ResponsibilitiesGeneral Purpose:Responsible for the administrative management of SMH and HH’s billing and third-party collection functions for various insurances. Serves as the primary liaison with third party payers, hospital departments, other hospitals and institutions. Coordinates and monitors the administrative and operational activities of assigned staff. Provides direction and support for planning, developing procedures, and fiscal activities. Sets goals and objectives for assigned payors.Specific Responsibilities :Under general direction and with significant latitude for independent judgment:35% Manages the accounts receivable for specific payors to assure the highest level of compliant collections. Identifies problem areas to control Hospital receivables:
Establishes and implements controls to evaluate the quality and quantity of work being performed to ensure appropriate billing and payment cycles
Establishes procedures for the timely collection of third-party receivables
Reviews status of aged high dollar accounts. Makes recommendations for appropriate follow up on these accounts
Monitors and approves requests for write off of accounts based on assigned level.
Develops and implements procedures to reduce loss of payments
Seeks continued improvement in operations
30% Maintains responsibility for the efficient operation of the billing and third-party collection functions for hospital accounts.
Develops related operating policies and procedures
Maintains technical knowledge of third-party payers, including Federal, State and local regulations that apply to outpatient reimbursement to understand and evaluates individual activities related to third party reimbursement
Writes, recommends, reviews and approves new billing procedures and makes changes to existing procedures/policies
Implements and teaches educational programs for staff; keep training and procedural documentation current
In collaboration with Associate Director/Manager, develops strategic initiatives related to billing functions.
Makes recommendations and assists in the implementation of system changes
20% Directs and coordinates activities of staff in supervisory positions and staff under own supervision.
Recruits, hires, trains and evaluates employees under own supervision
Monitors personnel action in order to assure consistency with the area and conformity to University policies
Ensures that federal and state regulations for time reporting are adhered to
Works to ensure that the physical environment is safe, clean and receptive to being an efficient work area.
Approves and monitors the use of overtime
10% Establishes and maintains effective communication to facilitate a smooth work flow and resolve problematic situations with:
The PFS Management team to ensure that Department goals and objectives are met
Provider representatives from insurance companies to identify ways to correct and/or automate the billing process and to secure payments faster
RIM to inform them of required billing information
Billing/PFS Managers at the other local hospitals
SMH/HH Management (Health Information, Utilization Review) to ensure early problem identification and effective problem resolution
Serves on various committees and project teams to report billing requirements
5% Prepares routine operational reports and special reports. With Associate Director, develops goals and objectives for the area.Other duties as assigned:
Attends education meetings and seminars and communicate information presented
Interprets, implements and communicates University and office policies, regulations and Procedures
Encourages positive communication and cooperation
Requirements:Bachelor's Degree in Accounting or Business and 3-4 years of related relevant experience in business office operations, consulting or auditing; or an equivalent combination of education and experience.Note: This document describes typical duties and responsibilities and is not intended to limit management from assigning other work as required.The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion to advance the University’s mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, citizenship status, or any other status protected by law. This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.How To ApplyAll applicants must apply online.EOE Minorities/Females/Protected Veterans/DisabledPay RangePay Range: $60,431 - $84,603 AnnuallyThe referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job’s compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.Apply for Job
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Location: Strong Memorial Hospital
Full/Part Time: Full-Time
Opening: