Careers At Cayuga Medical Associates
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Revenue Cycle Team Lead - Patient Accounts

Department: CMA Revenue Cycle
Location: Ithaca, NY

Cayuga Medical Associates, a multi-specialty healthcare group in Ithaca, NY is currently seeking a Revenue Cycle Patient Accounts Leader in their Administrative offices. The purpose of this position is to optimize revenue and maximize control procedures at the assigned practice which is achieved by Monitoring and auditing performance metrics of all front end staff with regard to revenue cycle responsibilities and provides input from audits to the Reimbursement Manager. The Team Leader acts as the practice management system “super-user” for patient accounts/ledger information and reports updates to the Reimbursement Manager of outstanding billing issues on services provided by the providers and/or clinical staff.

Essential Job Functions

  • Maintains current expert knowledge in billing and revenue cycle
  • Audits performance metrics for Revenue Cycle Billing assuring that performance meets expectations
  • Acts as the super-user for the practice management system in regards to patient accounts/ledger. Acts as a resource to Front End Lead staff and/or Office Coordinator
  • Reviews all claims for completeness before submitting to coding
  • Reports regularly to Reimbursement Manager on any revenue cycle issues
  • Attend monthly Revenue Cycle meetings to review any revenue cycle issues
  • Attends training on payer updates (i.e. worker’s comp changes, etc)
  • Follows CMA process on submitting patient statements, collection letters and calls weekly.
  • Monitors patient accounts, contacts patients on insurance eligibility questions
  • Works with Cayuga Health Systems financial assistance. Works on spreadsheet data entry, eligibility, patient notification and coordinates with the Cayuga Health System.
  • Notifies Revenue Cycle Manager of any new procedures
  • Assists in creating financial plans for patients by phone and in person and monitors compliance in accordance with billing office procedures
  • Refers appropriate patient accounts to our internal financial assistance department
  • Performs insurance eligibilities by phone or online at specific insurance sites
  • Provides reports and excel spreadsheets as requested by supervisor/managers
  • Works with all locations on daily cash out process
  • Posts personal payments to accounts daily and balance daysheet daily
  • Provides training for appropriate staff with new processes and procedures as they pertain to the Revenue Cycle Department
  • Supplies a monthly report to the Revenue Cycle Supervisor on the status of current duties/projects
  • Keys charges to the practice management system when needed; performs the review and forwards to coding
  • Works with outside billing company on claims that need to be reprocessed
  • First contact for patients on account balance information
  • Monitors insurance eligibility and communicates with staff and patients

Knowledge, Skills and Abilities

  • Comprehensive knowledge of revenue cycle process
  • Expert knowledge of billing/coding per specialty
  • Expert knowledge of the PM system which includes the creation of customized reports
  • High level of accuracy and attention to detail – must perform critical tasks with 100% accuracy
  • Ability to create moderately complex spreadsheets and reports
  • Ability to receive data and create basic analysis
  • Ability to teach and provide feedback
  • Ability to interact openly and confidently with all levels of staff and providers
  • Effective communication skills, both oral and written
  • Ability to think creatively to problem solve and create solutions to difficult situations
     

Qualifications

  • High School Diploma or GED
  • Associates degree in Business Management preferred, or appropriate mix of education/experience
  • Additional education, coursework or certification in medical office billing and/or coding (specific to the designated specialty)
  • 2-3 years of experience in medical office billing and revenue cycle management
  • Demonstrated track record of high attention to detail and high level of accuracy
  • Exceptional communication skills and ability to provide instruction and education

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