MAJOR RESPONSIBILITIES/ESSENTIAL FUNCTIONS The primary job duties this position is responsible for achieving are listed in order of importance.
- Demonstrates the ability to plan daily assignments and special projects according to work requirements and staff capabilities.
- Demonstrates knowledge of the Ethics Program and understands that compliance with the Corporate Integrity Program is a condition of employment.
- Develops staff by recruiting and hiring top candidates, performing evaluations and counseling employees that do not meet Medical Center and/or department standards.
- Assists collectors resolving their difficulty accounts.
- Demonstrates the ability to delegate wisely and effectively by understanding the abilities of individuals, specifying outcomes and time frames and providing an appropriate level of independence.
- Assists in the hiring process, performing evaluations and counseling employees that do not meet Medical C enter and /or department standards.
- Identifies individual capabilities (strength and weakness), provides positive reinforcement and assignments to improve current skills and develop new ones.
- Reviews collectors' activity to ensure timely and appropriate follow up.
- Trains and coaches collectors in their follow up.
- Reviews and approves accounts adjustments, ensuring contractual are posted according to hospital managed care contract/matrix.
- Reviews and documents denied claims on denial log, requesting appeals as necessary to obtain payment.
- Assists Director in responding to request for information.
- Responds to patient issues and complaints.
- Assists in the month end process by performing analysis of accounts receivables for accuracy and accruals.
- Assists in the control of hospital accounts receivables by following standard operating procedures and implementing hospital and corporate specific changes.
- Maintains adequate staffing to ensure effective operations.
- Leads and supports the Director and all team members with setting department goals.
- Develops cost effective strategies.
- Monitors employee's productivity to insure quality and quantity objectives are maintained.
- Oversees charge master activities, charge capture, new requests and regulatory updates
- Oversee all the admitting functions and operation
JOB QUALIFICATIONSMinimum Education - Bachelor's Degree or equivalent experience in a hospital setting.
Preferred Education - Master's Degree preferred.
Minimum Work Experience and QualificationsBasic Qualifications: Minimum eight (8) years of previous work experience in accounting, medical records, coding, billing and/or collections in a hospital or medical environment.
Additional Requirements:- Demonstrated knowledge of business operations, management practices and principles, and human resources management trends and practices.
- Ability to analyze and synthesize complex qualitative and quantitative date.
- Demonstrated ability to identify and implement innovative approaches.
- Strong knowledge of industry practices.
- Must be able to work in a union environment.
Preferred Work Experience and Qualifications Prior Management Experience in Billing and Collections
Prior Management Experience in Admitting, Authorizations, Case Management concurrent review
Prior experience in charge capture, observation calculations, vendor management on a large scale
Project Management Experience
Required Licensure, Certification, Registration or Designation- Fire Card
- Assault Response Competency (ARC) must be obtained by May 31, 2025.
Full-Time, Exempt
