Centralized Billing Office Manager
San Jose, CA - USA
Job Summary
- Manage daily centralized billing operations and ensure timely completion of assigned revenue cycle activities.
- Establish and maintain standardized workflows procedures and work queues across supported centers.
- Monitor billing activity to ensure claims are submitted accurately and timely.
- Identify billing delays claim submission issues and workflow inefficiencies and implement corrective action.
- Ensure staff have the appropriate resources training access and tools to perform their responsibilities effectively.
- Maintain consistent revenue cycle processes across all assigned centers while addressing center-specific operational needs.
- Oversee centralized A/R and collections activities to support organizational cash and A/R goals.
- Monitor A/R aging outstanding balances payer trends and collection activity.
- Ensure timely follow-up on unpaid and underpaid claims.
- Monitor productivity and account resolution to ensure staff are working assigned inventory appropriately.
- Identify significant payer billing authorization or reimbursement trends and escalate issues appropriately.
- Partner with the Revenue Cycle Director on strategies to reduce aged A/R and improve cash collections.
- Supervise coach and develop centralized business office staff.
- Establish clear expectations for productivity quality timeliness and accountability.
- Conduct regular performance monitoring and provide coaching and feedback.
- Assist with hiring onboarding training and development of centralized revenue cycle staff.
- Cross-train employees to create operational flexibility and reduce workflow disruptions.
- Monitor staffing capacity and recommend workflow or staffing adjustments based on volume and business needs.
- Foster a collaborative accountable and solutions-oriented team environment.
- Monitor and report key revenue cycle performance indicators including:
- A/R days
- A/R aging
- Cash collections
- Unbilled A/R
- Claim submission timeliness
- Denials
- Underpayments
- Collection productivity
- Payment posting timeliness
- Outstanding work queues
- Review performance trends and identify opportunities for improvement.
- Prepare routine operational reports and summaries for the Revenue Cycle Director.
- Assist in establishing department productivity standards and performance benchmarks.
- Identify opportunities to centralize standardize and streamline revenue cycle processes.
- Develop and maintain standard operating procedures workflows and training materials.
- Participate in revenue cycle transformation and process improvement initiatives.
- Support implementation of technology vendors systems and workflow changes.
- Collaborate with Revenue Cycle leadership and center leadership to eliminate redundant processes and improve cost-to-collect.
- Assist with identifying opportunities to consolidate work across centers based on volume staffing capacity and operational needs.
- Partner with center Business Office Managers Administrators clinical leadership and corporate departments to resolve revenue cycle issues.
- Serve as a centralized point of contact for day-to-day billing and A/R operational questions.
- Communicate issues requiring escalation to the Revenue Cycle Director with appropriate background supporting data and recommended solutions.
- Collaborate with payer contracting/managed care coding authorization credentialing and other departments as necessary to resolve reimbursement issues.
- Maintain effective communication between centralized staff and individual surgery centers.
- Ensure revenue cycle activities are performed in accordance with company policies payer requirements applicable regulations and internal controls.
- Maintain appropriate documentation and controls related to billing collections payments adjustments and account resolution.
- Identify and escalate compliance concerns or potential billing issues.
- Promote accuracy and quality throughout all centralized revenue cycle processes.
- 3 years of progressive experience in healthcare revenue cycle management medical billing accounts receivable or business office operations.
- Previous supervisory or management experience.
- Strong understanding of the healthcare revenue cycle from front-end processes through billing A/R collections and payment posting.
- Experience working with multiple locations departments or business units preferred.
- Strong analytical organizational and problem-solving skills.
- Ability to interpret revenue cycle reports and performance metrics.
- Strong communication and interpersonal skills.
- Proficiency with Microsoft Office and healthcare revenue cycle systems.
- Experience in ambulatory surgery centers outpatient healthcare or physician practice revenue cycle.
- Experience managing centralized/shared-service revenue cycle operations.
- Experience with revenue cycle process standardization and centralization.
- Experience implementing or optimizing billing systems technology or third-party vendors.
- Revenue Cycle Expertise
- Leadership & Accountability
- Analytical & Financial Acumen
- Process Improvement
- Team Development
- Problem Solving
- Communication
- Organization & Prioritization
- Change Management
- Cross-Functional Collaboration
- Timely and accurate billing
- Improved A/R performance
- Achievement of cash collection goals
- Reduction of aged A/R
- Timely resolution of denials and underpayments
- Improved staff productivity and accountability
- Consistent adherence to standardized workflows
- Reduction of unnecessary or duplicative work across centers
- Effective centralized staffing utilization
- Improved communication and service to supported centers
- Successful implementation of revenue cycle process improvements
Benefits:
- Comprehensive health dental and vision insurance
- Health Savings Account with an employer contribution
- Life Insurance
- PTO
- 401(k) retirement plan with a company match
- And more!
Equal Employment Opportunity & Work Force Diversity
Our organizationis an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race color creed sex religion marital status age national origin or ancestry physical or mental disability medical condition parental status sexual orientation veteran status genetic testing results or any other consideration made unlawful by federal state or local laws. This practice relates to all personnel matters such as compensation benefits training promotions transfers layoffs our organizationiscommitted to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.
Required Experience:
IC
About Company
Surgery Partners, a leading operator of surgical facilities and ancillary services, provides healthcare experiences between providers and patients.