Market Manager Payment Posting

Overview

CHI Memorial Mountain Management

CHI Memorial Medical Group (Mountain Management Services), now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health, is a Management Service Organization (MSO) that provides comprehensive office management services for all Memorial Health Partners and many physicians in private practice. We are proud to be a part of the regional referral center of choice providing health care throughout Southeast Tennessee and North Georgia.

We care about our employees’ well-being and offer benefits that complement work/life balance.

We offer the following benefits to support you and your family:

Free Membership to our Care@Work program supporting any child care, pet care, or adult dependent needs

Employee Assistance Program (EAP) for you and your family

Health/Dental/Vision Insurance

Flexible spending accounts

Voluntary Protection: Group Accident, Critical Illness, and Identity Theft

Adoption Assistance

Paid Time Off (PTO)

Tuition Assistance for career growth and development

Matching Retirement Programs

Wellness Program

If you are passionate about the patient experience and ready to join our nationally recognized hospital, connect with us today!

Responsibilities

Job Summary / Purpose

The Market Manager – Payment Posting is responsible for leading the teams and driving the strategies for: Patient account posting activities to include: insurance payments, contractual allowances, approved adjustments / write-offs, patient payments, reconciliation of cash / accounts receivable,; This position requires a thorough understanding of medical billing and cash management. This position will oversee all markets/clients in our CBO (private clients, TN employed/MHPF, Bryan, Lufkin, Houston, and Kentucky). The Posting Manager will be a key member of the relevant committees, and will also partner with cross-functional teams to identify, trend and resolve root causes of call drivers. Work requires attention to detail, the ability to accurately and timely troubleshoot/resolve questions/issues and to resolve (within scope of the position) issues which may have a potential impact on revenues. Must have above average ability to work in Excel to slice and dice data and provide summary and targeted information to increase collections, find problems and monitor. Ability to work in different systems represented by each market.

Essential Key Job Responsibilities

• Determine appropriate and effective performance metrics / goals and staff requirements for areas of responsibility to run with efficiency and accuracy.
• Communicate goals and expectations for quantity and quality measures to all team members.
• Monitor staff performance through quality assurance audits and review of productivity reports.
• Provide direction and monitor performance to ensure compliance with all confidentiality policies and procedures relating to HIPAA for both patients and staff.
• Manage workflow of personnel, to include the schedules of team members to meet the department’s needs.
• Identifies and researches unusual, complex or escalated issues as assigned; applies problem-solving and critical thinking skills as necessary to resolve issues within the scope of position authority.
• Ensure all new staff are properly on-boarded and necessary training provided.
• Initiates coaching, counseling, and disciplinary action in a timely, fair and consistent manner according to Human Resources policies.
• Interviews and recommends for hiring quality staff according to Human Resources policies; Plans and ensures orientation of new employees according to Department protocol, as demonstrated by employees being productive and accurate by end of probationary period.
• Recommends associates to be recognized/rewarded for superior job performance or excellent service;
• Provides annual evaluation of team members, being objective, fair and consistent with MMS expectations; initiate and communicate work improvement plan when appropriate, wherever improvement is needed;
• Communicates changes in philosophy, goals, procedures, plans and activities of the Department and Organization to the staff in a timely and positive manner.
• Maintain time and attendance records.
• Conduct end of day reconciliation of deposits and payment posting.
• Ensure all unassigned payments are reconciled, resolved prior to month end.
• Perform any functions within the department that may be required due to staffing shortage to ensure all activity is complete at month end close.
• Assist in CHAN audits and the follow-up of outstanding issues.
• Organize and facilitate weekly team meetings and daily huddles.
• Looks for ways to improve service and introduce new work procedures that saves time, effort, and money.
• Review handling of returned checks, statements and credit card disputes.
• Manage payer websites relative to EOB / posting activities. Manage and maintain work queues, conducts periodic reevaluation for volume, aging and balance due.
• Establishes and maintains professional and effective relationships with peers and other stakeholders.
• Works collaboratively with payers and revenue cycle staff to explain trends and issues.
• Works collaboratively with each market's clinic managers and market leaders to resolve issues and explain trends.
• Prepares and delivers monthly report-out via powerpoint to each market stakeholders on performance, challenges, wins etc.
• Establishes and maintains a professional relationship with clinics and CBO staff in order to resolve issues.
• Depending on role and training, may be called upon to support other areas in the Revenue Cycle.
• Meet and communicate with clients in the market routinely and upon request regarding billing and collections.
• Provide positive communication and feedback to the teams.
• Reports to the Market Director and Finance as to the status of cash goals, posting backlog, reconciliation issues, and department issues in a timely manner.
• Reports any issues identified to the appropriate department.
• Demonstrates competency in computer skills required to function on MMS and Patient Accounts computer systems and Microsoft Word and Excel; Provides Productivity and Goal Charts and Graphs as needed; Expresses thoughts and ideas one-on-one and in various CBO teams; Ability to communicate effectively and positively with peers, practices, and team; Exercises good listening skills.
• Develops and maintains smooth, cooperative working relationships with others.
• Participates in professional development activities to keep current with trends and practices in health care cash management and customer service
• Keeps current on changes in billing system and requirements of third party payers.
• Is flexible; copes successfully with a variety of situations, personalities, and the changing work environment. Deals effectively with stressful situations.
• Other duties as assigned.
  

Qualifications

Required Education:

High School Diploma or equivalent is required.

PREFERRED Qualifications

5 or more years’ experience in Third Party Reimbursement and Accounts Receivable.

Bachelor of Business Administration degree preferred or a broad proven practical experience in accounts receivable, preferably in a health care environment, may be acceptable.

Pay Range

$30.47 - $44.19 /hour