Under the general direction of the Director Patient Financial Services, the Manager Patient Financial Services is responsible for maintaining an efficient operational workflow for day-to-day operations in the areas of accounts receivable management, cash management, payment posting, refund processing, and customer service inquiries about their hospital or outpatient bills for services rendered throughout Valleywise Health. Management responsibility includes implementing and monitoring productivity standards, queue volumes, problem resolution, denials, appeals, reporting on payer performance, and adherence to Valleywise Health's policies and procedures. In addition, oversight the reconciliation of payments and shortages for both paper and electronic Explanation of Benefits (EOBs), monitors all Patient Financial Services refunds/reimbursement check requests, addresses escalated patient and/or guarantor concerns regarding their accounts through incoming calls, emails, letters or in person. These functions include overseeing inquiries that help the patient understand their bill, the financial assistance process to determine the patient's financial poverty level, receiving and processing patient payments, and setting up payment plans when necessary. This position will work directly with various outsourcing agencies for collection and denial management recovery services to optimize cash collections. Implements, processes and monitors productivity to ensure timely follow-up of outstanding accounts receivable balances, timely posting, and reconciliation of cash posting into the host system. Works with multiple agencies to optimize cash collections and improve recovery efforts. Identifies and monitors payer issues and works with the payers directly to resolve payment issues. These functions have operational responsibility for the entire enterprise, including Family Health Centers (FHCs), Comprehensive Health Center (CHC), Maricopa Medical Center (MMC), and Desert Vista.   Annual Salary Range: $86,444.00 - $127,504.00
This is a remote position, but candidates must be located in the following states: Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Iowa, Kansas, Kentucky, Michigan, Mississippi, Missouri, Nevada, Oklahoma, South Carolina, Tennessee, Texas, Utah and Wisconsin.   Qualifications Education: Requires a Bachelor's degree in Business, Finance, or a related field or an equivalent combination of training and progressively responsible experience that will result in the required specialized knowledge and abilities to perform the assigned work. Experience: Must have a minimum of five (5) years of progressively responsible healthcare collection, denials, and recovery services experience, demonstrating a strong understanding of the required knowledge, skills, and abilities. Requires prior supervisor/management experience, preferably within Patient Financial Services. Certification/Licensure: Epic and HFMA certification is preferred. Knowledge, Skills, and Abilities: Must demonstrate success in the ability to lead others as well as lead projects by projecting a positive attitude and possess the ability to motivate a team. Requires a working knowledge of the principles, fundamentals and systems specific to the department impacting the revenue cycle workflow and the principles and fundamentals related to budgeting, accounting, record keeping and business writing. Requires knowledge of all aspects of payer reimbursement, including Medicare, AHCCCS, commercial, managed care, worker's compensation, and self-pay. Must be familiar with health care billing and collection, general knowledge of medical records and coding compliance, Fair Debt Collection Practices Act, and legal compliance. Epic experience and advanced knowledge of MS Office including data analytics within both Access and Excel is preferred. Requires excellent communication (both orally and in writing with internal and external customers and agencies), organizational, time management, and general math skills, as well as legal compliance, persistence, and training skills. Requires excellent patient service and interpersonal skills and demonstrates leadership skills to interact regularly with leadership and staff.  Requires analytical ability to complete high-level problem-solving development and provide direction in the implementation of short and long-term departmental goals. Requires up-to-date knowledge and understanding of Federal compliance and OIG initiatives that impact the healthcare industry. Requires understanding of current and future trends/practice in area of responsibility. Requires knowledge of information systems and software used in area of responsibility and of equipment used in performing assigned duties. Must have a working knowledge of healthcare accounts receivable management concepts, including in-depth knowledge of the state reimbursement and regulatory environment to ensure compliance with state regulations regarding patient and insurance billing issues. Requires an understanding of current and future trends/practices in responsibility. Requires knowledge of general administrative procedures such as payroll, vendor management, and purchasing. Requires organizational, general math, and training skills. Must be able to supervise and coordinate the work of subordinate personnel in a manner conducive to full performance and high morale. Must be approachable, people-oriented, and a good listener. Must be a change agent able to develop, implement and maintain policies and processes. Requires the ability to be a creative, independent thinker. Must exhibit professionalism, customer service, enthusiasm, and the ability to build relationships with business and key stakeholders. Must possess solid analytical and problem-solving skills and utilize the appropriate management techniques to plan, organize, control, and coordinate activities.  Must have the ability to handle multiple complex projects as well as work independently. Excellent written and verbal communication skills, time management skills, mentoring, and leadership skills are required.  Must have a working knowledge of Excel and Word.  Requires the ability to read, write and speak effectively in English.