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 Center 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 employees 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 QUALIFICATIONS
Minimum Education
- Bachelors Degree or equivalent experience in a hospital setting.
Preferred Education
- Masters Degree preferred.
Minimum Work Experience and Qualifications
- Basic 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 data.
- 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