Qureos Mentor

Advanced Dermatology and Cosmetic Surgery

JOB SUMMARY: The VP Revenue Cycle Management provides leadership and direction over all areas of the revenue cycle throughout the organization, from pre-visit insurance verification through the registration process, coding, post-visit claim filing, accounts receivable (A/R) oversight, denial management, medical records supervision, and customer service administration.
 REPORTS TO: Chief Financial Officer
 
ESSENTIAL JOB DUTIES PERFORMED: 
<ul>
<li>Directs strategic planning, strategic goals, and objectives in the revenue cycle department.</li>
<li>Establishes internal controls to ensure compliance with Medicare, Medicaid, and all other federal and state regulations relating to coding, billing, insurance claims and collections, business office operations, and Health Information Management (HIM).</li>
<li>Educates management and staff on revenue cycle standards and provide timely feedback of key performance indicators.</li>
<li>Maximizes the use of available technologies to insure that all performed procedures are reconciled to billed claims, improve revenue cycle workflow and maximize collections.</li>
<li>Standardizes revenue cycle reporting to include benchmarks and key performance indicators for all phases of the revenue cycle.</li>
<li>Provides financial data to company executives on a continuing basis, including analysis and operational planning.</li>
<li>Monitors and coordinates month end closing procedures with the Controller within the required time frame.</li>
<li>Maintains strictest confidentiality.</li>
<li>Complies with all State, Federal, professional regulations as well as company and departmental rules, polices, and procedural manuals.</li>
<li>Establishes processes to ensure the integrity and quality of data throughout the revenue cycle.</li>
<li>Provides direct oversight of revenue cycle including payer enrollment, charge capture, financial clearance house, coding, billing, cash reconciliation and collections of accounts receivable from payers and patients.</li>
<li>Collaborates with Information Management by improving the system support to enhance the revenue cycle.</li>
<li>Performs ongoing trend analysis and champions revenue cycle improvements.</li>
<li>Provides financial analysis for, and actively participates in, the review and negotiation of third party payer contracts.</li>
<li>Prepares monthly analysis and A/R reports; makes decisions regarding the collectability of A/R and oversees collections and bad debt write-offs; makes recommendations to facilitate the keeping of Days in A/R at acceptable levels.</li>
<li>Maintains up-to-date expertise and knowledge of the healthcare industry including billing laws, rules, regulations, and developments necessary for the organization to make informed business decisions.</li>
<li>Provides for coding education for physician practices.</li>
<li>Establishes operating budgets for areas of oversight; ensures that operations occur within approved budgetary constraints.</li>
<li>Oversees the provider credentialing and payer enrollment team and processes, manages to timeliness metrics.</li>
<li>Performs other job duties as assigned.</li>
</ul>
JOB-RELATED PROFICIENCIES: 
<ul>
<li>Knowledge of Medicare, Medicaid, and other federal and state regulations pertaining to insurance requirements, regulatory reimbursement, patient billing, and collection, etc.</li>
<li>Ability to analyze, assimilate and proactively anticipate factors with potential organizational receivables and reimbursement impact. Knowledge of CAP, CLIA, State Regulations, HIPAA, Safety and OSHA Regulations. Knowledge of insurance claims processing.</li>
<li>Knowledge of electronic billing and remittance processes.</li>
<li>Knowledge of medical terminology and CPT codes.</li>
<li>Knowledge of all contracted insurance plans within six months of hire date.</li>
<li>Gains expertise of A/R billing system; drives systems efficiencies, enhancements, and rollouts,</li>
</ul>
PROFESSIONAL/COMMUNICATION: 
<ul>
<li>Exhibits excellent leadership and management skills.</li>
<li>Establishes and maintain positive relationships with employees, physicians, vendors, clients, and external agencies.</li>
<li>Projects a professional manner and image.</li>
<li>Adheres to ethical principles; recognizes and respects cultural diversity.</li>
<li>Demonstrates initiative and responsibility.</li>
<li>Prioritizes and multi-tasks; manages time efficiently.</li>
<li>Works as a team member; adapts to change.</li>
<li>Effective, clear, and persuasive oral and written communication skills with individuals and groups; adapts communication for optimal understanding.</li>
<li>Maintains licensures/certifications as appropriate for position.</li>
</ul>
REQUIREMENTS: 
Bachelor’s degree in relevant field required; MBA preferred.
 Minimum 5 years of healthcare Revenue Cycle Management experience; 7 years of healthcare Revenue Cycle Management experience preferred.
 Availability to travel up to 15% of the time.

VP, Revenue Cycle Management

Join a workplace recognized by Newsweek as America's Greatest Workplaces for 2024. Advanced Dermatology and Cosmetic Surgery’s mission is to deliver the highest quality patient care and experience in dermatology and aesthetic services. We are currently seeking candidates with exceptional customer service skills to join our team as a Surgery Scheduling Team Lead. We strive to create a career destination that feels more like family than work. You will be working with a team of professionals for a well-known, highly regarded dermatology practice who puts our patients above all else.
 
