Department:
Status:
Benefits Eligible:
Hours Per Week:
Schedule Details/Additional Information:
M-F 8-5; although lead teammates who work extended hours and weekends.
Pay Range
$57.85 - $86.80Major Responsibilities:
Oversee and direct the coverage assistance process to increase gross self-pay charges converted to Medicaid or other coverage while providing excellent customer experience throughout.
Direct operations contributing to the collective review of over 45000 patients annually to secure coverage opportunities generating $1B in gross self-pay charges converted to Medicaid.
Ensure compliance with Medicaid marketplace or other regulations related to the eligibility and enrollment process.
Manage direct and evaluate all processes to adhere to quality productivity and effectiveness standards.
Demonstrate accountability through continuous quality improvement ensuring metrics and key performance indicators are met and exceeded. Specifically increased reimbursement by securing Medicaid or other coverage opportunities for patients.
Build and develop a highly effective team to provide oversight for staffing performance management and regulatory support.
Participate in the design and continuous improvement of all processes that ensure accounts are managed promptly and effectively to secure Medicaid or other coverage.
Collaborate and build synergies with internal and external partners
Ensure optimal resource utilization and institute measures that result in greater cost effectiveness and efficiency in operations while ensuring high patient satisfaction.
Performs human resources responsibilities for staff which include interviewing and selection of new employees promotions staff development performance evaluations compensation changes resolution of employee concerns corrective actions terminations and overall employee morale.
Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives.
Licensure Registration and/or Certification Required:
None required.
Education Required:
Bachelors Degree.
Experience Required:
Typically requires 7 years of experience in revenue cycle operations preferably in scope with health coverage eligibility and enrollment. Minimum of 5 years in supervisory role managing staff budgets reimbursement and receivables management.
Knowledge Skills & Abilities Required:
Demonstrated leadership skills including project management process improvement problem-solving decision making prioritization delegation team building customer service and conflict resolution.
Strong interpersonal communication and organizational skills.
Strong financial analysis and management long range planning and forecasting and negotiation skills.
Strong background and knowledge in both hospital and revenue cycle operations/principles preferred.
Strong background and knowledge in program management government health plans and regulatory compliance
Experience in executing change and results based upon data analytics and directed goal sets of the leader of billing operations.
Previous experience with system conversion and office re-structure
Demonstrated interest in employee development ability in interpersonal communications and sensitivity to teammate needs.
Physical Requirements and Working Conditions:
This position requires travel therefore will be exposed to weather and road conditions.
Operates all equipment necessary to perform the job.
Exposed to a normal office environment.
Occasionally lifts up to 20lbs
DISCLAIMER
All responsibilities and requirements are subject to possible modification to reasonably accommodate individuals with disabilities.
This job description in no way states or implies that these are the only responsibilities to be performed by an employee occupying this job or position. Employees must follow any other job-related instructions and perform any other job-related duties requested by their leaders.
Our CommitmenttoYou:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs competitive compensation generous retirement offerings programs that invest in your career development and so much more so you can live fully at and away from work including:
Compensation
Benefits and more
About Advocate Health
Advocate Health is the third-largest nonprofit integrated health system in the United States created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas Georgia and Alabama; and Aurora Health Care in Wisconsin Advocate Health is a national leader in clinical innovation health outcomes consumer experience and value-based care. Headquartered in Charlotte North Carolina Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology neurosciences oncology pediatrics and rehabilitation as well as organ transplants burn treatments and specialized musculoskeletal programs. Advocate Health employs 155000 teammates across 69 hospitals and over 1000 care locations and offers one of the nations largest graduate medical education programs with over 2000 residents and fellows across more than 200 programs. Committed to providing equitable care for all Advocate Health provides more than $6 billion in annual community benefits.
Required Experience:
Director
Proudly serving Wisconsin with 18 hospitals, over 150 clinics and 70 pharmacies across 30 communities. Choose Aurora Health Care for you and your family.