Duties:
Supervises A/R team in the day-to-day operations of the Patient Financial Services Department. Provides strategic insight and recommendations on maximizing cash collections to Collections Manager and is responsible for claim submission process and payment/ cash posting though oversight of work assignments. Monitors quality and productivity performance measures. Collaborates with Patient Access, Registration, Case Management, HIM, Audit & Compliance and other areas of Patient Financial Services to manage the Collections process. Ensures adherence to processes and procedures. Running reports, cash reconciliation, and documentation of new processes. Assist in system migration and corresponding staff education RE: new electronic health record/ health information management system. Supervises staff responsible for payment posting and claims generation and submission process. Manages cash reconciliation and other key indicators.
Monitors staff production and QA scores. Measures performance; addresses improvement opportunities with staff.
Support Managers with payor communications including minutes, distribution to staff, conducts in-services and training as needed.
Collaborates with Patient Access, Registration, Case Management, HIM, Audit & Compliance and other areas of Patient Financial Services to ensure that revenue cycle flows efficiently and effectively.
Performs other duties as assigned by the Manager of Patient Financial Services Collections.
Education:
Education Required
High School Diploma / GED Required
Bachelor's Degree Required
Experience Experience Required
At least three (3) years Experience in a healthcare reimbursement environment Required
At least one (1) year Supervisory experience Required
At least one (3) year Medical Billing Required
At least one (1) year Cash Posting (Manual & Auto) Required
At least one (1) year Infusion Billing Required
Licenses, Certifications, and Registrations
Licenses/Certifications Issuing Agency Time to Obtain Required
Certified Revenue Cycle Representative (CRCR) Healthcare Financial Management Association (HFMA) within 6 months of hire Required
or
Hospital Business Institute (HBI) Certification Hospital Business Institute within 6 months of hire Required
Level 2 A
Languages:
English( Speak , Read , Write )
Skills:
Requires understanding of managed care business processes, data, systems, and applications for claims payment, enrollment and benefit design. Required
Must possess strong understanding of insurance billing & reimbursement procedures. Required
Excellent interpersonal & communication skills, and demonstrated organizational and leadership abilities. Required
Requires high level of analytical ability, and strong knowledge of system analysis and data gathering techniques. Required
Ability to work independently towards specific goals and objectives and provide recommendations for improvement. Required
Strong organizational and multi-tasking skills to apply toward high-priority assignments in order to meet established deadlines Required
Proficient computing skills, specifically healthcare related billing platforms, MS Office Products. Reporting abilities through business objects, crystal reporting, etc.
City: King of Prussia
Schedule:
Start Date: 12/04/2023
End Date: 03/01/2024
Hours Per Week: 40.00
Hours Per Day: 8.00
Days Per Week: 5.00 •
Last updated on Nov 9, 2023