Summary

This position will be responsible for the overall billing functions of the clinic, and will manage 4 FTE.  Most importantly the position will be accountable to insure the clinic system is appropriately billing payers.  Will be the the primary resource to our clinic providers to not only insure reimbursements are maximized, but also be an education resource to them.

The Baylor Teen Health Clinic currently provides pregnancy testing, family planning, sexually transmitted diseases (STD) and HIV/AIDS education and screening, primary healthcare, and case management services to teens, their partners, and adolescents in Harris County. The clinics provide services to teens from the age of 13-24.
 
Services We Provide:

• Comprehensive Exams (Male & Female)
• Gynecological services
• Birth control and family planning
• Sexually transmitted disease screening and treatment
• Primary healthcare
• Immunizations
• HIV/AIDS education and screening

Job Duties

• Manages the overall billing process of the 8 clinic system, from provider documentation and coding to payer reimbursements.
• Manages the process of validating payment accuracy from payers, TMHP and State Grants.
• Serves as a resource for clinic employees/providers, and coordinates and provides education and training to insure reimbursements can be maximized.  Able to recognize financial and operational areas that need improvement.
• Manages contracts and relationships with payers, including 3rd party billing aggregators for State Contracts.  Will be the primary resource to react to and solve payment related issues with these entities.
• Takes initiative to identify improvement opportunities, prioritize them, communicate them and see them through to completion.
• Will have overall responsibility and accountability for the revenue cycle process of the 8 clinic system, from provider documentation and coding to payer reimbursements.
• Manages and reports on accounts receivable activity.
• Identifies lost revenue and process gaps.
• Performs other duties as assigned.

Minimum Qualifications

• Bachelor's degree in a related field.
• Four years of relevant experience.