Ensures compliance with state and federal laws and regulations
Maintains a thorough understanding of health insurance and government programs, where necessary
Facilitates the identification of issues and solutions by team members related to delays in achieving payment resolution.
Monitors collection processes to determine cash flow improvement opportunities
Manages the aging of accounts receivable by trending and analyzing the A/R, and through communication with the payors
Works with A/R supervisors to identify department training needs for system education, industry updates and changes in collection processes and protocols.
Works with A/R Supervisors and staff to ensure that employee productivity and quality meets standards.
Manages desk assignments to meet employee productivity and collection efforts across all client facilities.
KNOWLEDGE, SKILLS, ABILITIES
Advanced knowledge of healthcare A/R
Excellent working knowledge of Patient Financial Services operations with specific focus on Inpatient and Outpatient Managed Care and Commercial payors (i.e., Medicare regulations and compliance; HIPAA
Proficient in Microsoft Office (Word and Excel)
Advanced writing skills
Ability to provide advanced customer service
Ability to plan and implement process improvements
Ability to train and coach staff
Ability to multi-task
Strong leadership and organizational skills
Proficient in building a strong team to meet performance goals
Very good written and verbal communication skills
Strong interpersonal skills
Strong technical skills, including PC and MS Office Suite knowledge
EDUCATION / EXPERIENCE
4 year college degree in Healthcare Administration, Business or related area or equivalent experience. MBA/CPA preferred
5 – 10 years experience in Healthcare Administration or Business Office
2 – 3 years supervisory experience
CERTIFICATES, LICENSES, REGISTRATIONS
HFMA-Patient Accounts or Hospital Accounting Certification encouraged
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