Please note: This position is 75% work from home and 25% in-office
Reporting to the Director of Patient Financial Services, the Manager of Patient Financial Services plays a critical role in overseeing the efficient day-to-day operations of accounts receivable management, cash management, payment posting, refund processing, and customer service inquiries related to hospital or outpatient bills for services provided by Valleywise Health. This position is responsible for implementing and monitoring productivity standards, resolving issues, managing denials and appeals, reporting on payer performance, and ensuring adherence to Valleywise Health's policies and procedures. The Manager also supervises the reconciliation of payments, monitors refund requests, and addresses escalated patient concerns. Additionally, this role involves collaboration with external collection agencies for optimal cash collection and denial management.
Annual Salary Range: $86,444.00 - $127,504.00
Qualifications
Education:
Requires a Bachelor's degree in Business, Finance, or a related field or an equivalent combination of training and progressively responsible experience that will result in the required specialized knowledge and abilities to perform the assigned work.
Experience:
Must have a minimum of five (5) years of progressively responsible healthcare collection, denials, and recovery services experience, demonstrating a strong understanding of the required knowledge, skills, and abilities.
Requires prior supervisor/management experience, preferably within Patient Financial Services.
Certification/Licensure:
Epic and HFMA certification is preferred.
Knowledge, Skills, and Abilities:
Must demonstrate success in the ability to lead others as well as lead projects by projecting a positive attitude and possess the ability to motivate a team.
Requires a working knowledge of the principles, fundamentals and systems specific to the department impacting the revenue cycle workflow and the principles and fundamentals related to budgeting, accounting, record keeping and business writing.
Requires knowledge of all aspects of payer reimbursement, including Medicare, AHCCCS, commercial, managed care, worker's compensation, and self-pay.
Must be familiar with health care billing and collection, general knowledge of medical records and coding compliance, Fair Debt Collection Practices Act, and legal compliance.
Epic experience and advanced knowledge of MS Office including data analytics within both Access and Excel is preferred.
Requires excellent communication (both orally and in writing with internal and external customers and agencies), organizational, time management, and general math skills, as well as legal compliance, persistence, and training skills.
Requires excellent patient service and interpersonal skills and demonstrates leadership skills to interact regularly with leadership and staff.
Requires analytical ability to complete high-level problem-solving development and provide direction in the implementation of short and long-term departmental goals.
Requires up-to-date knowledge and understanding of Federal compliance and OIG initiatives that impact the healthcare industry.
Requires understanding of current and future trends/practice in area of responsibility.
Requires knowledge of information systems and software used in area of responsibility and of equipment used in performing assigned duties.
Must have a working knowledge of healthcare accounts receivable management concepts, including in-depth knowledge of the state reimbursement and regulatory environment to ensure compliance with state regulations regarding patient and insurance billing issues.
Requires an understanding of current and future trends/practices in responsibility. Requires knowledge of general administrative procedures such as payroll, vendor management, and purchasing.
Requires organizational, general math, and training skills.
Must be able to supervise and coordinate the work of subordinate personnel in a manner conducive to full performance and high morale.
Must be approachable, people-oriented, and a good listener.
Must be a change agent able to develop, implement and maintain policies and processes.
Requires the ability to be a creative, independent thinker.
Must exhibit professionalism, customer service, enthusiasm, and the ability to build relationships with business and key stakeholders.
Must possess solid analytical and problem-solving skills and utilize the appropriate management techniques to plan, organize, control, and coordinate activities.
Must have the ability to handle multiple complex projects as well as work independently.
Excellent written and verbal communication skills, time management skills, mentoring, and leadership skills are required.
Must have a working knowledge of Excel and Word.
Requires the ability to read, write and speak effectively in English.
#NUR
Location: Valleywise Health System · Patient Financial Services
Schedule: Regular FT 40 Hours Per Week, Days