Manager, Revenue Cycle Patient Accounts

Responsibilities

• Schedules the workload of the staff in accordance with the priority guidelines set by the Director.
• Communicates with the Director regarding any concerns or problems.
• Assigns work and monitors the staff's workload to ensure the quality and timeliness of work performed.
• Maintains responsibility for the overall level of dollars and days outstanding in both patient receivables and insurance receivables.
• Manages vendor relationships to ensure a high performing partnership.
• Ensures compliance with the requirements of various regulatory agencies.
• Ensures the timeliness and accuracy of account follow-up and collection.
• Evaluates the performance of external collection agents to ensure the maximum return of investment for Beacon Health System.
• Maintains good working relationships with all collection agents to ensure all problems are addressed in a timely manner and also ensures that outstanding customer service is provided.
• Manages the daily operation of the cash posting team, ensuring accurate and timely posting and reconciliation of all incoming cash payments within the hospital’s revenue operation.
• Analyzes and evaluates key performance indicators related to cash posting timeliness, accuracy, and backlogs, training the cash posting team on how to do the same.
• Oversees the functions of cash application, bank deposit, daily, weekly and monthly posting reconciliation and deposit files.
• Provides support to the electronic posting of payments.
• Oversees the processing of hospital charges for services rendered to payers.
• Maintains responsibility for the overall level of dollars and days outstanding in both patient receivables and insurance receivables.
• Ensures the quality and quantity of billing to ensure departmental and Hospital standards are met or exceeded.
• Facilitates the staff's investigation and response to inquiries and problems to ensure consistent and timely resolution.
• Communicates updates about governmental and non-governmental regulations to the staff in order to ensure compliance.
• Maintains accounts on the system to ensure claims are worked in a timely and efficient manner.
• Addresses and resolves patient and questions, concerns, complaints and requests in an efficient, prompt and courteous manner.
• Maintains staff productivity by running aging reports and holding the team accountable for performance metrics.
• Maintains write-offs to ensure proper approvals have been obtained and written off to the appropriate transaction codes.
• Oversees the insurance audit process to ensure the external auditors follow our policies and procedures.
• Manages all activities related to the transmission of all electronic claims (i.e., edit problems or edit changes and the daily download of claims).
• Identifies download problems and coordinates the resolution of these problems with the Information Systems Department.
• Manages all activities related to the refunding of overpayments and refunds (for example, patients, third-party payers and governmental agencies).
• Maintains up-to-date knowledge about government guidelines and industry standards.
• Develops programs, policies/procedures and plans of action to maintain and improve the Hospital's level of receivables outstanding.
• Recommends changes to the Hospital's Billing and Health Information Systems to ensure efficient and effective billing.
• Communicates with other departments and external agencies to provide or obtain information to resolve outstanding governmental patient receivables and third-party payers accounts.
• Develops and maintains strong working relationships with various external departments.
• Works in a positive, proactive and cooperative manner with other team members, patients, third-party payers and all other customers when providing information, seeking assistance and clarification and resolving problems.
• Researches, recommends and implements new processes and technology that will improve the quality of services provided by the Department.
• Communicates with the Director regarding any potential problems in a timely manner.
• Performs in a back-up role, as necessary, based on the day-to-day needs of the Department.
• Maintains Department records, reports and files as required.
• Completes other job-related assignments and special projects as directed.

Qualifications

• Bachelor’s degree in a Healthcare or Business related field.
• Knowledge for hospital and professional billing and follow up is required.
• Three to five years of management experience is required.
• Demonstrated success in Revenue Cycle experience for a minimum of five years will be considered in lieu of a Bachelor’s degree.
• Cerner experience is preferred.