Duties to include: 
<ul>
<li>Review weekly provider schedules to maximize utilization of provider availability for all team members, checking open slot reports daily, direct team where to focus as needed</li>
<li>Monitor Biopsy logs for accuracy, timely receipt of results, treatment of positive lesions within 4-6 weeks of confirmed diagnosis for all team members</li>
<li>Initiate skin cancer tracking tool; phone contact with patient; letters in a timely manner</li>
<li>Send precertification and prior authorization requests in a timely manner</li>
<li>Scheduling all MOHS, cancer treatment surgeries</li>
<li>Maintain OSHA Compliance</li>
<li>Perform patient call backs on same day of call</li>
<li>Assist physician/mid-level providers with patient care</li>
<li>Document in medical record as appropriate</li>
<li>Contact patients via phone/mail to confirm upcoming surgeries. ALL patient paperwork MUST be filled out PRIOR to the patient's surgery</li>
<li>Develop good working relationships with Location Manager and Regional Supervisor</li>
<li>Provide recommendations in disciplinary matters and career-pathing</li>
<li>Resolve issues with team members regarding attendance, performance, and behavior as appropriate, involving management when necessary</li>
<li>Conduct team meetings periodically, communicating company updates on a timely basis; communicate one-on-one with management when needed</li>
<li>Ability to coach, develop, and train schedulers, focusing on key performance metrics; ability to take charge and get results within a team environment, exceeding patient expectations and company goals</li>
</ul>
Requirements include: 
At least one year of Dermatology experience required
 
MA certificate of completion/diploma from medical vocational program
 
RN, LPN degree or diploma current active license or certification
 
Current CPR certification
 
Knowledge of vital signs is required
 
Working knowledge of dermatologic surgery and sterile technique
 
Knowledge of medical terminology
 
Must be computer literate
 
Compensation/ Benefits (*Eligible for Full Time Positions Only):
 
Referral Program
 
Benefits packages
 
PTO/6 Paid Holidays/Floating Holiday/Vacation Time
 
401K

Surgical Scheduling Team Lead - Maitland, FL

Join a workplace recognized by Newsweek as America's Greatest Workplaces for 2024. Advanced Dermatology and Cosmetic Surgery’s mission is to deliver the highest quality patient care and experience in dermatology and aesthetic services. We are currently seeking candidates with exceptional customer service and clinical skills to join our team as a Medical Receptionist. We strive to create a career destination that feels more like family than work. You will be working with a team of professionals for a well-known, highly regarded dermatology practice who puts our patients above all else.
 We offer a competitive compensation and benefits package, including:
 <ul>
<li>Incentive plans with additional earning opportunity up to an additional $2 more per hour!</li>
<li>Career advancement opportunities</li>
<li>Paid holidays, vacation, floating holiday, AND personal time off</li>
<li>Benefits packages, including medical, dental, STD, LTD, Life, and other voluntary benefit offerings (for employees working 30+ hours per week)</li>
<li>Up to 40% off products and cosmetic procedures</li>
<li>401(k) matching</li>
</ul>
Duties include but are not limited to: 
<ul>
<li>Facilitating the efficient and timely entry of the patient to the office setting;</li>
<li>Greeting all patients in a professional manner;</li>
<li>Handing out appropriate literature and information & forms to be filled out by patient; checking for accuracy and completion;</li>
<li>Copying insurance ID cards and driver's licenses as well as several other general office activities related to medical practice.</li>
<li>This person will also support the front office business administrators, and the Office Manager, in various operations areas and tasks.</li>
<li>This person will be responsible for pulling and filing patient records; frequent telephone communication with patients including outreach and scheduling support; new patient chart set-up; other duties as assigned by the Office Manager.</li>
</ul>
Other duties may include: 
<ul>
<li>Screening patients and employees daily upon entry</li>
<li>Checking patients In and Out</li>
<li>Rooming patients and keeping social distancing guidelines</li>
<li>Wearing proper Personal Protective Equipment (PPE)</li>
<li>Sanitizing and cleaning respective areas as needed</li>
</ul>
Requirements include: 
<ul>
<li>High School level education</li>
<li>Knowledge of medical terminology, medical computer programs and insurance policies preferred</li>
<li>Type 40 wpm</li>
<li>Proficiency in Word and Excel are required</li>
<li>The position requires someone who is personable, dependable, and responsible, with excellent organizational as well as verbal and written communication skills</li>
<li>Must have a positive attitude with impeccable customer service skills</li>
</ul>
ADCS Clinics LLC participates in equal employment opportunities for all individuals and abides by EEOC and nondiscrimination provisions of all applicable federal, state, and local laws and regulations. All applicants must have authorization to work in the United States.

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Join Advanced Dermatology and Cosmetic Surgery and explore 84   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.