Patient Accounting Billing Manager
US-MA-Brookline
careers
Req #: 46164
Type: full time
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Overview:
Reporting to the Director of Patient Financial Services, the Patient Accounting Follow Up Manager is responsible for providing leadership and oversight of all underlying billing functions such as Accounts Receivable ("AR") resolution and denials management for all Government Payers. The Manager will lead a team of follow-up staff and work alongside departments across the Revenue Cycle to solve problems, escalate trends, educate staff and serve as the face of the department.
Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.
Responsibilities:
* Monitors and reviews unit activity in the areas of billing, follow-up and as needed, revenue control.
* Supervise and coordinate/train all staff as well as any temporary or co-op student assistance given on necessary billing and follow up instructions to include usage of third party billing-systems and downloads. Ensure adequate staffing coverage for required duties.
* Delegate and distribute daily work to include timely/accurate processing of charges and payment. Monitor for productivity, accuracy, and efficiency.
* Keep current on all payer electronic remittance changes and inform billing staff and/or information systems unit well as other department Managers and Directors of all updates.
* Review Edit and Hold bill reports and determine appropriate action to resolve accounts timely for billing. Work with billing staff, Managers, and Director as well as other departments necessary to handle problems identified. Keep Director informed of problems, which may delay timely submission of claims or extend ageing of receivables.
* Establish billing procedures for accurate/timely submission of claims and follow up activity to include posting and working of denials received by third party payors & submit to include posting and working of denials received by third party payors & submit procedures to be followed to director for approval. Instruct billing staff on policy /procedures to be followed. Update on an ongoing basis as required for regulatory and efficiency purposes.
* Review payment/denials for correct billing submissions and reimbursement activity to include correct coding assigned and billing instructions followed. Coordinate training as necessary & keep Director informed of issues, which affect operations and reimbursement. Work with other departments as necessary to obtain required information or educate as needed.
* Handles problem accounts and corresponds with third party payors as necessary to verify third party billing policy for claim submission or payment activity. Educates billing staff & other managers and director as necessary on findings as well as updates billing guidelines accordingly.
Qualifications:
At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are equally committed to diversifying our faculty and staff. Cancer knows no boundaries and when it comes to hiring the most dedicated and diverse professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply.
* College education preferred or a minimum of 5 years patient accounting experience. Prior managerial/supervisor experience required. Prior hospital and/or physician billing experience or equivalent required.
* Knowledge of third party regulations.
* Knowledge of patient accounting regulations preferred.
* Well organized, detail-oriented and dependable.
* PC experience to include third party billing systems-downloads.
* Excellent/professional communications skills to include both verbal and written skills.
* Team player, self starter-leader, ability to train others, ability to establish priorities and direct others, ability to recognize and solve problems, ability to meet deadlines, ability to take direction & familiar with medical terminology.
Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law.
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