Experience

Tandem Hospital Partners, LLC

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Director Of CBO

  • Mar 2017 - Present

  • Set-up of CBO for Facility and Professional billing for hospitals and professional groups in Indiana, Kansas and Tulsa. • Hiring staff for Biller, Customer Service, Insurance Follow-up, Payment Posting and Professional provider enrollment. • Setting of policies and procedure for the CBO. • Training of CBO on Practice Management systems, Clearinghouse • Responsible for account follow up processes to ensure timely payments billing and follow up processes to insure timely and accurate payments. • Ensure all technical billings processed in accordance with departmental policies and regulations. • Train staff on all regulatory and contractual billing requirements. • Knowledgeable of physician billing forms and processes related to professional fee billing. • Manage and coordinate commercial and governmental billing functions associated with inpatient and outpatient billings. • Manage and coordinate governmental follow up activities. • Manage and coordinate physician and facility billing activities as contractually required for Manage Care Contracts. • Responsible for assuring claim are billed and monitored for correct reimbursement. • Responsible for ensure credentialing document were maintained and credentialing was done timely • Responsible for establishing and monitoring billing staff productivity to assure departmental, unit and individual goals are met consistently. Provide training and counseling as required. • Prepare and provide management reports to track key financial indicators. Responsible for working with the IT Department to ensure all electronic billing edits are updated and revised as needed. • Management and review of third party billing requirements and updates to assigned staff. • Development of policies and procedures for Business office functions. • Staffing including hiring, counseling, evaluating, and providing recommendations regarding FTE requirements. Provide routine communication to peer level employees.