Manager of Government Billing
Company: Renown Healthcare
Posted on: April 16, 2019
Under the direction of the Assigned Department Director, this
position is accountable for the daily operations and functions of
accounts receivable, cash support services and credentialing (as
designated) within the Business Office. This position is
responsible for ensuring that the cash flow needs are met through
efficient management of all revenue collection functions across the
continuum of Renown Health System to ensure a decrease in denials
and underpayments while increasing the optimal efficiency of
Position is responsible for maintaining departmental standards of
excellence as established by the Director.
Nature and Scope:
This position must possess extensive healthcare claims knowledge
and have been responsible for the appropriate, compliant billing to
insurance companies and patients, including third-party payer
arrangements, legal proceedings, and the use of private collection
agencies, with an understanding of how the revenue cycle processes
and systems integrate information from the entire patient encounter
to ensure appropriate follow-up to provide expedient, accurate
collections to attain the departmental goals and objectives.
Responsible for the management of Pre-Accounts Receivable to
include Discharged, Not Final Billed accounts, Charge Router and
Charge Review Work Queues, Claim Edit Work Queues and claims
processing, remittance adjudication, the balancing of cash and
credit balances, no response claims, clinical and technical denials
through a strong follow-up and appeal process for designated
Proactively works with internal departments to improve up-front
performance relative to data collection and input as well as
upfront collections, coordinate the provision of feedback and
education to providers regarding proper charging and coding
practices. This position coordinates with various people and
departments throughout Renown Health to ensure all billing
information is available to complete the billing process in a
Responsible for maintaining current knowledge of federal, state and
third party billing and reimbursement requirements, providing
technical information to peers, subordinate staff and ancillary
departments to support the reduction of accounts receivable and
increasing cash flow by initiating ideas which will impact these
areas. Other related duties and overtime may be required.
The Manager will work closely with the Revenue Cycle Management
team to establish policies and procedures and create annual
strategies in order to ensure timely, efficient billing,
third-party follow-up, self-pay follow-up and agency
This position has the authority to authorize write-offs and
adjustments to patient's accounts in compliance with department
policies; to plan, develop, and implement billing procedures; to
hire, commend, evaluate, discipline, and terminate employees under
direct supervision; schedule employees; designate work, and
schedule meetings with other departments and outside agencies.
This position does not provide patient care.
The foregoing description is not intended and should not be
construed to be an exhaustive list of all responsibilities, skills
and efforts or work conditions associated with the job. It is
intended to be an accurate reflection of the general nature and
level of the job.
Minimum Qualifications: Requirements - Required and/or
Bachelors degree in related field. Experience in related fields may
be subsitiuted for education on a year for year basis. Must have
working-level knowledge of the English language, including reading,
writing and speaking English.
Five years healthcare business office experience required. Must
have proven experience compliance and government regulations
surrounding the Medicare/Medicaid programs. Must have experience in
payor audits, HIPAA/EDI compliance and charge master
CPAT, CPAM, or ACMPE preferred.
Computer / Typing:
Must be proficient with Microsoft Office Suite, including Outlook,
PowerPoint, Excel and Word and have the ability to use the computer
to complete online learning requirements for job-specific
competencies, access online forms and policies, complete online
benefits enrollment, etc.
Keywords: Renown Healthcare, Reno , Manager of Government Billing, Government & Protective Services , Reno, Nevada
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