![Fairview Health Services](https://media.trabajo.org/img/noimg.jpg)
Business Services Account Manager
1 week ago
Overview:
Provide leadership to ensure value delivery to Infusion or Pharmacy Business Office (FHI-PBO) customers, including internal business units and external customers.
Responsibilities/Job Description:
Billing and Insurance
Review payments for accuracy, ensure collection according to contracts, understand and follow-up with insurance companies to leverage the revenue process.
Ensure accuracy of Fairview Pharmacy Services' (FPS) secondary billing processes and related vendor data feeds into FPS systems as required.
Evaluate denials and trends.
Provide proactive and ongoing follow-up and problem solving with insurance companies and pharmacy sites to identify trends, communicate proactively, and ensure accuracy in the process.
Demonstrated analytical skills including ability to reconcile payer remittances
Understanding of payer denials and impact on FPS revenue cycle
Display initiative to resolve 835 remittance issues including but not limited to; unapplied cash, claim exceptions and partial pays.
Evaluate contracts, analyze payments and proactively problem solve to optimize the payment cycle.
Provide claims resolution to ensure accuracy in the process.
Proactively communicate with pharmacy staff and insurance companies regarding resolution
Analyze existing reimbursement arrangements/networks and reimbursement and operational issues with claims systems and their subsequent impact on financial results.
Monitor and performing day-to -day functions in infusion or pharmacy business office focusing on the area of Government, Commercial/Non-contract or Patient.
Assist staff with problem solving, difficult accounts, and general questions as necessary
Assist in addressing patient and site inquiries as necessary
Approval of adjustments to receivable accounts, including write offs within authorized level and adjustments to patient and third-party A/R accounts
Monitor credit balances in patient A/R
Coordinate payment reduction requests from outside parties
General support to Director of the department as needed.
Develop, implement, ensure and evaluate PBO metrics/benchmarks to demonstrate achievement, monitor effectiveness and report results.
Ensure optimal revenue cycle performance through evaluation, analysis and problem solving.
Use data for projections as part of contractual analysis.
Complete detailed financial impact analysis of provider rate.
Produce reports for payment variances, rejected, denied and reduced claims
Review payment process for accuracy; provide necessary follow-up
Communicate and resolve reimbursement issues to coordinate payer/provider relations between payers and FPS
Identify and communicate trends to improve overall revenue cycle performance
Provide analysis to stakeholders with explanations of reimbursement finding from assigned providers utilizing Excel and displaying initiative to assist in identifying potential compliance issues to FPS staff and make recommendations to Finance management for resolution.
Understanding of financial statement effect of dispenses, edits, re-bills, payment posting/take-backs, claims adjustments, and write-offs in the dispensing system and adherence to policy to ensure accuracy of all above related transactions as they relate to FPS financial statements.
Participate and collaborate with the Director of the department in the collection functions of the business office with Regional and Site Managers, on-site billing staff, patients and/or their representative, insurance carriers, outside collection agencies, Contracting and other Fairview Departments.
Provide ongoing, continuous management oversight, as a coach who supports the growth and development of employees.
Oversee assigned area to ensure appropriate distribution of workload and streamlined workflow.
Recruit/interview/hire staff. Coordinate orientation of new staff and ensure ongoing education of current staff.
Provide mentoring, leadership and direction to staff
Maintain and monitor the productivity level of the staff to maximize efficiency, assure adequate staffing levels, and control costs; approve timecards.
Provide industry expertise to FPS consulting clients.
Duties include meeting with client's executives or professionals to make suggestions and develop improvement plans based on their needs and maintaining a professional relationship with the clients over time.
Provide home infusion or specialty pharmacy coaching and training to FPS clientsBrainstorm strategies for growth, positive changes and improvements
Dedicate time to FPS consulting clients
Help clients perform an initial assessment, discuss goals and strategize methods for improvement
Help solve client's problems through helpful recommendations and practical suggestions
Collect data for clients and the business through working with client's staff
Provide industry expertise to FPS' venture partners.
Duties include meeting with venture partner's executives or professionals to provide insight and feedback on the venture partner's proposed solutions and products.
Develop a clear understanding of the product/service that is being developed with the venture partner and critically analyze to ensure the product/service will provide enhanced value to the revenue cycle workflows.
Collaborate with venture partners on quality assurance testing for minimal viable products and provide recommendations on improvements that would enhance the efficiency, financial gain, and accuracy of the infusion or specialty pharmacy revenue cycle workflows/processes.
Organization Expectations, as applicable:
Demonstrates ability to provide care or service adjusting approaches to reflect developmental level and cultural differences of population served
Partners with patient care giver in care/decision making.
