Healthcare Financial Operations Manager

1 month ago


Dighton, Massachusetts, United States Summit BHC Full time

Healthcare Financial Operations Manager - Summit BHC
Position Overview:
The Healthcare Financial Operations Manager is responsible for overseeing and directing all financial operations within the business office, specifically focusing on claims management and revenue collection. This role is crucial in ensuring that the facility meets its financial objectives through effective cash flow management and operational efficiency. The manager will develop, implement, and evaluate business office processes related to financial counseling, billing, and collections across various service lines.

Key Responsibilities:

  • Clarifies benefits and formulates contractual agreements and payment plans with clients and their families.
  • Establishes and upholds controls for all cash transactions recorded in the client accounting system, ensuring timely bank reconciliations and deposits.
  • Leads a dedicated team by managing recruitment, orientation, performance evaluations, motivation, training, scheduling, and coaching to achieve departmental objectives.
  • Prepares and maintains accurate client statements, following up as necessary, and ensuring comprehensive client financial records are kept.
  • Regularly monitors outstanding claims with managed care organizations and other agents, addressing delinquent accounts and liaising with collection agencies.
  • Tracks and reports on essential metrics such as cash collections, days outstanding, daily cash flow, unbilled amounts, denials, and daily census.
  • Maintains proactive communication with third-party insurance providers to resolve issues that may hinder cash flow and affect client satisfaction.
  • Selects and oversees external collection agencies engaged in the recovery of facility receivables, ensuring agency reports align with internal records.
  • Analyzes statistical reports to identify trends and operational inefficiencies, implementing corrective measures as needed.
  • Collaborates closely with Utilization Review and Admissions teams to ensure proper authorization of client insurance coverage.
  • Effectively communicates with the leadership team to ensure compliance with all third-party guidelines, providing necessary documentation and account information.
  • Assists in various audits and the preparation of special reports as required.
  • Supports the month-end closing process.
Qualifications:
  • High School diploma or equivalent is required; some college coursework in Business Administration or a related field is preferred.
  • A minimum of two years of experience in a business office setting, ideally within the behavioral health sector, is required.
Why Join Summit BHC?
Summit BHC offers a comprehensive benefits package and a competitive salary that reflects experience and qualifications. We are an equal opportunity employer and encourage veterans and military spouses to apply, recognizing the unique strengths they bring to our mission.

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