Vacancy caducado!
OverviewAt WellStar, we all share common goals. That’s what makes us so successful – and such an integral part of our communities. We want the same things, for our organization, for our patients, and for our colleagues. As the most integrated healthcare provider in Georgia, this means we pride ourselves on investing in the communities that we serve. We continue to provide innovative care models, focused on improving quality and access to healthcare.ResponsibilitiesThe MyChart/Patient Estimate/Consumerism Manager will be responsible for the accuracy in supplying estimates for hospital and physician based services. MyChart/Patient Estimate/Consumerism Manager will serve as contact for MyChart steering committee. Lead a team that helps patients and families navigate through financial features in MyChart. Provide consumer-friendly patient estimates regarding WellStar Health System services Identify, create and lead Revenue Cycle involved consumerism initiatives.Required Minimum Education: BA or BS, preferably in Business, Accounting, Finance, or ten (10) yearscommiserate work experience required.
Maintain a working knowledge of all-departmental processes and functions, responding appropriately to inquiries from patients regarding MyChart and patient estimates for hospital and physician based services.
a. Demonstrate effective departmental leadership, and provide direction to the staff and leads in the performance of their functions by assisting with daily planning, organizing, prioritizing and management of operations, resolving issues, etc.b. Manage and supervise professional level staff, providing direction and guidance to the same, creating a team environment through training, recognition/evaluation, and in-service education which produces optimum work habits and job performancec. Set obtainable strategic and short-term goals, maintaining expected level of management productivity as well as conducting performance studies to improve productivity, streamline operations and reduce error rates of estimates. Provide assistance with staff training and oversight that newly implemented policies and procedures are being followed. Meet deadlines established through interaction with AVP of Customer Service or other senior leadership.d. Review and improve work procedures to ensure that the most productive and efficient methods are usede. Monitor progress for each area on a daily basis, utilizing quantitative productivity reports and providing feedback to stafff. Provide assistance with departmental projects and presentations, as needed.g. Maintain and reflect a positive team attitude, regarding any special projects or polices that are implemented by the AVP of Customer Service or VP of Revenue Cycle.h. Resolve patient, physician, interdepartmental and other type complaints as it relates to patient estimates and/or MyChart and misunderstandings in a timely and appropriate manner while demonstrating the ability to tactfully handle difficult situations through an approach that reflects consistency and fairness.i. Must maintain a proficiency in the application of “key automated systems” that include Epicj. Act as an internal consultant; resolving problems and providing expertise to other hospital and Medical Group departments40
Provides high quality – customer service driven services
a. Remains well versed in customer service, customer satisfaction, and service recoveryb. Maintains professional but congenial relationships with all associated departments, inside and outside the Revenue Cycle, in order to assure coordination of efforts and compliance with corporate policy and procedures30
Trust/Engagement (Mandatory Content)
a. Builds a culture of trust and engagement as reflected in the Great Place to Work Trust Index Survey at a direct report, workgroup and hospital/entity level.b. Holds leaders accountable for behaviors that create trust and engagement.c. Performs all duties and responsibilities of this position in a manner that reflects the values of WellStar.d. Maintains and strengthens relationships with physicians and assures their involvement in developing systems to assure the growth of the service and the cost effective delivery of quality patient care in a manner that fosters patient and employee satisfaction.
Results Oriented Leadership (Mandatory Content)
a. Sets challenging and productive goals for team.b. Holds team accountable for actions while providing leadership and motivation.c. Provides resources and support,d. Uses checkpoints and data to track progress, setting up system and processes to measure results.
Collaboration and Partnership (Mandatory Content)
a. Works collaboratively and as a team member with hospital leadership. Partners with Human Resources to achieve desired organizational culture, staffing and workforce metrics.b. Fosters positive working relationships between staff and physicians across the Health System.c. Fosters a culture that focuses on patient satisfaction, safety, customer service, staff participation, collaboration, motivation, and effective communication.
Compliance
a. Maintains a current working knowledge of relevant patient billing regulations from Medicare, Medicaid, Champus/Tricare and any other Federal or State program.b. Maintains a working knowledge of all related HIPAA regulations and communicates all necessary requirements to staffc. Maintains effective communications with the WellStar Compliance Department regarding new and relevant issues.d. Communicate with and obtain assistance from various type claims processing, governmental and regulatory agencies, in the interpretation of critical regulations and procedures.e. Ensure that Policy and Procedures are comprehensive in nature and current/updated.f. Respects and maintains the privacy of patients protected health informationg. Educates staff about the importance of HIPAA.h. Performs periodic HIPAA auditsi. Reports HIPAA infractions to Compliancej. Maintains a current working knowledge of the FDCPA, TCPA and HIPAA regulations5
Monitors department’s productivity, comparing results to national and local best practice.
