Role Description
Responsible for managing patient account staff in processing accounts and working with designated payors to ensure proper reimbursement.
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Ensures compliance with state and federal laws and regulations.
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Maintains a thorough understanding of health insurance and government programs, where necessary.
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Facilitates the identification of issues and solutions by team members related to delays in achieving payment resolution.
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Monitors collection processes to determine cash flow improvement opportunities.
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Manages the aging of accounts receivable by trending and analyzing the A/R, and through communication with the payors.
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Works with A/R supervisors to identify department training needs for system education, industry updates and changes in collection processes and protocols.
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Works with A/R Supervisors and staff to ensure that employee productivity and quality meets standards.
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Manages desk assignments to meet employee productivity and collection efforts across all client facilities.
Qualifications
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Advanced knowledge of healthcare A/R.
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Excellent working knowledge of Patient Financial Services operations with specific focus on Inpatient and Outpatient Managed Care and Commercial payors (i.e., Medicare regulations and compliance; HIPAA).
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Proficient in Microsoft Office (Word and Excel).
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Advanced writing skills.
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Ability to provide advanced customer service.
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Ability to plan and implement process improvements.
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Ability to train and coach staff.
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Ability to multi-task.
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Strong leadership and organizational skills.
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Proficient in building a strong team to meet performance goals.
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Very good written and verbal communication skills.
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Strong interpersonal skills.
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Strong technical skills, including PC and MS Office Suite knowledge.
Requirements
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4 year college degree in Healthcare Administration, Business or related area or equivalent experience. MBA/CPA preferred.
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5 β 10 years experience in Healthcare Administration or Business Office.
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2 β 3 years supervisory experience.
Certificates, Licenses, Registrations
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HFMA-Patient Accounts or Hospital Accounting Certification encouraged.
Physical Demands
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Ability to sit and work at a computer terminal for extended periods of time.
Work Environment
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Call Center environment with multiple workstations in close proximity.
Benefits
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Medical, dental, vision, disability, life, and business travel insurance.
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Management time off (vacation & sick leave) β min of 12 days per year, accrued at a rate of approximately 1.84 hours per 40 hours worked.
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401k with up to 6% employer match.
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10 paid holidays per year.
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Health savings accounts, healthcare & dependent flexible spending accounts.
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Employee Assistance program, Employee discount program.
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Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
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For Colorado employees, Conifer offers paid leave in accordance with Coloradoβs Healthy Families and Workplaces Act.