Overview Catholic Health is one of Long Island's finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes - to every patient, every time. We are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace! Job Details Under the supervision of the Director of Patient Financial Services, the Manager is primarily responsible for overseeing, coordinating, managing, and evaluating the daily operations related to the billing and collection of third party and patient accounts. Reviews, develops, and analyzes statistical data to measure and explain staff performance, accounts receivable, and progress towards financial targets. Identifies trends and recommends process improvement to enhance workflows, expand staff training and skills, advance productivity, automate processes and meet department's goals. PERFORMANCE RESPONSIBILITIES Reviews, documents, and communicates all processes related to insurance and patient billing, follow up, credits, denials and appeals. Monitors staff adherence to department processes and addresses issues through training and counselling. Ensures accounts are billed and followed accurately, timely and in a compliant manner. Oversees and assists in customer service related questions and issues. Escalates patient complaints as necessary to RRC and facility leadership. Resolves routine questions and problems posed by support staff, referring more complex issues to higher levels of management. Maintains and updates policy/procedure documentation. Complies and organizes statistical data to billing and accounts receivable activity to explain performance and variances to established goals. Identifies and communicates both positive and negative trends in need of further analysis or issue resolution. Develops and conducts training programs for respective applications and staff. Finalizes and maintains training materials, job aides, competencies, and training records for all staff to manage individual performance. Implements and monitors staff productivity and quality standards. Reports weekly results to leadership and addresses individual performance as needed. Keeps abreast of all billing and reimbursement regulations and standards to ensure compliance with any published or anticipated changes issued by governmental agencies and/or third party payers. Shares knowledge with staff through verbal and prepared written communication. Ensures CHS managed care contracts terms and conditions are adhered to by support staff and contracted parties. Actively leads and participates in payer meetings to communicate and resolve billing and reimbursement issues. Prepares materials in advance and collaborates with the Director and Managed Care Directors. Coordinates and monitors the performance of outside agencies including reconciling remittance/commission reports. Interviews and evaluates agency services. Monitors agency expenses and performance and participates in monthly meetings to review such metrics. Provides leadership to Patient Account Services team members and supervisors by communicating and guiding toward achieving department objectives. Develops, communicates, and builds consensus for goals in alignment with the health system. Recruits and trains new personnel. Evaluates and counsels, when needed, personnel under his/her own supervision. Responsible for accurate timekeeping and attendance process. Prepare reports as requested. Participates in special projects as requested by the Director. Keeps the Director informed as to the status of the department. Performs related duties as assigned and unrelated duties as requested. Adheres to all organizational policies and procedures. POSITION REQUIREMENTS AND QUALIFICATIONS: Education: A Bachelor's Degree in Business Administration, Finance, or Accounting or equivalent skills. Hospital billing experience required. Licensure/Certification: Certification through the Healthcare Financial Management Association preferred (e.g. CHFP, CRCR) Skills: Must be able to effectively manage and coordinate the billing, follow-up, customer service, cash posting, and regulatory compliance functions of the Hospital RRC. Must have excellent oral and written communication skills to communicate with internal staff, customers, leaders and representatives from external departments and agencies and to train and supervise personnel. Must be proficient in data processing capabilities, procedures and personal computers using standard Microsoft Office software applications. Must have highly developed analytical and problem-solving skills. Must possess high ability to organize, develop and write user manuals and other required documents. Must have experience in change management and development of new computer platforms and related staffing assignments, workflow and training. Must possess an in-depth knowledge of third party governmental billing regulations, statutes/laws governing the management of human resources and strong employee relation skills. Experience: Six to eight years of progressive responsible Hospital Accounts Receivable experience of which five years must have been devoted to management level responsibilities, including decision making and managing staff. Salary Range USD $100,000.00 - USD $160,000.00 /Yr. This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate's qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, or other forms of compensation that may be applicable to this job and it does not include the value of benefits. At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.
