Thank you for considering a career at Bon Secours!
Scheduled Weekly Hours:
40Work Shift:
Days (United States of America)Job Description
Primary Function/General Purpose of Position
-Establish and implement processes for Pre/Patient Access in order to maximize daily operations efficiency. Implement process improvement strategies when inefficiencies are identified in the front office.
-Monitor Rehab WQs to identify improvement opportunities and develop strategies to increase revenue capture. Monitor accounts receivable aging and work with payors to ensure timely resolution of claims. Work with Director to develop processes for accurate and compliant clinical documentation.
-Manage denials analyze trends and identify root causes. Implement education and process improvement initiatives to reduce denials and maximize revenue. -Track and report the progress of corrective actions monitor improvement initiatives performance.
-Supervise and provide support to Site Coordinators with daily operations by serving as departmental patient access and rev cycle subject matter expert.
-Manage current third-party payer guidelines and contracting data; update the department of changes
-Work closely with other departments and markets including Informatics Accounts Payable and Revenue Cycle to advocate for the departments needs.
Create training materials and provide ongoing training to front office associates and Site Coordinators so they understand and can properly perform their duties. -Provide ongoing support and guidance to ensure they are up to date with best practices and system changes. Monitor performance to ensure they meet expectations.
-Manage all Rehab Patient Access processes in accordance with the policies and procedures of the department and hospital. Observe and implement the guidelines established by the Joint Commission and the Centers for Medicare and Medicaid Services.
-Enhance the overall revenue of the department by establishing and maintaining relationships with referring physicians and practices by building engagement and increasing patient referrals.
-Manage Medicare Audits and TPEs review and collect all needed information and submit packets to the audit team. Communicate with other departments to ensure information accuracy and adhere to deadlines. Monitor and review audit outcomes with Director and provide feedback to team members.
-Coordinate with Medical Records vendor to ensure timely processing of subpoenaed patient records.
-Assist the Director in developing and implementing new programs. Provides analytical data research of revenue opportunities compliance guidelines and billing practices to support program decision-making. Create and maintain marketing materials for the program.
-Develop relationships with other departments in order to keep abreast of new initiatives and potential opportunities. Monitor program performance metrics and create reports to present to the Director. Prepare presentations and other materials for external stakeholders.
-Manage billing issues and escalated patient complaints. Engage with billing departments risk management and other hospital departments for resolution that will promote customer service recovery.
-Conduct performance evaluations and work collaboratively with Advice and Counsel for disciplinary matters and/or employee termination process.
This position it crucial to our overall operations.
Education/Experience
Required Minimum Education:
Preferred Education:
Bon Secours is an equal opportunity employer.
What we offer
Benefits may vary based on the market and employment status.
Department:
Sports Medicine - MemorialIt is our policy to abide by all Federal and State laws as well as the requirements of 41 CFR 60-1.4(a) 60-300.5(a) and 60-741.5(a). Accordingly all applicants will receive consideration for employment without regard to race color national origin religion sex sexual orientation gender identity age genetic information or protected veteran status and will not be discriminated against on the basis of disability. If youd like to view a copy of the affirmative action plan or policy statement for Mercy Health Youngstown Ohio or Bon Secours Franklin Virginia; Petersburg Virginia; and Emporia Virginia which are Affirmative Action and Equal Opportunity Employer please email . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process please contact The Talent Acquisition Team at .
Required Experience:
Manager