Provides the necessary functions to bill, collect, analyze, and adjudicate all professional and/or hospital billing and collection functions. Executes and performs programs to insure efficient operations of program in order to generate sufficient cash flow to support operations and strategic initiatives. Responsibilities include billing and collecting for all third-party insurance payers, adjustment functions, cash application, adjudicating, identifying, analyzing, reducing and resolving various revenue enhancement, and credit balance issues associated with professional and/or hospital accounts receivable and insuring monthly cash flow. These responsibilities further include the management of a portfolio of accounts with respect to the successful adjudication of claims on a monthly basis. Performs professional and/or hospital billing and collection functions within the revenue management to include, but not limited to billing and collection functions, secondary collections, cash posting, A/R resolution, adjustments, credit balance resolution, revenue enhancement and cash flow for the various clinical service lines. Performs the above-mentioned activities of the revenue management to insure cost effectiveness and organizational efficiency. Furthermore, this position executes these functions in regard to how their function inter-relates to the other revenue management functions and all of the various third-party payers associated with the clinical service lines. Communicates their functional activities to their leader, senior management as it relates to billing, insurance follow-up, cash flow, cash application, revenue enhancement, organizational profitability, customer service, accounts receivable results and revenue management results. Works in conjunction with other areas to insure coordinated activities with respect to all revenue management needs. Participates in a minimum of sixty hours of classroom training per year. Involved, when required, in the development of various strategic plans. Develops, implements and directs various quality initiatives to insure continuous monitoring and improvements within the revenue management process. This includes performing overall departmental operating functions within pre-determined limits, ensuring operational efficiencies and obtaining pre-determined performance and quality targets. Provides analysis to supervisor and manager of trends and issues identified.

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