Communicates in a respective manner.
Ensures a safe, secure environment.
Individualizes plan of care to meet patient needs.
Modifies clinical interventions based on population served.
Provides patient education based on as assessment of learning needs of patient/care giver.
Fulfills all organizational requirementsCompletes all required learning relevant to the role
Complies with and maintains knowledge of all relevant laws, regulation, policies, procedures and standards.
Fosters a culture of improvement, efficiency and innovative thinking.
Performs other duties as assigned
Qualifications:
Minimum Education:
Bachelor's in business, healthcare or related field
Minimum Experience:
Five years' experience in healthcare, including reimbursement analysis, collection experience, training and or revenue cycle process. Previous supervisory experience.
Preferred Education
Advanced degree - MBA, MHA
Preferred Experience:
Two years supervisor or manager experience in customer service field. Five years pharmacy reimbursement analysis and collection experience including experience with Medicare, Medicaid and Commercial Payer experience. Pharmacy dispensing knowledge and/or experience preferred.
-
Warehouse Manager
2 months ago
Saint Paul, United States Leadpoint Business Services Full timeJob DescriptionJob DescriptionWarehouse Manager, Recycling Operations, Inver Grove Heights, Minnesota, Compensation, Hiring ImmediatelyLeadpoint Business Services is currently seeking a dynamic leader for supervising production and line workers. This Warehouse Manager position will be assigned to our Inver Grove Heights, MN location. This Management position...
-
Accounting Services Manager
1 week ago
Saint Paul, Minnesota, United States Redpath & Company Full timeJob DescriptionAt Redpath and Company, our strength lies in our team. We value our employees and foster a culture that prioritizes each individual, encouraging flexibility, creativity, and growth both personally and professionally. As a steadily expanding mid-size firm, we offer ample opportunities for career advancement and development within a close-knit,...
-
Accounting Services Manager
4 weeks ago
Saint Paul, United States Redpath & Company Full timeJob DescriptionJob DescriptionSalary: At Redpath and Company, our strength is our people. We believe in our employees and we offer a unique culture that values every employee and promotes flexibility, creativity, and growth - both personally and professionally. As a rapidly growing mid-size firm, we are the perfect size to be able to provide upward mobility...
-
Accounting Services Manager
4 weeks ago
Saint Paul, United States Redpath & Company Full timeJob DescriptionJob DescriptionSalary: At Redpath and Company, our strength is our people. We believe in our employees and we offer a unique culture that values every employee and promotes flexibility, creativity, and growth - both personally and professionally. As a rapidly growing mid-size firm, we are the perfect size to be able to provide upward mobility...
-
Accounting Services Manager
3 weeks ago
Saint Paul, United States Redpath & Company Full timeJob DescriptionJob DescriptionSalary: At Redpath and Company, our strength is our people. We believe in our employees and we offer a unique culture that values every employee and promotes flexibility, creativity, and growth - both personally and professionally. As a rapidly growing mid-size firm, we are the perfect size to be able to provide upward mobility...
-
Accounting Services Manager
3 weeks ago
Saint Paul, United States Redpath & Company Full timeJob DescriptionJob DescriptionSalary: At Redpath and Company, our strength is our people. We believe in our employees and we offer a unique culture that values every employee and promotes flexibility, creativity, and growth - both personally and professionally. As a rapidly growing mid-size firm, we are the perfect size to be able to provide upward mobility...
-
Business Services Account Manager
2 weeks ago
St Paul, United States Fairview Health Services Full timeOverview: Provide leadership to ensure value delivery to Infusion or Pharmacy Business Office (FHI-PBO) customers, including internal business units and external customers. Develop, implement, ensure, and evaluate FHI-PBO metrics/benchmarks to demonstrate achievement, monitor effectiveness and report results. Coordinate day-to-day workloads of department...
-
Business Services Account Manager
1 month ago
St Paul, United States Fairview Health Services Full timeOverviewProvide leadership to ensure value delivery to Infusion or Pharmacy Business Office (FHI-PBO) customers, including internal business units and external customers. Develop, implement, ensure, and evaluate FHI-PBO metrics/benchmarks to demonstrate achievement, monitor effectiveness and report results. Coordinate day-to-day workloads of department...
-
Business Services Account Manager
3 weeks ago
St Paul, United States Fairview Health Services Full timeOverviewProvide leadership to ensure value delivery to Infusion or Pharmacy Business Office (FHI-PBO) customers, including internal business units and external customers. Develop, implement, ensure, and evaluate FHI-PBO metrics/benchmarks to demonstrate achievement, monitor effectiveness and report results. Coordinate day-to-day workloads of department...
