Responsibilities will include:
 Facilitates the collection of earned reimbursement, reviewing payor contracts to ensure
contract fees are modeled accurately in the billing system and working with billing staff
to identify variances in actual payment.
 Identifies and implements solutions to problems and issues affecting revenue cycle
functions, working collaboratively with other departments within our healthcare
system, including the MSGs and University Hospital (UH).
 Develops and organizes groups/committees to address issues to improve oversight and
efficiency of the revenue cycle.
 Reviews and tracks payment trends, presents data, makes recommendations for
problem and issue resolution based upon staff findings, and reports findings to
leadership.
 Resolves complex physician professional billing issues in a timely manner.
 Leads and mentors revenue cycle subject matter experts and their supporting teams
within MedBest and the MSGs, ensuring a high level of engagement and productivity.
 Prepares service level metrics and explanatory summaries for leadership.
 Develops MSG standards and procedures for all points of the revenue cycle including,
but not limited to, charge capture, data entry, payment posting, insurance follow up,
collections and denials management.
 Adheres to all department and organization policies, procedures, and best practices.
 Maintains working knowledge of applicable Federal, State, and local laws and
regulations. Monitors billing compliance with all third-party payer regulations.
 Maintains confidentiality in compliance with HIPAA regulations and ensures that
department remains compliant with all relevant regulations.
 Completes other duties as needed and assigned.

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