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Executive Director of Analysis and ClaimsFull TimePelham AL

Pelham, AL

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GENERAL PURPOSE: This position is responsible for management of staff (directly or indirectly), development, implementation, and/or administration of policies, procedures, and processes relating to the revenue cycle and related practice management systems. QUALIFICATIONS: u2022 Bacheloru2019s Degree in Health Care Management, Finance, or Accounting required. u2022 Two (2) to five (5) years of healthcare billing experience required. Prefer experience in home health billing. u2022 Possess strong organizational skills with ability to efficiently assimilate processes, organize tasks, track activities and manage multiple projects. u2022 Must have two (2) years prior management experience with the ability to manage resources (people, time, and budget). u2022 Must be knowledgeable of relevant federal, state, and / or appropriate billing guidelines. u2022 Must have solid ability to develop, implement, and track performance measures. u2022 Must have advanced computer skills in Excel and office equipment knowledge. u2022 Must be capable of performing the Essential Job Functions of this position, with or without accommodation. u2022 Must have strong communication skills, both oral and written. u2022 Must have strong customer service skills. u2022 Must be able to travel in or out of state. ESSENTIAL JOB FUNCTIONS: u2022 Train, supervise, and manage performance, customer service and development of claims, analysis, or related staff. u2022 Manage all aspects of the claims process, including but not limited to, building and maintaining dashboard reports, monitoring of various productivity metrics, quality assurance, billing corrections, and support to management and staff. u2022 Work with external customers or payers to manage systems or processes that impact claims. u2022 Conduct training for company on billing system(s) and processes and procedures. u2022 Manage billing system, system user set-up, maintenance and access termination and input of confidential data used for the revenue cycle. u2022 Timely preparation and distribution of scheduled reports and ad hoc to management and/or the Board. u2022 Auditing of claims process, claims management reports, and other identified claims related processes to ensure accuracy and integrity of claims. u2022 Work directly with Chief Operating Officer in achieving departmental goals.

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