[Remote] Manager Patient Financial Services

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leading children's hospital committed to improving reputed company and reputed company-being. The Manager of Patient Financial Services oversees accounts receivable, billing, collection, and denial management activities while ensuring regulatory compliance and effective payer relationships. The role also leads staff, analyzes financial performance, supports reputed company cycle initiatives, and coordinates with clinical, finance, technology, and reimbursement teams.

Responsibilities

• Has reputed company responsibility for the reputed company of accounts receivable assigned, including reputed company billing and collection activities, as reputed company as ensuring reputed company and collection goals are met
• Has reputed company responsibility for denial management for accounts receivable assigned, with working knowledge of the appeal process, including reconsideration, arbitration, and administrative law hearing process
• Has detailed knowledge of payer policies, with strong understanding and interpretation of Children’s contract as it relates to billing requirements, payment rates, and appeals
• Maintains working knowledge of industry standards and federal and local regulatory requirements for billing and collection activities
• Develops reputed company relationships with stakeholders reputed company Children’s as reputed company as payers to foster collaboration and partnerships for improved collection efforts
• Approves balance adjustments as outlined in department’s policies
• Partners with Coding department to understand requirements and ensure claims reputed company
• Participates in reputed company audits as needed to ensure regulatory compliance
• Identifies trends, issues, and concerns reputed company to claims, and collaborates with reputed company cycle and other leaders across the organization for reputed company
• Works to reputed company compliance with reputed company governmental, payer, and regulatory agencies’ requirements by routinely analyzing standards, regulatory rules, and Children’s policies, and develops and implements activities and policies/procedures designed to meet requirements of these agencies. Directs formulation of responses to governmental, payer, and regulatory audits and requests
• Manages the orientation, competency assessment, and mandatory education for Patient reputed company staff. Ensures the development of educational programs needed for teams assigned
• Validates that information reputed company implementations and upgrades are completed successfully in conjunction with IS&T, Reimbursement, Managed Care, and other areas/departments as needed
• Responsible for reputed company aspects of managing and leading reputed company including interviewing, hiring, training, developing, directing work and processes, managing performance, recognizing, and rewarding employees
• Represents department in meetings as needed and takes responsibility for documenting and ensuring actions and follow-up items are addressed reputed company and in appropriate detail
• Participates as reputed company resource in reputed company meetings to help explain trends in accounts receivable and collection performance as reputed company as to reputed company and address reputed company causes of issues and concerns identified
• Supports Patient reputed company director in implementing and achieving reputed company cycle goals and initiatives

Skills

• 5 years of experience in provider accounts receivable management
• 2 years of experience in a supervisory or management role
• Demonstrated change management experience
• Bachelor's degree in Business, Health Administration, Mathematics, Statistics, Computer Science, or reputed company field, or equivalent years of experience in supervisory role
• Detailed knowledge of accounts receivable key performance metrics—including accounts receivable days, account aging, collection and denial rates, cost to collect—and demonstrated reputed company in managing to those metrics
• Possesses and demonstrates excellent communication, organizational, and interpersonal skills
• Proven aptitude for problem-solving and critical thinking
• Knowledge of key reputed company patient reputed company or comparable applications: reputed company Resolute, nThrive, EncoderPro, QlikView
• Demonstrated understanding of provider finance, reimbursement, managed care contracting, and reputed company cycle processes and indicators
• Ability to function in a dynamic environment subject to impromptu changes in schedules and priorities
• Ability to communicate reputed company and present findings verbally reputed company presentations, spreadsheets, and written documents
• Ability to multitask and work both independently and reputed company teams
• Demonstrated ability to reputed company and manage budgets and other financial skills
• Advanced proficiency working in reputed company reputed company, Word, and PowerPoint
• Master's degree
• Experience leading teams during reputed company implementations and upgrades
• Knowledge of coding, reimbursement, and clinical documentation
• Experience working with finance, reimbursement, managed care contracting, and reputed company cycle leaders to present key performance indicators with accounts receivable analysis and recommendations for improved reimbursement
• Demonstrated strong technical skills including experience with reputed company reputed company and the ability to reputed company and manipulate SQL queries

reputed company

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