accordance with current departmental and company Standards, Polices and Procedures.
Professional and confident interactions with physicians and office staff to develop and maintain effective office billing protocols and to ensure ongoing communication and customer satisfaction.
Consistently provides ongoing evaluation and refinement of internal processes to ensure maximum productivity and collection results.
Conducts proactive analyses and monitors reimbursement trends as well as maintaining up to date knowledge and proficiency with respect to coding guidelines and medical billing requirements.
Reports results and metrics to senior leadership and clients monthly.
Minimum 5 years’ experience in a physician billing leadership position.
Candidate must have the ability, skill-set, education, and licensure (if applicable) that are required for all the jobs for which this person is responsible.
Qualified candidate must excel in interpersonal communication, public relations, and customer service and be able to work both independently and as part of a team.
They must excel in organization and attention to details and follow through. Additionally, they must have the ability to problem solve to logical conclusion and demonstrate initiative and responsibility.
Must have proven leadership abilities, good listening skills, and be able to effectively and clearly communicate (written and verbal) in English. This includes the ability to professionally and diplomatically discuss difficult topics while promoting the Company’s position.
Must have the ability to use MS Office programs such as Excel and understand financial statements and general accounting principles.
Strong report writing skills with the ability to generate accurate management reports and present them to the Executive Management Team.
Experience with Epic, NextGen or other major practice management system. Superior analytic and reporting knowledge essential.
BA degree in Accounting or related field preferred
Internal Number: MEM003325
About MemorialCare Medical Foundation
Let us introduce ourselves. We're MemorialCare, a nonprofit health system that includes four hospitals, two medical groups, imaging centers, surgical centers and much more. As one of the leading health systems in Orange County and Los Angeles County, we're confident that no matter what your needs are, we have the teams, tools and know-how to support you every step of the way.