This position is responsible for employee supervision and workflow management of front desk processes, surgery cost estimates, patient collections, insurance claims, payment posting, and accounts receivable. This position has specific responsibility for month-end reporting/analysis, monthly/quarterly ASC state reporting/analysis, and payer fee schedule analysis. This position serves as an operational and analytical manager. The analytical responsibilities include aggregating and transforming data along with performing in-depth data analysis to meet the needs of efficient data analysis and reporting. The analytical data provided is critical to key business decisions, compliance and financial success for Raleigh Orthopaedic Surgery Center. This position also serves as the point person for special projects related to business operations of ROSC. This position interfaces with physicians, ROC Management, ROC/ROSC Accounting, UNC/REX Management, and Contracted Payers on a regular basis. This position is also responsible for maintaining the file maintenance in Practice Management System, including Procedures, Fees, Payer Fee Schedules, Insurance Companies, etc.
College degree preferred and/or relevant and documented experience in coding and insurance/accounts receivables management in a medical practice environment. Coding certification (AAPC or AHIMA) preferred but not required. In-depth knowledge of CPT, HCPCS, and ICD-10 codes, understanding modifier usage and various coding rules as pertains to general/payer specific guidelines. Must have strong supervisory skills with experience managing multiple functions and staff members within an operational section. Must have exceptional analytical skills. Prefer candidates with experience not only using medical billing and practice management systems, but making periodic and necessary updates and modifications to them. This individual needs to be proactive and able to work independently in making decisions and identifying operational solutions. Requires excellent written and verbal communication skills and strong interpersonal and presentation skills. Expert level knowledge of Excel is required.
Internal Number: 2019-29
About Raleigh Orthopaedic Surgery Center
Raleigh Orthopaedic Surgery Center is an outpatient orthopaedic surgery center, which features four operating rooms and two procedure rooms with state-of-the-art technology. Raleigh Orthopaedic Surgery Center is a joint venture between Raleigh Orthopaedic Clinic and Rex Healthcare.The Raleigh Orthopaedic Surgery Center, which opened in the spring of 2013, brings together two premier organizations to provide patients with a new level of orthopedic surgical excellence. Because we are the largest outpatient surgery center in the Triangle to specialize exclusively in orthopedics, our patients receive outstanding patient satisfaction, superior clinical outcomes, and reduced costs.