-
Business Services Account Manager
1 month ago
St Paul, United States Fairview Health Services Full timeOverview Provide leadership to ensure value delivery to Infusion or Pharmacy Business Office (FHI-PBO) customers, including internal business units and external customers. Develop, implement, ensure, and evaluate FHI-PBO metrics/benchmarks to demonstrate achievement, monitor effectiveness and report results. Coordinate day-to-day workloads of department...
-
Business Services Account Manager
3 weeks ago
St Paul, United States Fairview Health Services Full timeOverview Provide leadership to ensure value delivery to Infusion or Pharmacy Business Office (FHI-PBO) customers, including internal business units and external customers. Develop, implement, ensure, and evaluate FHI-PBO metrics/benchmarks to demonstrate achievement, monitor effectiveness and report results. Coordinate day-to-day workloads of department...
-
Accounting Manager
4 weeks ago
Saint Paul, United States Kelly Services, Inc. Full timeLooking to make your next career move? Kelly is hiring for an Accounting Manager in St. Paul, MN! This is an excellent opportunity to join the team at an established skilled trade education institution. Temp to hire opportunity Onsite role $38-43/hr, will be salaried upon permanent hire Full benefits upon permanent hire including medical, dental, 401k, &...
-
Accounting Manager
3 weeks ago
Saint Paul, United States Kelly Services, Inc. Full timeLooking to make your next career move? Kelly is hiring for an Accounting Manager in St. Paul, MN! This is an excellent opportunity to join the team at an established skilled trade education institution. Temp to hire opportunity Onsite role $38-43/hr, will be salaried upon permanent hire Full benefits upon permanent hire including medical, dental, 401k, &...
-
Chief Product Officer
19 hours ago
Saint Paul, Minnesota, United States SunStream Business Services Full timeChief Product OfficerSt Paul, MN, USA * Virtual Req #78Monday, June 24, 2024Our Core Philosophy: (in)Trust - A Culture Built on TrustAt SunStream, we embrace our "One Word Why" - (in)Trust. This powerful concept represents our unwavering commitment to trust as the foundation of our relationships with clients, employees, and stakeholders. Trust isn't just a...
-
Account Manager
4 weeks ago
Saint Paul, United States de maximis Data Management Solutions, Inc. Full timeThis is a hybrid role with generous flexibility and autonomy with your schedule. In this newly created role, you will be a valuable member of the sales team helping ddms continue to drive business growth by supporting smooth functioning of the sales department and of the customer experience.This role will involve heavy communications and collaboration with...
-
Account Manager
4 weeks ago
Saint Paul, United States Gustave A Larson Company Full timeJob DescriptionJob DescriptionGustave A. Larson is a leading wholesale distributor of HVAC, and Refrigeration (HVACR) equipment, parts, and supplies. The Larson Account Manager ensures excellent customer service, proactively increases sales and profits utilizing a local market team approach and serving as an integral member with both the sales and operations...
-
Microsoft Dynamics ERP Business Analyst
1 week ago
Saint Paul, United States C4 Technical Services Full timeD365 F&O Finance BALocation: St Paul, MN (Onsite 1-2 days a week) OR This is open to Denver/Aurora, CO area now.Duration: Direct hire or contract to hireThe company is currently in the process of integrating five separate legacy ERP systems into a single ERP platform, Microsoft Dynamics D365. As a Sr. Business Systems Analyst specializing in accounting...
-
Account Manager
1 month ago
Saint Paul, United States Augeo Affinity Marketing Full timeJob DescriptionJob DescriptionDescription:About UsHello, we're Augeo—architects of enterprise engagement and loyalty platforms, delivering compelling experiences and fostering meaningful connections with employees, customers, members and channel partners across industries. We serve thousands of clients, including more than 70 of the top Fortune 500...
-
Account Manager
3 weeks ago
Saint Paul, United States Augeo Affinity Marketing Full timeJob DescriptionJob DescriptionDescription:About UsHello, we're Augeo—architects of enterprise engagement and loyalty platforms, delivering compelling experiences and fostering meaningful connections with employees, customers, members and channel partners across industries. We serve thousands of clients, including more than 70 of the top Fortune 500...
-
Account Manager/Director
1 week ago
Saint Paul, Minnesota, United States Betty Full timeWe're looking for an Account Director to join Betty. The Account Director builds, leads, and manages Betty employees, ensuring a strong, profitable and vibrant marketing communications business consistent with our mission and values. As a leader within the account leadership team, this role will establish and maintain strong client relationships through the...