SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.
Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health, dental, and vision benefits, life insurance and long and short-term disability, and more.
Key Essential Functions and Accountabilities of the Job
Oversees management of consortium charge service function. Develops, plans, and executes on system pricing strategy including recommendations for annual price increase to System Director of Finance and CFO.Oversees management of consortium denials management function including administration of the denials reporting application and development and distribution of reports to front line management to identify opportunities for workflow improvements to minimize denials.Partners with other revenue cycle functions on execution of SEARHC’s response to regulatory compliance requirements (e.g. price transparency, good faith estimates, etc).Oversees execution of consortium charge reconciliation processes.Partners with operational leadership on new service design to ensure EHRs are optimized to support charge capture goals.Develops and maintains policies and procedures to support execution of responsibilities outlined above.Provides the necessary support and leadership to achieve organizational goals and objectives including days in AR, discharged not final coded, discharged not final billed, clean claim rate, denial rate, etc.Other Functions
Other related duties as assigned.Supervisory Responsibilities
This position requires supervisory responsibilities.Additional Details:
Education, Certifications, and Licenses Required
Bachelor’s degree – requiredSeven or more years’ experience working in the U.S. healthcare industry may be used to substitute the Bachelor’s Degree requirement.Experience Required
Five or more years’ experience utilizing health information technology programs, devices, and hardware to data to inform program development, implementation, and policy with at least three years of clinical informatics or revenue cycle informatics work experience.Knowledge of
Accounts receivable and medical terminology and billing/collection practices; payer edits, rejections, rules, and how to appropriately respond to each; and health information technology, such as Cerner productsSkills in
Analytical and creative problem solving skillsOral and written communication skillsProject ManagementTimely and successful appeals to insurance companiesAbility to
Work on different projects simultaneously in fast environment and appropriately handle overlapping commitments and deadlinesPosition Information:
Work Shift:ExemptIf you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!