Job Title: Manager-Patient Financial
Location: Philadelphia, PA (19104)
Duration: 3 Months (+possible extensions)
Pay Rate: $35 – $40 / hour on W2 basis.
Job Overview:
· Responsible for oversight of the patient financial services collection functions for both the hospital and Client physicians.
· Stays informed on current payer contracts, regulation changes, and other sources that impact reimbursement.
· Provide leadership in identifying and resolving payor collection issues.
· Collaborates with Patient Access Services and Revenue Integrity leadership to assure smooth end-to-end processes, resulting in strong financial performance.
Essential Functions:
· Provide leadership and strategic direction for collection functions.
· Monitors performance products’ cash targets and develops strategies to achieve goal.
· Develop relationships with payor representatives to help speed resolution to adjudication problems. Follow up with third party payors includes addressing payment delays, under payments and contract set ups.
· Collaborates with Patient Access, Registration, Case Management, HIM, Audit & Compliance, Specialty Centers, Family Health Coverage Program, and other areas of Patient Financial Services to ensure that revenue cycle flows efficiently and effectively.
· Performs other duties as assigned by the Director of Patient Financial Services Collections.
Work Experience:
· At least five (5) years’ work experience in a healthcare billing and Revenue Cycle environment.
· At least three (3) years supervisory experience
Required Licenses, Certifications, and Registrations:
· Certified Revenue Cycle Representative (CRCR) Healthcare Financial Management Association within 6 months of joining required.
· Certified Patient Financial Services Specialist Hospital Business Institute within 6 months of joining.
Required Skills:
· Requires understanding of managed care business processes, data, systems, and applications for claims payment, enrollment, benefit design, product pricing, network and provider contracting, and utilization management.
· Must possess strong understanding of insurance billing & reimbursement procedures.
· Excellent interpersonal & communication skills and demonstrated organizational and leadership abilities.
· Requires high level of analytical ability, and strong knowledge of system analysis and data gathering techniques.
· Ability to work independently towards specific goals and objectives and provide recommendations for improvement.
· Strong organizational and multi-tasking skills to apply toward high-priority assignments to meet established deadlines.
· Proficient computing skills, specifically healthcare related billing platforms, MS Office Products.
· Reporting abilities through business objects, crystal reporting, etc. (EPIC experience preferred).
#IRI3
Job Type: Contract
Pay: $35.00 - $40.00 per hour
Work Location: In person
Mission - Our mission is to service with Integrity as Both an employer of choice to our associates and a strategic partner to our clients. Vision - IRI’s vision is to become an industry leading staffing services organization by maintaining ethica...
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