Director, Billing and Collections - Physician Practice Plan

Summary

The Director, Billing and Collections - Physician Practice Plan manages and coordinates daily operations, which consists of billing professional CMS-1500 claims.  Additionally, the Director is responsible for insurance collections from governmental, managed care and commercial payors.  This includes the evaluation and appeal of both clinical and technical denials.  

• Five years management experience in a billing and collections function for a large physician practice plan within a healthcare provider organization;
• Knowledge of a patient revenue cycle;  knowledgeable regarding CMS billing regulations, Managed Care Payor Coverage Policy Bulletins, and other regulations and guidance;
• Epic systems proficiency; 
• Bachelor’s Degree in business or health care related field; Master’s Degree is highly preferred.