a. Assures that collection techniques, methods, and documentation are reviewed, monitored, and evaluated for effectiveness and consistencyb. Manage individual productivity in order to maximize department outputc. Monitors department’s productivity, comparing results to national and local best practice.5
Management and direction of human resources, job requirements, performance improvements, professional organizations, etc.:
a. Oversee hiring, special recognition, disciplinary actions, promotions and transfers for the department as well as developing annual employee performance reviews including merit recommendations. Must be timely in interaction with staff related to any Human Resource activity to ensure timelines are met and communication is occurring.b. Prepare departmental statistics regarding productivity, quality and performance measures.c. Responsible for organizing and presenting monthly management and quarterly staff meetings.d. Maintain a working knowledge of WellStar policies and procedures relating to employment, and of relevant state and federal regulations that address the employment and supervisory process.e. Disseminates information to all levels of the department.f. Becomes coach, team leader, mentor, trainer – which includes management by walking around, remaining accessible to staff.5g. Demonstrates effective leadership by communicating clearly with staff, appropriately acting upon staff feedback
Develops annual budget and provides required services within budget constraints
a. Uses resources and supplies efficiently in order to administer cost effective servicesb. Participates in process improvement projects, both in the Revenue Cycle and in other areas touched by the departments services5
Develops goals and objectives for the department. Also, must manage individual productivity in order to maximize department output
a. Motivate to exceed expectations in productivity, and employee satisfaction meeting employee turnover and retention goalsb. Involve his/herself with space planning as needed, minimizing cost of operation while maximizing efficiency and productivity.c. Assure that collection techniques, methods, and documentation are reviewed, monitored, and evaluated for effectiveness must manage individual productivity in order to maximize department output and consistd. Manage individual productivity in order to maximize department output5
Keeps up to date on advances in technology assuring that technology is used to maximize benefit.
a. Participates in the American Collector’s Association meetings, and/or local association meetings, and brings back knowledge learned to the group. including but not limited to the Fair Debt Collections Practices Act (FDCPA), Bankruptcy, and related laws and regulationsb. Keeps up to date on third party payer plans and systemsc. Incorporates the latest, available technology into the collection processd. Defines and recommends system enhancements which will help maximize recoveriesQualificationsRequired Minimum Experience: 2 years in Patient Financial Services with at least 1 year in a self pay collection environment. A quantifiable - verifiable track record of previous self pay receivables success is required. Progressive leadership including supervisor/lead level responsibility in a complex healthcare organization. Must have a thorough understanding of healthcare revenue cycle functions, operations and collection controlpoints. Experience in performance improvement and change management. Understanding of both Hospital and Professional revenue cycle patient billing / operational practices Experience in Customer Service Call Center Operations Experience in Complaint / Conflict resolution Epic SBO experience preferred.Required Minimum Licensure/Certification: Epic SBO proficiency/certification preferredRequired Minimum Skills: Establish a climate to achieve optimal performance levels and maintain a cohesive work team Work efficiently under pressure and deal effectively with constant change Operate a computer and related applications Apply appropriate supervisory, management and leadership techniques in an operational setting Work independently and take initiative Demonstrate a commitment to continuous learning Deal effectively with difficult people and/or difficult situation Willingly accept responsibility and/or delegate responsibility Set priorities and use good judgment for self and staff Must possess analytical and problem solving skills as well as the ability to work and communicate effectively with others. Project Management and Operational Performance Management Functional Knowledge of the FDCPA, TCPA and HIPAA Knowledge of state and federal regulations as they pertain to patient billing processes and procedures. Knowledge of insurance claim processing and third party reimbursement. Strong interpersonal, analytical, computer, problem solving and writing skills, with a “take charge” attitude. Must be comfortable interacting with physicians and senior management. Exceptional interpersonal skills for written, verbal, presentation, and computer communication required. Knowledge and detailed understanding of all negotiated agreements. Knowledge of the principles of Information Systems in order to effectively analyze and make decisions. Skill in good oral, written, and interpersonal communication. Skill in problem solving in a variety of settings. Ability to work efficiently under pressure. Ability to operate a computer and related applications. Advanced proficiency in Microsoft Word, Excel and PowerPoint Excel. Ability to apply appropriate supervisory, management and leadership techniques in an operational setting. Ability to work independently and take initiative. Ability to demonstrate a commitment to continuous learning and to operationalize that learning. Ability to deal effectively with constant changes and be a change agent. Ability to deal effectively with difficult people and/or difficult situations. Ability to willingly accept responsibility and/or delegate responsibility. Ability to set priorities and use good judgment for self and staff. Must be familiar with the general functioning of hospital patient accounting systems and with electronic claims processing and editing systemsJoin us for outstanding benefits and development opportunities. We also offer state-of-the-art technology, professional support and advancement, and colleagues that rank amongst the best in the country. The WellStar culture of caring has also been nationally recognized three years in a row by Fortune Magazine as one of the “100 Best Companies to Work For”. Step up to your potential. Find out more and apply today.WellStar is an equal opportunity/affirmative action employer. All applicants are considered without regard to race, color, religion, sex, age, national origin, disability, veteran status or any status which is protected by local, state or federal law.Department Mgr MyChart Patient Est ConsumerismFacility WellStar Shared ServicesCategory LeadershipCity MariettaShift DaysState Georgia
Vacancy caducado!