Hoag Memorial Hospital Presbyterian

Hospital Billing Manager (Government): Business Service-Managed Care

Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor’s or Master’s degree in Business or Hospital Administration, or equivalent experience.
  • 5+ years of experience in Patient Financial Services or related field.
  • Knowledge of California collection law and insurance billing regulations.
  • Experience managing billing and collections teams effectively.
  • Strong analytical skills to interpret statistical reports.

Responsibilities

  • Manage overall operations of Patient Financial Services.
  • Oversee billing, collections, cash management, and regulatory compliance.
  • Supervise department staff and manage performance evaluations.
  • Coordinate training for patient accounting and managed care teams.
  • Focus on collections from Medicare, Work Compensation, group insurance, and private pay accounts.
  • Address escalated complaints and issues effectively.
  • Utilize monthly reports to monitor account trends and performance.
  • Streamline processes to improve revenue efficiencies.

Benefits

  • Robust training and development opportunities.
  • Collaborative work environment that supports staff growth.
  • Opportunity to impact financial operations in a healthcare setting.
Full Job Description
JOB DESCRIPTION

TheManagerof Hospital Billing is responsible for the overall operations and management of Patient Financial Services. This position oversees billing, collections, cash management, regulatory compliance and participation in long-term strategy for Patient Financial Services. Oversees department supervisors and billing staff and is responsible for performance management of employees. Identifies and coordinates training of all patient accounting and managed care staff. Works with staff to focus specifically on collections of Medicare, Work Compensation, group insurance, and private pay accounts.Serves as a point of escalation for complaints and issues. Uses monthly statistical reports to identify progress and trends with credit balances, aged accounts, and overall status of accounts. Standardizes and streamlines processes for efficiencies to improve revenues. Supports the business office and hospital mission. Performs other duties as assigned.

Additional Responsibilities

Leadership and Management:

Supervise and mentor a team of billing specialists.

Conduct regular performance evaluations and provide training as needed.

Develop and implement policies and procedures to improve billing efficiency and accuracy.

Billing Operations:

Oversee the preparation and submission of Medicare, Medi-Cal, other government and patient claims.

About Hoag Memorial Hospital Presbyterian

Hoag Memorial Hospital Presbyterian is a non-profit hospital located in Newport Beach, California. It was founded in 1952 and has since grown to become one of the largest hospitals in Orange County. Hoag offers a wide range of medical services, including cancer care, heart and vascular care, neurosciences, women's health, and orthopedics. The hospital is known for its commitment to patient-centered care and has received numerous awards and recognitions for its quality of care.
Learn more about Hoag Memorial Hospital Presbyterian
Size
6,000 employees
Industry

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