Revenue Cycle and Compliance Manager

Center For Sight - Venice, FL

About Center For Sight:

Located in Sarasota, FL, Center For Sight is one of the leading multi-specialty eye and skin care practices in the United States.  With 7 area locations, 28 doctors, and 250 amazing staff members, we are the largest practice in Southwest Florida, managing over 100,000 patient visits per year system-wide.  We operate out of our own AAAHC accredited ASC, located within our central office in Sarasota, and perform over 10,000 surgery cases per year.

Sarasota, Florida – West Coast:

Sarasota boasts an outstanding quality of life with many amenities.  Our Siesta Key Beach was named the #1 Beach in the USA in 2017, and there is a vibrant arts and culture scene in addition to the endless outdoor activities families can enjoy.  With its beautiful beaches, no state income tax, and rapidly growing population, Sarasota provides an idyllic opportunity to live and work in paradise.

Essential Job Functions:

-Oversee the Revenue Cycle and Patient Financial Services Departments responsible for:

  • Daily submission of clean claims
  • Coding to the level  supported by documentation
  • Benefit verification
  • Coordination of all reviews, audits, and appeals
  • Effective patient billing and communication
  • AR Reporting
  • Collections per corporate policy
  • Management reports as directed

-Oversee third party payor compliance:

  • Daily internal audits in accordance with practice benchmarks relating to coding, supporting chart documentation, and required payor guidelines
  • Report data on all CMS and third party payor performance metrics to include MACRA/MIPS rules
  • Serve as subject matter expert on all matters of Medicare/Medicaid  and third party reimbursements
  • Communicate payor claim submission guidelines and coverage requirements to all applicable employees

-Ensure company is compliant with HIPAA, OSHA and other regulatory standards, and coordinate internal compliance education and quality reviews

-Monitor provider credentials and contracts so as to ensure they are current and in force at all times

-Negotiate and monitor insurance contracts to ensure maximum benefit

-Develop and maintain positive rapport with payors, referring physicians, their staff, and CMS intermediaries

Qualifications:

  • Minimum of 5 years of experience  in healthcare revenue cycle management
  • Bachelor’s degree in business, healthcare, or management
  • Prior supervisory experience
  • Certified Professional Coder (AAPC) preferred
  • Strong orientation to detail and deadlines
  • Clear, concise, and persuasive writing and presentation skills

Benefits:

We offer a competitive benefits package, which includes health, life, disability and dental insurance, 401K plan, generous vacation and holiday pay, and many employee discounts.

  • Exciting news for 2017!  US News and World Report ranked Sarasota as the #1 best place to live in Florida. Learn why residents love Sarasota here:  http://www.heraldtribune.com/news/20170303/7-reasons-sarasota-is-best-place-to-live-in-florida
  • See what it’s like to work at Center For Sight, click here:  http://www.centerforsight.net/about/career-opportunities/

To apply send your resume to:  hr@centerforsight.net

Drug and Smoke Free Workplace


Center For Sight

Center For Sight

Venice, FL

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