Industry: Diagnostics
Location: Onsite Coppell, Tx
Compensation: Competitive; based upon experience
Job Functions
- Build and oversee the organization's Revenue Cycle Management (RCM) Integrity Program, ensuring compliance with payer requirements and applicable regulatory standards.
- Manage coding, data entry, billing, accounts receivable, reimbursement, and collections activities to ensure timely and accurate revenue cycle operations.
- Conduct routine RCM risk assessments and audits across both in-house and offshore operations to identify compliance risks and implement corrective action plans.
- Serve as the primary escalation point for complex revenue cycle issues by partnering with clinicians, sales teams, third-party billing vendors, and internal billing staff.
- Develop, document, and implement revenue cycle policies, procedures, and workflows that align with federal and state regulations, payer contracts, and reporting requirements.
- Administer payer portals and Electronic Data Interchange (EDI) connectivity with third-party payers.
- Monitor reimbursement regulations and implement operational changes to maintain compliance and maximize reimbursement opportunities.
- Analyze reimbursement data, prepare operational reports, and oversee resolution of identified billing and reimbursement issues.
- Identify opportunities for process improvement and implement approved initiatives to improve operational efficiency and financial performance.
- Collaborate with leadership to evaluate operational performance and implement process improvements.
- Train clinicians, sales teams, billing staff, and supervisors on coding, billing, reimbursement, and regulatory updates.
- Lead the selection, development, coaching, performance management, and evaluation of supervisors and staff.
- Direct daily activities of coding, billing, accounts receivable, collections, and data entry teams to ensure quality, productivity, and service goals are achieved.
- Address employee relations matters and recommend disciplinary actions when appropriate.
- Drive continuous improvement initiatives focused on achieving departmental KPI and performance goals.
- Bachelor's degree in Business Administration, Healthcare Administration, or a related field; equivalent combination of education and experience will be considered.
- Minimum of seven (7) years of healthcare billing or Revenue Cycle Management experience.
- Minimum of four (4) years of progressive leadership experience managing billing or revenue cycle teams.
- Strong knowledge of Revenue Cycle Management functions, including:
- Medical billing
- ICD-10 coding
- Data entry
- Accounts Receivable (AR) management
- Remittance processing
- Knowledge of Anatomical Pathology billing and reimbursement is preferred.
- Proficiency with Microsoft Office Suite, including Word, Excel, and Outlook.
- Experience working with payer portals and Electronic Data Interchange (EDI) systems.
- Strong analytical and problem-solving skills with the ability to interpret reimbursement and operational performance data.
- Excellent verbal and written communication skills with the ability to collaborate effectively across all levels of the organization.
- Demonstrated ability to work in a fast-paced, deadline-driven environment.
- Proven commitment to customer service, quality improvement, and operational excellence.
- Strong leadership skills with experience coaching, mentoring, and developing high-performing teams.
- Office environment.
- Prolonged periods of sitting and working at a computer.
- Regular use of a computer, keyboard, mouse, telephone, and other standard office equipment.
- Occasionally required to stand, walk, reach, bend, or lift up to 15 pounds.
- Must possess visual acuity sufficient to review reports, spreadsheets, and electronic documentation.
Estimated Min Rate: $33.66
Estimated Max Rate: $48.08
What’s In It for You?
We welcome you to be a part of the largest and legendary global staffing companies to meet your career aspirations. Yoh’s network of client companies has been employing professionals like you for over 65 years in the U.S., UK and Canada. Join Yoh’s extensive talent community that will provide you with access to Yoh’s vast network of opportunities and gain access to this exclusive opportunity available to you. Benefit eligibility is in accordance with applicable laws and client requirements. Benefits include:
- Medical, Prescription, Dental & Vision Benefits (for employees working 20+ hours per week)
- Health Savings Account (HSA) (for employees working 20+ hours per week)
- Life & Disability Insurance (for employees working 20+ hours per week)
- MetLife Voluntary Benefits
- Employee Assistance Program (EAP)
- 401K Retirement Savings Plan
- Direct Deposit & weekly epayroll
- Referral Bonus Programs
- Certification and training opportunities
Note: Any pay ranges displayed are estimations. Actual pay is determined by an applicant's experience, technical expertise, and other qualifications as listed in the job description. All qualified applicants are welcome to apply.
Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Visit https://www.yoh.com/applicants-with-disabilities to contact us if you are an individual with a disability and require accommodation in the application process.
For California applicants, qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. All of the material job duties described in this posting are job duties for which a criminal history may have a direct, adverse, and negative relationship potentially resulting in the withdrawal of a conditional offer of employment.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
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