ESSENTIAL DUTIES AND RESPONSIBILITIES
- Ensures compliance with state and federal laws and regulations
- Maintains a thorough understanding of health insurance and government programs, where necessary
- Facilitates the identification of issues and solutions by team members related to delays in achieving payment resolution.
- Monitors collection processes to determine cash flow improvement opportunities
- Manages the aging of accounts receivable by trending and analyzing the A/R, and through communication with the payors
- Works with A/R supervisors to identify department training needs for system education, industry updates and changes in collection processes and protocols.
- Works with A/R Supervisors and staff to ensure that employee productivity and quality meets standards.
- Manages desk assignments to meet employee productivity and collection efforts across all client facilities.
KNOWLEDGE, SKILLS, ABILITIES
- Advanced knowledge of healthcare A/R
- Excellent working knowledge of Patient Financial Services operations with specific focus on Inpatient and Outpatient Managed Care and Commercial payors (i.e., Medicare regulations and compliance; HIPAA
- Proficient in Microsoft Office (Word and Excel)
- Advanced writing skills
- Ability to provide advanced customer service
- Ability to plan and implement process improvements
- Ability to train and coach staff
- Ability to multi-task
- Strong leadership and organizational skills
- Proficient in building a strong team to meet performance goals
- Very good written and verbal communication skills
- Strong interpersonal skills
- Strong technical skills, including PC and MS Office Suite knowledge
EDUCATION / EXPERIENCE
- 4 year college degree in Healthcare Administration, Business or related area or equivalent experience. MBA/CPA preferred
- 5 – 10 years experience in Healthcare Administration or Business Office
- 2 – 3 years supervisory experience
CERTIFICATES, LICENSES, REGISTRATIONS
- HFMA-Patient Accounts or Hospital Accounting Certification encouraged
