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CO Sr Production Unit Manager

InsideHigherEd
Baltimore, Maryland
$103.2K a year
Full-time

We are seeking a Sr. Pro duction Unit Manager to manage the professional fee billing staff to ensure timely and consistent reimbursement for services consisting of both coding and revenue cycle staff.

Interacts with physicians and their divisional managers to answer related questions and to clarify various billing concerns.

Provides trend analysis in revenue cycle, productivity analysis and maintains strict confidentiality of staff and patient information.

Specific Duties & Responsibilities

  • Working knowledge of Assistant, Associate and PUM roles and responsibilities.
  • Develop and monitor department group incentive plan targets. Analyze and present data for exceptions, if needed.
  • Provide assistance to the department Sr. Administrative Manager and Sr. Direction of Surgical Operations for Physicians Billing Service (PBS) in the form of analysis, consultation, planning day-to-day management of the financial and administrative billing operation of the department.
  • Manages professional fee billing staff to ensure timely and consistent reimbursement for services rendered by clinicians from patients, insurance carriers, and / or state and federal agencies as appropriate.
  • Explains monthly service, income and rejection-analysis reports to department physicians, faculty, administration, Clinical Practice Association (CPA) and Physicians Billing Service (PBS) management.
  • Institutes safety measures to ensure claims are submitted compliantly by creating system edits and rules.
  • Interface with CPA third-party, provider enrollment, credentialing and managed care representatives to discuss payment problems, coding compliance issues, and claim receipts.
  • Monitors charge and revenue budget variances and provides explanation to department Management.
  • Direct the development of billing policies and procedures for the departments' professional fee billing offices consistent with, and complementary to, those already in place with the CPA.
  • Monitors essential monthly reports to ensure productivity, unit, core services and CPA objectives are met for their areas of responsibility.

Minimum Qualifications

  • Bachelor's Degree in healthcare administration, business, or related discipline
  • 5 years of management responsibilities related to medical billing
  • 3 years of supervisory experience

Preferred Qualifications

  • CPC preferred
  • 10+ years of experience in healthcare management.
  • Strong critical thinking ability and familiarity with data analysis, and reporting systems : Epic, Cognos, Tableau.

Classified Title : Sr. Production Unit Manager

Job Posting Title (Working Title) : CO Sr Production Unit Manager

Role / Level / Range : L / 04 / LD

Starting Salary Range : $75,000 - $131,300 Annually ($103,150 targeted; Commensurate with experience)

Employee group : Full Time

Schedule : Mon-Fri, occasional evening / weekend as needed

Exempt Status : Exempt

Location : JH at Middle River

Department name : SOM Ane Production Unit Billing

Personnel area : School of Medicine

7 days ago
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