Responsible for day-to-day operations, management of the patient accounting staff for all Continuing Care service lines. Responsible for assuring compliance with all insurance regulations, guidelines, rules and reimbursement. Directs patient accounting staff to align department performance with the direction of the health system. Plan and implement reimbursement strategies to maximize revenue. Responsible for updating, maintaining and developing pertinent policies and procedures. Responsible to understand the unique intricacies of the four EMR systems: CareTend for Home Infusion, Epic for Home Health and Hospice, Point Click Care for the Sault Long Term Care and MatrixCare for Standish Long Term Care.
(40%)* Management and Evaluation: Responsible for the day-to-day operations of the patient accounting activities to assure timely billing for services provided to patients. Completes performance appraisals for assigned staff. Conducts performance improvement plans, counseling and/or disciplinary meetings with staff as needed. Manages all staff to ensure excellent customer service in accordance with MyMichigan Health standards. Recommends staff for promotions, retention, special assignments or termination.
(30%)* Regulatory: Know and adhere to billing regulations and guidelines for all payers. Develop and maintain policies and procedures. Work collectively with other departments and affiliates to ensure compliance. Involvement with industry associations to develop relationships and drive understanding of changes in regulatory and competitive landscape.
(20%)* Revenue Cycle: Develop, implement and maintain procedures for collection of revenue for all Continuing Care service lines. Align procedures to ensure revenue cycle targets for days in A/R and avoidable write offs are met. Coordinate relationships between intake staff and billing to maximize revenue collection and ensure a seamless patient experience. Assist staff in setting goals and priorities to ensure that all aspects of patient accounting (from insurance verification/authorization, billing and cash posting) are completed in a timely manner.
(10%)* Staff Development: Trains new staff in addition to and refresher training.
OTHER DUTIES AND RESPONSIBILITES:All other duties as assigned.
MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows. Employees may be required to participate in further learning opportunities offered by MyMichigan Health.
N/A
Bachelors degree is required
Bachelors degree with three to five years work experience. Five years in a health care setting with demonstrated leadership skills
Three to five years billing experience in a billing setting.
Knowledge of HCFA, UB04 and all payer rules and regulations.
Must have strong computer applications knowledge.
Requires three years of experience in a computerized medical setting. Computer proficiency with Microsoft Software preferred.
Knowledge of medical record/patient confidentiality laws.
Strong interpersonal, written and communication skills required.
PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS:
Exposure to stressful situations, including those involving public contact, as well as trauma, grief and death.
Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.
Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.
Overall vision and hearing is necessary with or without assisted device(s).
Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.
Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required.
Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.
Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.
Physical Demand Level: Sedentary. Must be able to occasionally (0-33% of the workday) lift or carry 0-10 lbs.
Use our AI to tailor your resume for this Manager Patient Accounts position at MyMichigan Health.