Manager Hospital Billing (Hybrid RemoteIn-office)

Ann & Robert H. Lurie Childrens Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence kids and their families are at the center of all we do. Ann & Robert H. Lurie Childrens Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.

Provides leadership and direction to the revenue cycle department. Ensure all hospital accounts are billed as cleanly as possible. Ensures all claim edits Discharge Not Billed (DNB)s and Stop Bills are worked timely. Identifies trends with payer rejections and works to understand root cause. Ensures department productivity and monitoring of work queues. Identifies training gaps and provides coaching to staff. Continuously collaborates with other leaders and vendors on workflow improvements. Reporting to the Director the Manager Revenue Cycle serves as a liaison to payors revenue cycle staff and hospital clinical departments by ensuring effective communication between all parties.

Essential Job Functions:

Leadership Accountabilities:

Clinical Quality Outcomes

Establishes and maintains high standards for quality of care & patient safety.

Takes initiative to improve both processes and outcomes incorporating best practices and innovations in professional field.

Ensures compliance with Lurie Childrens policies and all accreditation & regulatory bodies and their standards.

Strategic Growth

Compellingly communicates to staff the critical role they play in achieving Lurie Childrens mission and strategic goals.

Facilitates organizational change initiatives; leads and supports staff in adapting to a rapidly changing health care environment.

Facilitates development and achievement of professional & personal goals for self and staff.

Effectively recruits orients develop & retains a talented and diverse workforce.

Brand Identity

Strengthens our brand as a top tier provider and employer by establishing and maintaining high standards for excellence.

Models our values of service innovation and teamwork. Holds others accountable for living these values.

Fulfills the Employee Promise by fostering a challenging & compassionate work environment recognizing strong performance and listening and acting on feedback

Leadership Accountabilities (continued)

Customer Satisfaction

Consistently models our Service Principles in internal and external interactions and ensures that the Service Principles are fulfilled to by others.

Ensures employees receive information needed to perform jobs including feedback to enhance performance and customer satisfaction.

Proactively addresses performance issues when indicated and administers policies decisions & disciplinary actions with consistency.

Financial Performance

Aligns department goals and manages department resources and budgets to meet Lurie Childrens strategic objectives.

Helps others understand the drivers of financial success for department and Lurie Childrens.

Area Specific Job Accountabilities:

• Ensures registrations are completed within designated period. Coordinates the daily activities of the department. Maintains a high degree of awareness and knowledge of the hospitals programs services and staff.
• Maintains current knowledge of payer requirements. Coordinates registration insurance eligibility pre-certification and financial counseling for all inpatients observations outpatient surgeries and emergency room admissions. Collaborates with other departments to assure registrations are completed prior to visit.
• Collaborates with Medicaid Liaison that all Medicaid applications are referred appropriately and followed up adequately.
• Develops and maintains quality indicators. Develops and implements procedures that meet hospital guidelines and department workload requirements.
• Collaborates with Patient Financial Services and Managed Care to address changes in payor requirements.
• Collaborates with Case Management to address patient status changes and assist with managed care denials.
• Provides direct supervision to leads registration teams and business office staff to maintain expected level of department productivity. Monitors service quality. Services as a resource person and role for Leads and role model for the registration and business office staff. Handles situations requiring leadership intervention.
• Audits and analyses department data. Reviews work queues and various reports to ensure accuracy and monitor patient volume. Recognizes and reports variance of workflow activity and daily operations.
• Interviews and selects prospective employees. Conducts annual performance appraisals and promotes staff development. Coordinates orientation and training of all staff. Monitors department scheduling and adjusts as appropriate.
• Provides input developing department budget. Monitors budget reports and justifies variance.
• Participates in peer review activities as assigned.

Knowledge Skills & Abilities:

• Bachelors degree in health services or a related field. Successful completion of college level coursework in Health Services or management experience may be considered in lieu of education.
• Certification/Licensure/Registration: Certified Health Access Associate
• Minimum five years in healthcare financial customer service benefit verification registration auditing leadership and supervision of staff.
• Thorough knowledge of registration and patient access patient accounting managed care and government payers medical terminology. Strong computer skills and systems proficiency desired.
• Working knowledge of hospital information systems to include electronic claims and patient accounting systems required.
• Compassionate customer service skills with the ability to relate effectively with patients families physicians employees and other allied health and medical center personnel.
• Flexible and capable of working under stressful conditions.
• Strong analytical interpersonal managerial and oral and written communications skills required. Ability to sort through competing priorities.

Education

Pay Range

At Lurie Childrens we are committed to competitive and fair compensation aligned with market rates and internal equity reflecting individual contributions experience and expertise. The pay range for this job indicates minimum and maximum targets for the position. Ranges are regularly reviewed to stay aligned with market conditions.In addition to base salary Lurie Childrens offer a comprehensive rewards package that may include differentials for some hourly employees leadership incentivesfor select roles health and retirement benefits and wellbeing programs. For more details on other compensation consult your recruiter or click the followinglink to learn more about our benefits.

Benefit Statement

For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:

Medical dental and vision insurance

Employer paid group term life and disability

Employer contribution toward Health Savings Account

Flexible Spending Accounts

Paid Time Off (PTO) Paid Holidays and Paid Parental Leave

403(b) with a 5% employer match

Various voluntary benefits:

• Supplemental Life AD&D and Disability

• Critical Illness Accident and Hospital Indemnity coverage

• Tuition assistance

• Student loan servicing and support

• Adoption benefits

• Backup Childcare and Eldercare

• Employee Assistance Program and other specialized behavioral health services and resources for employees and family members

• Discount on services at Lurie Childrens facilities

• Discount purchasing program

Theres a Place for You with Us

At Lurie Childrens we embrace and celebrate building a team with a variety of backgrounds skills and viewpoints recognizing that different life experiences strengthen our workplace and the care we provide to the Chicago community and beyond. We treat everyone fairly appreciate differences and make meaningful connections that foster belonging. This is a place where you can be your best so we can give our best to the patients and families who trust us with their care.

Lurie Childrens and its affiliatesare equal employment opportunity employers. All qualified applicants will receive consideration for employment without regard to race color sex sexual orientation gender identity or expression religion national origin ancestry age disability marital status pregnancy protected veteran status order of protection status protected genetic information or any other characteristic protected by law.

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