Park Nicollet is looking to hire a Patient Financial Services Manager to join our team! Come join us as a Partner for Good and help us make an impact on the care and experience that our patients and their families receive every day.
Position Summary:
Manages, coordinates, and supervises the day-to-day denial activities within the HealthPartners Park Nicollet Medical Group revenue cycle. The scope of responsibility is all post-billed denials (inclusive of clinical denials). Supervises medical billing/claim specialists, a professional coder and a team of analysts responsible for determining root causes and preventing denials for professional services. Works cross-departmentally within and external to the Revenue Cycle function to identify trends and partner with key stakeholders to remedy and prevent revenue loss associated to denials. Accountable to analyze, prepare/publish trends and use data to drive action, decisions and improvement resulting in reduction of preventable denial inventory and revenue recovery. This position must maintain an awareness of payer guidelines and updates to assure compliance to billing and regulatory requirements. Receives and sets operational goals and strategies for the department, and assures they are accomplished through planning, implementing, and directing of system, programs, and staff productivity. Focus on identifying best practice revenue cycle process improvement initiatives and outcomes with attention to quality, efficiency, cost and patient experience.
Required Qualifications:
Education, Experience or Equivalent Combination:
- Bachelor’s degree or equivalent work experience required, preferably in business, accounting, health or public administration, management, or a related field.
- A minimum of two years management and development responsibilities and three years of healthcare experience.
Knowledge, Skills, and Abilities:
- Strong leadership, organization, team building, and management skill required.
- Working knowledge in the areas of patient registration, billing, accounts receivable (AR), and cash management requirements, familiarity with medical terminology and coding (both CPT-4 and ICD-9-CM), health insurance practices, industry regulatory requirements, business office operation, AR and financial reporting technology, and industry standards for healthcare revenue resolution management practices.
- Ability to handle multiple priorities, ambiguity, continuous change, and stressful situations.
- Knowledge of government and third-party regulations, HIPAA, billing requirements, insurance processing, as well as familiarity with medical terminology and coding (both CPT-4 and ICD-9-CM).
- This position requires familiarity and compliance with matters of law, regulations, and internal policies affecting the employment relationship, (including but not limited to FMLA, ADA and discrimination and harassment laws).
- Proficiency in the operations of Microsoft Office (including e-mail and calendar), spreadsheets, word processing applications, telephones, fax machines and copiers. Frequent use of spreadsheets, query software and patient accounting applications.
Preferred Qualifications:
Education, Experience or Equivalent Combination:
- At least two years of Patient Financial Services leadership experience.
- Masters in Hospital or Business Administration or related advanced degree.
Knowledge, Skills, and Abilities:
- Proven leadership skills in organizing, planning, providing support and managing an operation and its staff.
- Leadership skills in motivating cross-departmental teams’ performance towards excellence and develop team concepts and consensus-building management styles.
- Exceptional written and verbal communication.
- Actively participates in and leads effective teams through developing trust, encouraging productive conflict, connecting to goals, holding each other accountable and focusing on achieving results.
- Advanced analytical ability to assess situations and choose patient friendly, efficient cost-effective solutions.
- Ability to conceptualize workflow, develop plans and implement appropriate actions.
- Ability to teach others.
- Experience with Lean and Kaizen Tools.
- Negotiating Skills.
Benefits:
Park Nicollet offers a competitive benefits package (for eligible positions) that includes medical insurance, dental insurance, a retirement program, time away from work, insurance options, tuition reimbursement, an employee assistance program, onsite clinic and much more!