Florence Health

Manager

• Own billing, provider enrollment, and billing compliance for Integrated Complex Care Associates
• Enroll and onboard physicians, including 855I reassignments, 855B practice locations, PECOS and NPPES updates, revalidations, and Medicare EFT/remittance setup
• Configure physician offices to submit ICC patient claims through ICC's payer ID and confirm end-to-end claims flow
• Maintain the provider roster, including physician payment arrangements
• Serve as the main billing contact for physician offices and conduct onboarding sessions
• Review every claim before submission to Medicare, checking CPT/HCPCS codes, modifiers, place of service, units, and diagnosis codes
• Approve, correct, or return claims to physician offices; release approved claims to Medicare under ICC's TIN
• Track claims through payment or denial
• Sample claims against physician EMRs, monitor physician error rates, and issue compliant documentation queries when appropriate
• Provide coding feedback and escalate patterns to physician leadership
• Post and reconcile Medicare remittances, work rejections and denials, and file corrections, reopenings, and appeals
• Reconcile Medicare payments to ICC with payments made to physicians or physician practices
• Explain ICC billing to patients and answer billing questions
• Screen rendering physicians and billing staff monthly against OIG and SAM exclusion lists
• Maintain billing and coding policies, document audits, and report findings to physician leadership
• Identify, report, and return Medicare overpayments within the federal 60-day rule
• Use physician EMR access only for ICC patients and as necessary under HIPAA
• Work under ICC physician leadership while employed and administratively supported by Integrated Complex Care MSO LLC

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Revenue Cycle Manager