Manager, Patient Accounts – Hospital Patient Accounts – Billing Follow Ups and Denials – Days
About The Position
MU Health Care is seeking a strategic leader to manage Hospital Patient Accounts’ billing follow-ups and denials function. The role focuses on revenue cycle performance, timely recovery of reimbursement, unpaid claims resolution, denial management, and strong partnerships with payors. The manager leads teams and operational workflows, identifies opportunities to improve efficiency and revenue, and supports compliant patient accounting processes. The position oversees the designated functional area’s daily operations, staffing, budget, and operating resources. It develops and maintains workflows for follow-up, escalation, and resolution of unpaid claims, and coordinates dispute resolution with appropriate MU Health Care leaders, including Payor Contracting and Legal. The manager also works with Revenue Cycle leadership to develop and implement policies and workflows that support cash flow, performance efficiency, and strategic standardization. The role is based on-site at the Quarterdeck Building in Columbia, Missouri, and is scheduled Monday through Friday, 8:00 AM to 5:00 PM.
Requirements
- Bachelor’s degree in accounting, finance, public policy, computer science with a concentration in accounting, related studies, or a related degree with strong accounting and computer science components.
- Two years of experience in a responsible accounting-related position may be substituted for the college requirement.
- Five years of related work experience.
- One year of supervisory experience.
Nice To Haves
- Additional license or certification requirements as determined by the hiring department.
Responsibilities
- Identify trends in claims payments and denials that adversely affect financial performance, pursue reimbursement through appropriate payor channels, and escalate accounts when necessary.
- Manage teams responsible for resolving unpaid claims across payor products, including HMO, PPO, Medicaid, Medicare, and Workers’ Compensation.
- Serve as a subject matter expert in insurance billing and follow-up, self-pay billing and collections, accounts receivable management, and cash posting.
- Identify trends in unpaid claims, denials, accounts receivable reduction opportunities, and revenue leakage.
- Maintain knowledge of industry trends, payor policies and protocols, and revenue cycle operations to establish compliant patient accounting processes and procedures.
- Prepare routine reports and ad hoc analyses that accurately reflect payor performance trends.
- Establish and maintain workflows for timely follow-up, escalation, and resolution of unpaid-claim issues, including a dispute-resolution notification and escalation process.
- Build and maintain partnerships with insurance companies, medical groups, and other third-party payors to support timely reimbursement for hospital-based services.
- Manage department staffing, fiscal and operating resources, and the department budget; oversee daily operations of the assigned functional area.
- Establish processes and supporting information technology infrastructure to streamline operations and recommend process improvements using Lean Six Sigma/root-cause methodology.
- Partner with Revenue Cycle leadership to develop and implement policies, procedures, and workflows affecting net revenue cash flow and performance efficiency.
- Ensure patient accounting activities comply with state and federal regulations, mandated collection practices, regulatory agency requirements including DNV, and HIPAA.
- Develop, coordinate, and maintain daily staffing schedules to provide appropriate coverage and continuity of care.
- Monitor time and attendance, maintain accurate records, and approve payroll in a timely manner.
Benefits
- Health, vision, and dental insurance coverage starting day one.
- Generous paid leave and paid time off, including ten holidays.
- Multiple retirement options, including 100% matching up to 8% and full vesting in three years.
- Tuition assistance for employees (75%) and immediate family members (50%).
- Discounts on cell phone plans, rental cars, gyms, hotels, and more.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
