Schedule: Full time
Shift: Day (United States of America)
Address: 900 HOPE WAY
City: ALTAMONTE SPRINGS
State: Florida
Postal Code: 32714
Job Description:Oversees reconciliation and research activities to ensure timely resolution of payment posting exceptions. Provides direction and support to staff, promoting their development and collaboration with other managers and administrative staff. Analyzes and resolves problems related to payment posting activities. Manages personnel activities including hiring, training, development, and termination of staff. Monitors payment and adjustment trends, interpreting reports and dashboards. Ensures the timeliness and appropriateness of posting payments. Works closely with IT resources, insurance payers, and bank vendors to utilize technology and automation in payment posting functions. Develops, implements, and monitors key performance indicators and productivity goals. Identifies root causes for variances and applicable process improvements. Reports key findings to appropriate leadership. Establishes and ensures the effectiveness of internal controls. Reviews and approves write-offs and adjustments on accounts as defined in policies.
Knowledge, Skills, and Abilities: - General knowledge of insurance billing practices, including Provider Level Balance (PLB) adjustments
- Understanding of file formatting and interpretation of insurance Explanation of Benefits (EOB)
- Clear understanding of payer adjudication and file flow that may include clearinghouses and other third party intermediaries.
- Ability to demonstrate solid knowledge and application of generally accepted accounting principles
- Ability to communicate effectively both orally and in writing
- Technical Skills
- Extensive Knowledge on use of email, search engine, Internet
- Ability to effectively navigate payer websites
- Knowledge and use of Microsoft Products
- Outlook
- Word
- Excel
- Teams
- OneNote
- Experience with ERP systems (e.g. PeopleSoft)
- Experience with various patient accounting systems
- NextGen
- AthenaHealth
- Cerner
- HomeCare Homebase
- Working knowledge of Epic Practice Management System
Education: - Bachelor's [Required]
Field of Study: - In Healthcare Administration, Finance, Business Administration, or equivalent degree from a four-year accredited university or college or an Associate degree plus 3 years of relevant experience
Work Experience: - 2+ years of experience working as a manager, supervisor or lead with direct reports [Required]
- 4+ years of experience in healthcare revenue cycle or payment posting operations [Required]
Additional Information: - N/A
Licenses and Certifications: - Epic Resolute Hospital Billing Charging (EPIC RHBC) [Preferred]
Physical Requirements: (Please click the link below to view work requirements) - Physical Requirements - https://tinyurl.com/23km2677
Pay Range:$72,786.83 - $135,385.27
Background Screening Requirement (Florida Law) Certain positions are subject to
Florida Level 2 background screening, including fingerprinting, as required by state law.
Applicants may review general information about Florida's background screening requirements at the
Florida Care Provider Background Screening Clearinghouse:
https://info.flclearinghouse.com/
