Regional Manager Revenue Cycle/ Revenue Mgmt - 11849

Penn Highlands Healthcare has been awarded on the Forbes list of Best-in-State Employers 2022. This prestigious award is presented by Forbes and Statistica Inc., the world leading statistics portal and industry ranking provider.

Summary

TO MANAGE AND COORDINATE ALL ASPECTS OF INSURANCE BILLING INCLUDING BILLING FOLLOW UP AND COLLECTION OF RECEIVABLES FROM A 3RD PARTY PAYERS; AS WELL AS MONITORING NOT ONLY THE TIMELINESS OF CLAIMS SUBMISSIONS BUT ALSO REPORTING OF CHARGE ENTRY PROCESS. IS RESPONSIBLE TO MAKE RECOMMENDATIONS TO SYSTEM DIRECTOR IMPROVEMENTS BASED UPON THE MONITORING FOR BOTH BILLING/FOLLOW UP AND CHARGE ENTRY PROCESSES. WORKING IN CONJUNCTION WITH THE SUPERVISORY TEAM TO INSURE OPTIMIZATION OF REIMBURSEMENT AND REDUCING CLAIM DENIALS BY UNDERSTANDING THE PAYER’S BILLING REGULATIONS AND THE WORKING KNOWLEDGE OF THE MEDITECH/CPSI/ECW/GE/CENTRICITY CERNER SOFTWARE CAPABILITIES. RESPONSIBLE FOR ENSURING BILLING SOFTWARE IS PRODUCING ACCURATE AND COMPLIANT CLAIMS, MAKING THE NECESSARY CHANGES AS APPROPRIATE. IS RESPONSIBLE FOR ASSISTING PRACTICES/CLINICS WITH TRAINING FOR STAFF FOR THE APPROPRIATE REGISTRATION PROCESS, POINT OF SERVICE COLLECTION OF COPAYS AND/OR DEDUCTIBLES AND THE CHARGE ENTRY PROCESSES. RESPONSIBLE TO MAXIMIZE EMPLOYEE PRODUCTIVITY, SET PRIORITIES AND DELEGATE EMPLOYEES AS NECESSARY TO ENSURE TIMELY AND ACCURATE CLAIM PROCESSING, CHARGE ENTRY PROCESSES AND COMPLIANCE WITH ORGANIZATIONAL STANDARDS. RESPONSIBLE TO IMPROVE PROCESSES AND DEVELOP/PROVIDE EDUCATION TO THE EMPLOYEES OF THE REVENUE CYCLE AND EMPLOYEES OF OTHER DEPARTMENTS AS DEEMED APPROPRIATE. PROVIDE DAILY/WEEKLY & MONTHLY REPORTS FOR REVIEW OF PRODUCTIVITY OUTCOMES BY DEPARTMENT/PRACTICE/CLINIC FOR CHARGE ENTRY, BILLING AND REIMBURSEMENT MEETING AND/OR SURPASSING INDUSTRY STANDARDS TO REVENUE CYCLE LEADERSHIP.

Qualifications

• Education: ASSOCIATES DEGREE IN HEALTHCARE MANAGEMENT/BUSINESS/FINANCE/EDUCATION REQUIRED – BACHELOR DEGREE PREFERRED Experience: FIVE YEARS IN SUPERVISORY/MANAGEMENT CAPACITY OVERSEEING HEALTHCARE FOR BOTH PROFESSIONAL & FACILITY MEDICAL BILLING/COLLECTIONS AND CHARGE ENTRY. HANDS ON WORKING KNOWLEDGE OF MEDICAL BILLING SOFTWARE SYSTEMS: SPECIFICALLY MEDITECH/CPSI/GE/CENTRICITY CERNER QUADAX A PLUS
• Required skills: EXCELLENT INTERPERSONAL AND ORGANIZATIONAL SKILLS WITH ABILITY TO WORK INDEPENDENTLY AND AS A TEAM PLAYER. INDIVIDUAL MUST HAVE STRONG UP-TO-DATE KNOWLEDGE OF PAYER REGULATIONS, RULES AND GUIDELINES. INDIVIDUAL MUST HAVE EXTENSIVE HANDS-ON-EXPERIENCE BILLING/CHARGE ENTRY SOFTWARE PACKAGES & SYSTEM CONVERSIONS. INDIVIDUAL POSSESSES SELF-INITIATIVE, CREATIVITY AND MOTIVATION, AS WELL AS A HIGH LEVEL OF ABILITY TO IDENTIFY AND TROUBLESHOOT ISSUES AND PROBLEMS AND IMPLEMENT SOLUTIONS THAT WORK BOTH RELATIVE TO BILLING SOFTWARE. WELL ADEPT IN EXCEL & WORD DOCUMENTS.
• Preferred Skills: KNOWLEDGE OF CPT-4, HCPCS, CCI EDITS AND ICD-9/ICD-10 DIAGNOSIS CODING.
  
  

What We Offer

• Competitive Compensation
• Shift Differentials
• Tuition Reimbursement
• Professional Development
• Supportive and Experienced Peers
  
  

Benefits

• Medical, Dental, and Vision offered after completion of introductory period
• Paid Time Off
• 403(b) retirement plan with company match
• Company Paid Short & Long Term disability coverage
• Company Paid and Voluntary Life Insurance
• Flex Spending Account
• Employee Assistance Program (EAP)
• Health & Wellness Programs