Manager, Hospice Revenue Cycle en Halifax Health

Day (United States of America)

Manager, Hospice Revenue Cycle

Manager for Halifax Health Hospice Patient Accounting Team: Revenue Cycle (Medicare, Medicaid and commercial insurance), Accounts Payable and Payroll. Consulting physician and clinical service provider’s contracts. EMR regulatory changes and billing accuracy.

JOB QUALIFICATIONS, SKILLS AND EXPERIENCE:

• Four-year university degree in accounting, finance or related
• 5+ years of relevant, progressively responsible, work experience
• Relevant hospital/hospice billing experience
• Strong interpersonal and team building skills; ability to work with a diverse team and influence change
• Strong reporting and analytical skills, including financial modeling, Excel, and database
• Ability to handle multiple projects simultaneously in a fast-paced environment
• Continuous improvement approach: ability to seek out and implement best practices
• Experience with EMR systems; Epic preferred
• Excellent verbal and written communication skills
• Mentor and develop direct reports, fostering a culture of accountability, learning, continuous improvement and high performance

DUTIES AND RESPONSIBILTIES:

• Lead Revenue Cycle Team and Finance Coordinator who assists with revenue cycle and oversees AP and Payroll Teams
• Monitor and ongoing review, and improvement of claim denials and rejections and develop strategies to improve workflows and policies to reduce denial rates
• Work with payers to resolve claim issues and ensure timely reimbursement
• Process accounts receivable adjustments, refunds and uncollectible accounts
• Resolve billing, collections, and payables questions from internal/external customers.
• Monitor and manage KPI’s identifying performance gaps, and implementing corrective action plans
• Understanding and progressive learning of payer requirements, denial management, cash collections, AR strategies, and healthcare regulatory compliance (e.g., CMS, HIPAA)
• Collaborate with clinical departments to resolve coding and documentation issues
• Process contracts for community physicians for pass through billing to Medicare and all other patient service providers
• Ensure hospice A/R, A/P, Payroll and Charity policies and procedures are current, approved and published
• Process month end accrual entries
• Process staff physician billing and reimbursement
• Work with Information Systems staff to coordinate software upgrades testing and problem resolution
• Provide new hospice managers with Patient Accounting overview and processes
• Administrator for websites used by billing staff. Ability/EASE, Choice, Availity, DDE, FL Medicaid.  Maintain user IDs and passwords.
• Approve department payroll, mileage reimbursement and department purchases
• Manage Patient Accounting Team budget and research variances to actual financial results

Solicitar ahora