CCH Job Opportunities

"Work and live in a community that appreciates you. Practice your profession where it matters. Lower cost of living, higher quality of life. Candler County Hospital wants you!"

Candler County Hospital, P.O. Box 597, 400 Cedar Street, Metter, GA 30439
Fax: 912-685-3905 Email: kanthony@candlercountyhospital.com


QUALIFIED CANDIDATES’ APPLICATIONS WILL BE FORWARDED TO THE APPROPRIATE MANAGER. APPLICATIONS SUBMITTED FOR POSITIONS OTHER THAN THOSE POSTED WILL NOT BE CONSIDERED.

Revenue Cycle Manager

Job Type
Fulltime
Category
Non-Clinical
Contract Type
Permanent
Location
Metter GA
Job Description

ESSENTIAL FUNCTIONS of this job description include but are not limited to:

  • Supervise and evaluate assigned support staff in a timely manner. This position will oversee the Chargemaster, supervise Patient Accounting, Registration and Pre-Cert representatives for the hospital, Rural Health Clinic (RHC) and Physician Practices.
  • Works closely with Clinic Managers & Pre-Cert Supervisor on revenue cycle processes & issues.
  • Ensure accuracy of deposits, demographic and other information entered into the patient billing system.
  • Participate in program/service evaluation activities; facilitate changes in provision of service based on Continuous Quality Improvement results.
  • Compile and prepare various status reports for management in order to analyze trends and make recommendations.
  • Monitor data integrity for the Patient Accounting Systems for the Hospital, RHC and Physician Practices and report problems to the CFO or other appropriate personnel in a timely manner
  • Provide monthly report on the status of credit balances to CFO.
  • Monitor gross charges to determine the potential need for an update to the fee schedule on at least an annual basis. Report findings and recommendations to CFO as needed.
  • Coordinate with the Clinic Managers to stay current on credentialing issues, especially in the case of new providers, with an emphasis on scheduling mainly self pay patients for the new providers until they are credentialed with third party organizations.
  • Monitor volume of charge and collection posting on a monthly basis to confirm that Billing Specialists are keeping up with patient encounter volume. Recommend and/or implement changes to work schedule, as needed, when work flow in the Billing Department is significantly behind.
  • Responsible for ensuring the timeliness of processing and correction of rejected claims.
  • Maintain regular schedule for sending out billing statements in accordance with the Financial Policies and Procedures.
  • Maintain and process for review of all billing statements which are returned to sender - Utilize public records and other resources to make best effort to obtain accurate billing addresses.
  • Maintain a regular schedule for writing off bad debts, including a process which requires and documents attempts to collect or resubmit prior to removing the charge from outstanding receivables - Submit Bad Debt Write Off Report to CFO.
  • Work with Health Information Management personnel to monitor coding practices among providers to determine potential patterns of under coding or other irregularities.
  • Keep Billing Specialists up to date on third party coverage contracts, assuring that current contractual terms are understood and applied correctly.
  • Establish and maintain a regular process for follow up on patient accounts which are pending approval for third party coverage.
  • Work with Practice Managers and Schedulers/call center to assure that patients are informed of requirements such as income and/or insurance verification at the time that the appointment is scheduled - Confirm that patients who have coverage that is not accepted at our organization are made aware of this fact before appointment is scheduled.
  • Assure that the need for any referrals and/or authorizations are addressed at the time of scheduling the appointment.
  • Ensures on a daily basis that patients and their relatives are dealt with in a professional, courteous, and timely manner by the Business Office personnel.
  • Maintains safe, secure, and healthy work environment by following, and enforcing standards and procedures; complying with legal regulations.
  • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
  • Performs other tasks and duties as assigned in an efficient, effective and cost conscious manner, complying with all hospital policies, procedures, and regulations.

 

KNOWLEDGE, SKILLS, QUALIFICATION and EDUCATIONAL AND /OR EXPERIENCE REQUIREMENTS:

  • Bachelor’s Degree in Business, Healthcare Administration or equivalent and minimum of five (5) years of medical billing experience
  • Minimum of three years in a supervisory role
  • Knowledge of professional and institutional fee billing, reimbursement and third party payer regulation and medical terminology is required
  • Working knowledge of regulatory requirements pertaining to health care operations and their impact on operations
  • Strong problem-solving skills, ability to make timely decisions, & strong attention to detail
  • Demonstrated coding and billing knowledge/experience preferred
  • Experience with the physician credentialing process is preferred
  • Excellent organizational skills
  • Proficiency in Microsoft Office Suite
  • Strong organizational and interpersonal skills
  • Ability to:
    • determine appropriate course of action in more complex situations
    • work independently, exercise creativity, be attentive to detail, and maintain a positive attitude
    • manage multiple and simultaneous responsibilities and to prioritize scheduling of work
    • maintain confidentiality of all medical, financial, and legal information
    • complete work assignments accurately and in a timely manner
    • communicate effectively, both orally and in writing/electronically
    • handle difficult situations involving patients, physicians, or others in a professional manner
  • Provide excellent customer service skills and basic computer skills required
  • Possesses good interpersonal skills, initiative, integrity, flexibility, adaptability, and must be a team player

 

PHYSICAL DEMANDS / WORKING CONDITIONS:
Sitting, standing, walking bending/twisting, kneeling/squatting, reaching, climbing and should be able to lift 25 or more pounds using proper lifting techniques.  Rapidly changing and stressful environment.  Ability to communicate with various levels of people.  Possible exposure to communicable and infectious disease and hazardous materials. Occasional exposure to unpleasant patient or unit elements (accidents, injuries and illness).  Contact with patients under a wide variety of circumstances.  Subject to varying and unpredictable situations.  Handles emergency or crisis situations.  Subject to many interruptions.  Occasional pressure due to multiple tasks and inquiries. 

 

The information in this job description is intended to describe the general nature and level of work being performed by people assigned to this classification and requirements for the performance of this job. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.

CCH is an equal opportunity employer and drug free work place.