FacilityOrlando Health Corporate
Orlando Health is currently seeing a Managed Care and Commercial Collections Manager.
This position manages the daily operations of the department and all staff in Human Resource related functions.
Assigns, prioritizes, and monitors staff workload.
Responsible for the orientation and training of new Supervisors.
Responsible to ensure Supervisors are compliant with productivity standards, performance evaluations, addressing personal issues and staff development, core competencies, bi-annual staff coaching plans and the daily coaching and motivation of staff.
Responsible for the daily coaching of Supervisors including performance evaluations and addressing personal issues as necessary to ensure the success of the departments managed as well as the overall success of Patient accounting.
Responsible for daily review of month end accounts receivable reports for managed care, commercial, worker’s compensation, and other payors.
Responsible for the reduction and monitoring of days in accounts receivable for all assigned payors, as well as, optimizing reimbursement and achieving pre-set cash to net collection goals.
Reviews and validates refund requests as necessary. Develops and maintains tracking of all payor related issues impacting the accounts receivable of all assigned payors.
Maintains open communication of all payor related issues to the Payor Relations Manager.
Coordinates with Payor Relations Manager all payor issue identification, resolution and appropriate staff training as necessary to resolve outstanding accounts related to payor issues.
Also coordinates with Payor Relations Manager any resource allocation necessary to fully staff payor claim event functions or support claim event activities needed to ensure the success of the claim event.
Facilitates and presents at Accounts Receivable Task Force meetings the status of payor issues, outstanding accounts receivables, current cash to net statistics and goals, action plan(s) underway to attain aged A/R and cash to net goals; provides appropriate supporting documentation.
Provides feedback as requested to Managed Systems and the Payor Relations Manager regarding accounts receivable issues and trends.
Ensures state and federal legislative changes are communicated to the appropriate team members throughout Patient Accounting. Develops and maintains standard process for account review followed by Supervisors reporting to this position.
Performs tracking and trending functions. Keeps Corporate Director informed of department activities, needs, and problems.
As necessary, addresses all patients, guests, and staff complaints and concerns, ensuring that appropriate action is taken to resolve the problem.
Ensures department operates within established budget limits and justifies any variance in expenses to Corporate Director of Patient Accounting.
Works closely with all PFS areas (and non-PFS areas as appropriate) and under the direction of the Corporate
Bachelor’s Degree in Business, Healthcare Administration, Finance or an equivalent combination of relevant education and/or experience on a 1:1 basis, offsetting experience must be in the field of Healthcare/Patient Financial Services.
Four (4) Years of Experience in Patient Financial Service’s Functions Required. Dual Patient Accounting and Patient Access (Patient Business) experience.