Manager of Patient Financial Services - Hospice - Orlando

  • Adventist Health System
  • Altamonte Springs, FL, USA
  • Dec 02, 2017

Job Description

If you want to be a part of a place that provides nothing less than extraordinary compassionate care, then Adventist Health System is the place for you!

We are currently seeking qualified candidates for a Manger of Patient Financial Services position that will be based in our Home Care department. This position is based at in Orlando, FL.

The Manager of Patient Financial Services is responsible for managing eligibility, authorization, and billing operations for Adventist's home health service line. This position will provide oversight of the following areas including insurance verification, authorization, billing, collection and cash posting to achieve optimal results. The manager will be responsible for oversight of performance metrics. The manager will be responsible for implementing policies and procedures in accordance with legal requirements and in support of company policies.

Specific job duties include:

  • Extensive knowledge of revenue cycle metrics and drivers for both episodic and fee for service payers in Home Health billing and collections (including days in AR reduction, improved cash collections, reduced aging, lower denials).
  • Manage the daily operations of the home health insurance verification, authorization, billing, collection and cash posting.
  • Ensure prompt completion of insurance verification and authorization by staff to meet required timeline.
  • Responsible for monitoring workflow of staff and billing process.
  • Monitors daily submission of OASIS providing feedback to the agencies of any issues including untimely submissions.
  • Monitors billed and unbilled claims to ensure timely submission of claims.
  • Develops productivity goals of staff and ensures goals are being met.
  • Manages AR aging and cash collection to ensure financial targets are met while working to reduce the level of AR write-offs and bad debt.
  • Provides financial trend reports in areas of adjustment reasons, denial reasons, resubmitted billings, accounts receivable, held revenue, late or retro charges to business units to expedite the revenue cycle.
  • Assists with month end close processes, reports, and financial audits.
  • Collaborates and works with medical review for approval of claims requiring Final Claim audits.
  • Implements and trains PFS staff on all departmental policies and procedures.
  • Focuses on staff development by facilitating and teaching the staff the technical skills necessary to perform activities of accounts receivable.
  • Ensures all billing tasks are performed in adherence with CMS regulations and compliance for Federal payers and adherence to system contract terms for other 3 rd party payers.
  • Safeguards submission of claims adhering to not release claims inappropriately and follows the AHS procedures related to claim submission.
  • Ensures timely implementation of business procedures and enhancements.
  • Supervises staff in conjunction with the organization's managerial/leadership practices and adheres to corporate policies.
  • Updates and maintains all payer contracts in billing system.
  • Troubleshoots payer issues and identified trends.
  • Other duties as assigned.
  • Supports the PFS Director and Executive Director with managerial administration.

Education Requirements:

  • Education Bachelor's Degree

Experience Requirements:

  • 3+ years minimum in a management or leadership role in a healthcare setting

If this position sounds like a great match for your skills set and experience, please apply online now!