Manager Billing
2 days ago
Location: METROHEALTH MEDICAL CENTER
Biweekly Hours: 80.00
Shift: 8am - 4:30pm
The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal help and other services. The system strives to become as good at preventing disease as it is at treating it. Founded in 1837, Cuyahoga County’s safety-net health system operates four hospitals, four emergency departments and more than 20 health centers.
Summary:
Assists the Director – PFS in coordinating and overseeing all activities related to collections and accounts receivable management. The Manager will ensure all activities related to collection functions include, but are not limited to claim status, denial management, aged account follow-up and resolution for Patient Financial Services are coordinated with other revenue management functions to meet customer requirements, maximize revenue collection and achieve best practice targets. Upholds the mission, vision, values, and customer service standards of The MetroHealth System.
Qualifications:
Required:
- Bachelor’s Degree, preferably in Accounting, Finance or Healthcare Management. In lieu of a Bachelor Degree, will accept Certified Professional Coder (CPC).
- 4+ years’ experience with professional claim administration, adjudication, follow-up and collections.
- 4+ years’ experience with industry standard claims clearing houses.
- 4+ years’ experience with EPIC and/or major industry standard billing system.
- Demonstrated knowledge of healthcare revenue cycle practices.
- Financial analytical experience in a healthcare environment.
- Demonstrated ability to manipulate and analyze data derived from disparate source systems.
- Advanced knowledge of MS Excel, Access, PowerPoint and query tools to create reports and financial models.
- Excellent time management and project prioritization skills with ability to multi-task.
- Detail oriented with demonstrated ability to work independently.
- Good written and verbal communication and interpersonal skills.
- Ability to facilitate group meetings and interview sessions.
- Strong analytical, critical thinking, problem-solving skills and project management experience.
- Must be knowledgeable in all third-party billing requirements and Coordination of Benefits (COB).
- Analytical aptitude and ability to translate functional needs to an integrated technical/professional computerized environment.
Preferred:
- 4+ years of financial analytical experience in a healthcare environment.
- Progressive management experience.
- MBA/MPH/MHA/MHS or other certification such as CPA.
- High level of quantitative and qualitative research, analytical skills and critical thinking skills with expertise to drive process development to implementation.
Physical Demands:
May need to move around intermittently during the day, including sitting, standing, stooping, bending, and ambulating. May need to remain still for extended periods, including sitting and standing. Ability to communicate in face-to-face, phone, email, and other communications. Ability to read job-related documents. Ability to use computer.
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