Business Office Director

Journey Health Systems

47 Beacon Light Way

Bradford, PA 16701

800-345-1780

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Description

Oversees the daily management for referral processing, insurance verification, billing, accounts receivable and collections.

Tasks

  • Direct supervision and management of the daily functions of the department, which includes processing referrals, verifying insurance/communicating to programs ability to admit, coordinating benefits, benefit assignments in EMR, charge master maintenance, billing and invoicing payers, accounts receivable follow up, and appeals processes.
  • Direct supervision and management of the daily functions of the department.
  • Oversees all referral processing through insurance verification; ensures that staff communicates with program staff to ensure benefits are available and assists in benefit coordination.
  • Reviewing revenue contracts and overseeing contract set up for all revenue sources in the electronic billing system; maintains current understanding of all payer fee schedules, timely filing parameters and other key data elements and translates accurately to the charge master.
  • Maintains a comprehensive understanding of any modifications or upgrades to the billing system and assesses impact on current operations.

Qualifications / Education

  • Minimum of Associate's degree
  • Bachelor's degree preferred in business, accounting or related field
  • Minimum of 5 years' experience, in management of insurance verification, billing and collections, or related managerial experience required

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