Manager Patient Accounting - Hospital Medicare Billing
Manager Patient Accounting - Hospital Medicare Billing
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Salary Not Disclosed
1 Vacancy
Job Description
The Manager Patient Accounting reflects the mission vision and values of NM adheres to the organizations Code of Ethics and Corporate Compliance Program and complies with all relevant policies procedures guidelines and all other regulatory and accreditation standards.
Manage staff responsible for resolving unidentified payments and credit balances for the organizations clinical and hospital services through the appropriate application of adjustments and refunds. The manager is the primary contact for refund services and other cash receipts. The Patient Accounting manager provides accounts receivable management support by ensuring the smooth day to day operation of the department leveraging systems and the team of Operations Coordinator(s) Team Lead(s) and staff positions towards the achievement of daily weekly monthly performance targets. This individual is responsible for recruiting interviewing hiring training reviewing promoting and disciplining Patient Accounting staff members ensuring they understand NMHCs vision Patients First philosophy and their individual efforts towards the achievement of this vision. Fiscal responsibilities include developing the annual operating budget monitoring and controlling budget expenditures including overtime temporary support and operating expenses to avoid negative variances remediates overages as required to within annual fiscal budget. The Manager is accountable for achieving institutional and departmental goals and objectives actively supporting NMHC strategic goals and objectives while ensuring full compliance with all policies and procedures.
Responsibilities:
- Directs and coordinates all the activities functions and responsibilities of the Patient Accounting Department Operations related to optimum third-party accounts receivables management (i.e. Managed Care Commercial Medicare Medicaid Replacement plans Workers Compensation Corporate Accounts Research Specialty AR Accounts).
- Leverages all available systems to support optimum AR management such as Epic Hyland OnBase PassPort Cerner EMR Recondo NDAS TransUnion JP Morgan Receivables Edge and payer specific websites.
- Establishes and updates job descriptions quality assurance criteria division policies and operational procedures.
- Formulates departmental performance metrics quality assurance customer service and employee satisfaction target goals for billing account follow-up cash processing and customer service work for any measurable productivity and quality standards which are benchmarked to an industry standard or NMHC internal standard.
- Develops department policies and procedures and coordinates with other departments to develop and maintain policies and procedures affecting the goals and objectives of the team and the entire revenue cycle.
- Review operational reports & complete AR analysis on a daily weekly monthly or as necessary basis of key performance indicators (KPIs) making necessary adjustments to staff resources workflows or prioritization of work in order to reach the departments stated goals.
- Manage people processes and projects to implement the overall strategies and achieve the goals of the Patient Accounting department.
- Leads and/or represents Patient Accounting in meetings with departments and hospital committees such as FOSC EWI/FSR EDI Work Group Free Care Committee Level of Care Write-offs & Appeals monthly pre-close meeting Managed Care Issues meeting monthly vendor meetings etc.
- Works closely with NMHCs Information System and Compliance & Corporate Integrity Departments to ensure all revenue cycle systems workflows and AR processes are secure and compliant per all regulatory guidelines (JCAHO HIPAA Patient Privacy ACA Consumer Protections etc.).
- Identifies opportunities for and leads/participates in Lean Six/Sigma and process improvement activities.
Qualifications :
Required:
- Bachelors degree or equivalent experience.
- Demonstrated management competency & experience.
- Knowledge of hospital and/or physician HIS systems. Strong leadership organization planning and time management skills required.
- Excellent analytical skills required high proficiency in excel.
- Excellent verbal written communications and presentations skills required. Excellent interpersonal skills required. Customer Service experience.
- Project management skills and ability to effect change is required.
Preferred:
- Five to seven years of increasingly responsible positions within Medicare Billing
- Knowledge of Medicare Credit Report
- Knowledge of Epic Systems. Knowledge of Epics Single Billing Office (SBO)module.
- Knowledge of Process Improvement methodologies such as LEAN/Six Sigma.
- Knowledge of NMHC systems. Knowledge of NMHC policies and procedures.
Additional Information :
Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age sex race color religion national origin gender identity veteran status disability sexual orientation or any other protected status.
If we offer you a job we will perform a background check that includes a review of any criminal convictions. A conviction does not disqualify you from employment at Northwestern Medicine. We consider this on a case-by-case basis and follow all state and federal guidelines.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical emotional and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Remote Work :
No
Employment Type :
Full-time
Employment Type
Full-time
