Mgr, Hospital Rev Mgmt

Orlando Health • Orlando, FL

2d • Hybrid

About The Position

The Manager, Hospital Revenue Management is responsible for the resolution of hospital accounts receivable. This includes daily oversight of insurance collections, cash posting, denial and appeals management, and variance review.
Forbes has named Orlando Health as one of America's Best-In-State Employers. Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible, so that you can be present for your passions.
“Orlando Health Is Your Best Place to Work” is not just something we say, it’s our promise to you.”
Orlando Health proudly embraces and honors the individuality of our team members. By sharing different ideas and perspectives and working together as a team, we are better able to relate to, care for and authentically serve our patients and families who make up the collective populations in our community. So, no matter who you are, what you believe or how you express yourself, you are welcome here.

Requirements

• Bachelor’s degree in business, Healthcare Administration, Communications, Business, Finance, or related area of study is preferred.
• Associates’ Degree and two (2) years of experience in a related field (medical billing/collections/managed care) may substitute for the Bachelor’s Degree.
• Four (4) years of experience in a related field (medical billing/collections/managed care) may substitute for the bachelor’s degree.
• Four (4) years of experience in revenue cycle is required.
• Two (2) years of prior supervisory experience or 2 years of a lead/preceptor role is required.

Nice To Haves

• HFMA or AAHAM certification is preferred.

Responsibilities

• Develops goals and objectivesfor the department and teammembers
• Responsible for the orientation and training of new Assistant Managers
• Ensures Assistant Managers are compliant with productivity standards, performance evaluations, team member development, core competencies, and the daily motivation and coaching of team members.
• Responsible for monthly review of the accounts receivable for all assigned payers, as well as, optimizing reimbursement and achieving pre-set cash to net collection goals.
• Reviews and validates overpayment requests as necessary.
• Develops and maintains tracking of all payer-related issues impacting the accounts receivable for assigned payers.
• Facilitates and presents at task force meetings the status of payer issues, outstanding accounts receivable, action plans underway to attain goals for cash collections and accounts receivable days.
• Provides feedback to the Managed Care team regarding issues and trends that cause the accounts receivable to age.
• Ensures that state and federal legislative changes are communicated to the appropriate team members throughout the Patient Accounting Department.
• Develops and maintains standard process workflows for account review to be followed by the Assistant Managers and team members within the Patient Accounting Department.
• Works closely with all departments within Revenue Management to increase the clean claims percentage, first pass denial rate, and to root cause problems that hinder timely account resolution.
• Establishes and implements policies and procedures for department operations.
• Responsible for the management of all team members in Human Resource related functions.
• Reviews departmental performance and implements changes as necessary to improve services and simplify workflows.
• Develops and implements appropriate new businessrelative to new insurance contracts and/or new facilities.
• Maintains good payor relationships
• Works closely with the contract managers and the revenue integrity team in maintaining good payor relationships and ensuring compliance with regulatory requirements, fraud and abuse laws.
• Develops and implements rules within the electronic health record to facilitate cleaner claims.
• Completes special projects as assigned.
• Establishes and maintains intra/interdepartmental communication.
• Participates in management meetings and attends other meetings as necessary.
• Meets with team members on a regular cadence.
• Establishes and maintains safety, policies, procedures, objectives, and infection control in the department.
• Ensures implementation of process improvements.
• Manages various personnel functions including hiring, work assignments, coaching plans, and disciplinary actions.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
• Maintains compliance with all Orlando Health policies and procedures.
• Assumes responsibility for professional growth, development, and continuing education.
• Conducts special trainings for mentoring as necessary.
• Performs other duties as assigned.
• Completes all mandatory education.

Benefits

• Competitive Pay
• Evening, nights, and weekend shift differentials offered for qualifying positions.
• All Inclusive Benefits (start day one)
• Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees.
• Forbes Recognizes Orlando Health as a Best-In-State Employer
• Forbes has named Orlando Health as one of America's Best-In-State Employers for 2021.
• Employee-centric
• Orlando Health has been selected as one of the “Best Places to Work in Healthcare” by Modern Healthcare.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager