Job Purpose

The purpose of the PHCS Executive Director is to supervise and manage the Platinum Healthcare Services department.

Essential Job Functions

• Supervise and Manage PHCS Billing Company
  • Review and evaluate employees on a continual and regular basis.
  • Reprimand and write up for offenses.
  • Coordinate coverage for vacation and sick days.
  • Train all new employees and keep informed of new policies and procedures.
• Responsible for PHCS Clients and their Billing needs.
• Backup for all PHCS Employees.
  • Billing and coding.
  • Precertification.
• Maintain monthly Reports for PHCS Clients as requested.
• Evaluate billing processes and procedures to ensure PHCS is compliant and efficient in all processes.
• Oversee the submission of claim reports and filing procedures.
• Ensure operations are performed in an accurate and timely manner.
• Update job knowledge by participating in educational opportunities.
• Serve as a resource to employees by answering questions, assisting with problems, and providing additional training.
• Other duties as assigned.

Qualifications

• Must be able to read and interpret documents, patient charts, etc.
• Must have knowledge of HIPAA and confidentiality law.
• Must have excellent communication skills, both oral and written.
• Must be able to prioritize and complete tasks in a timely manner.
• Must be able to effectively and efficiently manage employees.
• Must have excellent problem-solving skills.
• Must be able to meet deadlines.
• Must have knowledge of ICD-10 codes, CPT, and HCPCS codes.

Education/Experience

• Must have a high school diploma or equivalent.
• Must have at least (5) years’ experience in a medical billing position.
• Must have at least (1) year experience in a supervisory role.

Working conditions

This position works in the business office of a busy outpatient medical clinic. No direct patient contact is required for this position.

Physical requirements

This position requires that the employee be able to sit at a desk and work on a computer for up to eight hours a day. Some telephone work may be required in order to complete tasks.

Direct reports

This position is a supervisory position and supervises the following positions:

• PHCS Assistant Manager
• PHCS Billing Clerk
• PHCS Insurance Follow-Up
• PHCS Precertification Specialist

Education

• High School or better in General/Basics

Licenses & Certifications

• Certified Coder