Offer summary

Qualifications:

High school diploma required., 5-7 years of experience in patient financial services in a healthcare setting., Extensive experience in team leadership and management., Strong computer skills, particularly in Excel, PowerPoint, and Word..

Key responsabilities:

Collaborate with the Patient Financial Services Manager to set goals and strategies.

Perform quality reviews of patient accounts and provide timely feedback.

Monitor adherence to policies and propose improvements to procedures.

Provide training and coaching for new and existing staff.

Job description

Overview

Functions as the Revenue Cycle Management (RCM) people and process expert responsible for cash / revenue management, proactive goal & initiative setting, payer / vendor management, etc. Coordinates activities related to planning, implementing, and maintaining Revenue Cycle process areas (e.g., Eligibility/Authorization Billing, Follow-Up, Denials, Payment Posting, and Customer Service). Performs supervisory functions for all RCM staff including but not limited to performance reviews, quality and productivity oversight, and administrative approvals (PTO, Timesheets, etc.). Collaborates with HR regarding recruiting efforts, including interviews of candidates.

We offer outstanding benefits for a Billing Specialist including:

401k with a match
Health/dental/vision coverage
Company paid life insurance
A generous PTO plan with unique maternity benefits and much more

Responsibilities

This is a remote position.

Primary Job Functions

Collaborate with the Patient Financial Services Manager to develop goals and strategies for the Patient Financial Services Team.
Perform quality reviews of patient accounts for accuracy in accordance with the policies and procedures for the Patient Financial Services workflow.
Provide timely performance feedback to the Patient Financial Services Manager.
Monitor adherence to policies and established procedures. Propose methods which assure effective execution of program responsibilities. Update policy and procedure manuals as required. Apprise staff of changes.
Makes sound decisions and works closely with staff when developing and implementing operating procedures as they relate to the area.
Provide training for new employees and re-training/coaching as needed.
Effectively monitor leading indicators and financial measures, implementing action plans as needed to address backlogs and underperforming functions.
Collaborate with Patient Financial Services Manger to review auditing trends, including payer processing issues.
Monitors changes in the healthcare industry that impact billing and collection efforts.
Works with the Patient Financial Services Manager to establish internal controls to ensure timely and accurate billing to payers and vendors.
Collaborates with HR regarding staff performance issues in addition to recruiting efforts.
Collaborates with internal IT department to make workflow modifications.
Leverages payer knowledge to identify performance issues and improve payer accountability.
Provides general management and supervision of staff in accordance with Confluent’s values, including administrative approvals.
Strong commitment to formalized orientation and training of staff on an on-going basis.
Responsible for and manages actions relating to quality audits of team members as well as ensure productivity targets are being met.
Continuous Improvement in policies and procedures.
Provides guidance in day-to-day activities.
Cross covers other related administrative positions and performs other duties as assigned/requested;

Qualifications

Requirements and Competencies

High school diploma required.
5-7 years of patient financial services experience in a medical practice or health care setting required.
Extensive experience leading teams and managing people.
Understanding of managed care contract types and concepts, specialty insurance and billing practices, and the ability to exercise professional competency in reviewing patient accounts to maximize reimbursement and minimize financial risk.
Demonstrated business communication skills including communicating well with patients and regional leadership. Strong problem-solving skills and the ability to manage and prioritize multiple projects.
Strong computer skills relevant to the position required. Significant experience using Excel, Power Point and Word required.
Self-starter who excels in a fast paced, data driven environment and shifting work environment.
Knowledge of and ability to articulate explanations of Medicare, Medicaid, HIPAA, and other government assistance programs and regulations.
Ability to effectively incorporate the mission and core values into processes.
Ability to maintain and convey a positive attitude and customer service approach to program development.

Required profile