Honolulu, HI, 96823, USA
129 days ago
Ops Mgr, Professional Billing (Full-Time, 40 Hours, Day Shift)
RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES: • Coordinates, monitors, and manages the daily operations of the professional billing department. Works with designated staff to ensure accurate and timely processing of claims, overturning denials, appeals and credits. • Ensures functions and activities are performed in accordance with department procedures. • Ensures operations meet quality standards and established goals, objectives, and organizational initiatives. • Assists the Manager with activities to support the mission, vision, and strategic goals of QHS. II. TYPICAL PHYSICAL DEMANDS: • Seeing, hearing, speaking, finger dexterity. • Frequent: sitting. • Infrequent: walking, stooping/bending, reaching at and below shoulder level. III. TYPICAL WORKING CONDITIONS: • Not substantially subjected to adverse environmental conditions. • Exposed to heavy paper dust. IV. MINIMUM QUALIFICATIONS: A. EDUCATION/CERTIFICATION AND LICENSURE: • Associate’s degree in business, healthcare administration, health information management or related field; or two (2) years experience in billing, collections, patient access or finance may be substituted for the educational requirement. B. EXPERIENCE: • In addition to the educational requirement, three (3) years experience in hospital or physician practice billing/collections, preferably in a comparable organization. • One (1) year supervisory/leadership experience. • Knowledge of third party payor and reimbursement regulations, including Medicare/Medicaid program requirements. • Proficiency with Microsoft Office applications (Outlook, Word, Excel and PowerPoint). Equal Opportunity Employer/Disability/Vet
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