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Reporting to the Manager of the Group Practice Management Department, the ABM supports the Revenue Cycle Account Manager to manage the PBO’s client relationship and coordinate the processing, reporting and analysis of key revenue cycle activities.
- Work with a specific set of clients/practices to provide high quality client support
- Provide research support to RCAM and assigned practices related to AR management, patient/customer service complaints and Third Party Requests for information
- Monitors Revenue Management Report to identify accounts in EPIC Workqueues that need resolution and reviews and processes necessary account actions to resolve issues.
- Creates, runs, and compiles reports for the RCAM/Client
- Maintains documentation of key practice and GPM workflows to maximize the efficiency of the Revenue Cycle Process, manage the AR and achieve compliance with GPM Service Standards.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
- Assists Revenue Cycle Account Manager in completing tasks including, but not limited to: report review and distribution, billing account inquiries, charge reconciliation and research of missing charges, procedure code dictionary maintenance and other essential Master files.
- Works with the RCAM to analyze information on trends for practice groups; may involve account research and downloading or inputting information into spreadsheets.
- Provides research and follow-up for inquiries from Customer Service. Assists RCAM and GPM Managers to note trends in service inquiries.
- Provides telephone coverage to answer practice-specific questions.
- Attends meetings and participates on committees, provides account follow-up, and handles special projects as needed
- Pulls monthly rejection detail. ABM is responsible for pivoting rejections and analyzing rejections prior to RCAM review.
- ABM needs to be able to guide assigned practices to obtain necessary Equipment or devices for Credit card and check processing.
- Work EPIC Workqueues and resolve edits in compliance with GPM Service standards for assigned billing areas.
- Understand how to access the Chargemaster Database and the EPIC Record Viewer to be able to review, interpret or propose updates to the data within the various Master files that GPM utilizes.
- Run IPORT or EPIC queries and sort and format in a presentable manner.
- Maintain and manage assigned shared folders.
- Complete Service Now tickets and other forms on PBO Online
- Develop a thorough understanding of the practice(s) they support.
- Develop and Maintain a working knowledge of all charge capture processes that are utilized by the practices that they support. Assist with Charge Reconciliation.
- Review accounts referred for write-off and document collection efforts prior to transferring for write-off approval.
- Assist with the orientation and training of new staff
- Other responsibilities that may be assigned as needed to support MGPO practices and the mission of the MGPO.
SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
- Must be able to juggle multiple projects and issues at the same time.
- Effective communication skills required.
- Excellent follow up skills required.
- Must have excellent medical terminology
WORKING CONDITIONS:
- The work environment is very busy and dynamic.
- Staff are very collaborative and work together to solve issues with particular practices.
- There are often multiple conversations occurring at the same time – need to be able to function efficiently in an environment that is not always quiet
QUALIFICATIONS:
- Bachelor’s degree preferred.
- Previous Professional Billing experience preferred (preferably in an EPIC environment)
- Knowledge of Microsoft Office applications (particularly Excel and Outlook)
SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
- Must be able to juggle multiple projects and issues at the same time.
- Effective communication skills required.
- Excellent follow up skills required.
- Must have excellent medical terminology
