Job Details

Requisition ID: 2025-50225
Location: US-TX-Houston
Position Type: Full Time
HR Rep / Recruiter: Colin Mix
Contact:

Responsibilities

Strong supervisory skills with direct working experience and strong verbal and written communications skills
Strong knowledge of physician billing, preferably in pediatrics, anesthesia and pain management with 3+ years of direct work experience
• Must have a strong knowledge and understanding of physician billing and claims generation
Should have knowledge and understanding of CMS Medicare and insurance payors claims filing requirements associated with modifier usage and concurrency compliance
Ability to reason through situations and make sound business decisions
Must work well with others and lead by example
Strong conflict management skills and the ability to resolve issues objectively and factually
Must have good project management skills with the ability to delegate and manage multiple projects and have excellent Excel and Word applications skills
• Ability to work under pressure with deadlines and manage processes that are time sensitive
Strong skills for documenting new processes and/or modifying existing processes
Ability to train others to perform their assigned task correctly and efficiently
Strong analytical skills and ability to apply to daily work flow and projects
Must be willing to work overtime and/or after hours as necessary to meet deadlines and willing to travel as needed for new anesthesia or pain management practice acquisitions work flow integrations
Must be receptive to change and promote new processes and changes to existing policies, procedures, functional area assignments or staff alignment as necessary
Must maintain knowledge, apply and promote compliance to the MEDNAX Services, Inc. policies and operating procedures in place for Accounts Origination, Batch Reconciliation and Document Control (Imaging Support Administration)
Must maintain specific staff productivity measures for account originators, batch reconciliations representatives and imaging support administrators to ensure productivity
Must meet weekly and monthly work flow deadlines in accordance with identified performance goals and measures
Must be able to communicate clearly and comfortably with providers (MDs or CRNAs) regarding medical record documentation or concurrency issues that require clarification
Must be able to communicate with hospital/facility staff regarding patient insurance and demographic information, electronic demographic needs/issues or patient medical records needs
Must be able to work in a fast paced work environment with deadlines and time constraints and able to communicate effectively with internal and external auditors, provide the documentation required for audit purposes and/or document and modify existing procedural documentation based on the outcome from the audit
Must be a strong team player, work well with staff and peers and have strong customer service skills
Coaches and assists assigned personnel to maximize productivity and teamwork which includes providing work direction, managing performance, supporting training and development, administering company policies and fostering positive employee relations
Teaches and mentors team leaders and supervisors that may report to them as members of their functional area work teams
Adheres to Pediatrix policies and procedures. Advises staff within and outside the department of changes. Supports and promotes adherence of all policies. Always monitors and measures employee performance and productivity.
Participates in administrative staff meetings and attends other meetings and seminars. Assists in evaluation of reports, decisions, and results of department in relation to established goals and requirements
Recommends new approaches, policies, and procedures to influence continuous improvements in departmentâs efficiency and services performed
Serves as a member of the Business Services Team and other project teams, and performs duties necessary to ensure the teamâs projects/goals are completed
Takes ownership of special projects, researches and analyzes data and follows through with detailed action plans
Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties
Prepares and maintains functional work area operational procedures and training manual standards
Prepares monthly productivity reports for areas of responsibility and uses to assist in the preparation of annual employee evaluations and/or with achieving monthly Business Services performance goals
Maintains a high level of confidentiality, ethical, and professional standards
Performs assignments accurately and on time, proactively and as directed
Interfaces with external and internal customers to ensure optimal efficiency of service
Perform other duties as assigned or requested.

• Two-to-four years related experience and/or training required; Bachelor's degree (B.A.) from a four-year college or university; or equivalent combination of education and experience.
• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
• Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
• Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.
• Understanding of medical terminology and protocols

Benefits for Full Time employees and qualified dependents:

• Medical, Prescription, Dental, Vision Insurance
• Progyny Fertility Benefits
• Livongo Diabetes Management
• Teladoc Health and Second Opinion Services
• Smart Shopper
• 401(K) Thrift Program & Sharing Plan**
• Employee Stock Purchase Plan (ESPP) â“ 15% discount*
• Basic Employee; Spouse; Child Life Insurance
• Accidental Death and Dismemberment (AD&D)
• Employee Optional Life and AD&D
• Short & Long Term Disability
• Pre-Tax Health Savings Accounts (HSA)
• Employee and Dependent Flexible Spending Account (FSA)
• Family Medical Leave Act (FMLA)**
• Parental Leave Benefit
• Sick Pay Bank
• Employee Assistance Program (EAP)**
• Group Aflac Policies
• Identity Theft Protection
• Employee Charitable Fund
• Care.com
• Various Discount Programs

*Part Time Regular employee classifications also receive this benefit

**Available to part-time regular and part-time casual employees aged 21 and over

Pediatrix Medical Group is one of the nationâs leading providers of highly specialized health care for women, babies and children. Since 1979, Pediatrix has grown from a single neonatology practice to a national, multispecialty medical group. Pediatrix-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices. The groupâs high-quality, evidence-based care is bolstered by significant investments in research, education, quality-improvement and safety initiatives.

Please Note: Fraudulent job postings/job scams are becoming increasingly common. All genuine Pediatrix job postings can be found through the Pediatrix Careers site: www.pediatrix.com/careers .

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

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