The successful candidate will also have the following: excellent communication skills; excellent critical thinking skills; excellent client relationship skills; thorough understanding of the revenue cycle including third party payer requirements. Minimum requirements include five years or more of relevant experience in a hospital or healthcare setting and prior manager or supervisory experience.
Essential Duties & Responsibilities:
Provide assistance/resolution to external and internal client inquiries.
Prepare reports or logs as required.
Act as a technical expert in regards to financial class responsibility, to answer questions raised by clients and team members.
Maintain a current working knowledge of all healthcare related issues and regulations..
Responsible for reporting any detected trends in payments or denials, as well as procedural problems, to the client. Makes recommendations regarding the correction of these trends and/or problems.
Maintain a professional attitude.
Maintain confidentiality at all times.
Learn and comply with organizational and departmental policies and procedures.
Analyze and solve problems quickly and thoroughly.
Establish realistic goals and priorities concurrent with organizational objectives.
Strong verbal and written skills in order to effectively communicate with patients, co-workers, insurance companies, hospital staff, and clients.
Knowledge of governmental, legal and regulatory provisions related to collection activity.
Knowledge of insurance company practices regarding reimbursement.
Adheres to all company policies and procedures including, but not limited to those identified within the Standards of Business Conduct and the Employee Handbook, as may be amended from time to time. Adheres to all applicable laws and regulations and the company's governance/compliance program.
Responsible for reporting violations of the company's policies and procedures, Standards of Business Conduct, governance program, laws and regulations through the company's Help Line or other mechanism that may be available at the time of the violation. Assists with internal control failure remediation efforts.
Becomes knowledgeable of internal control responsibilities through training and instruction. Responsible and accountable for internal control performance within their area of responsibility. Participates in the internal controls self-assessment process.
Ensures concerns with internal control design or performance and process changes that impact internal control execution are communicated to management.
Possesses a full and complete understanding of the internal control requirements within their area of ownership/responsibility. Responsible and accountable for internal control implementation and performance within their area of ownership/responsibility. Ensures proper internal control change management protocol is followed.
Establishes accountability for internal control performance with subordinates. Promotes the importance, residual benefits and high priority nature of effective internal control performance with subordinates. Ensures subordinates are adequately trained as to their specific internal control responsibilities. Ensures subordinates are adequately cross trained or otherwise have plans to sustain internal control performance during employee turnover/movement.
Ensures the internal control self assessment process is implemented and testing results are documented and evaluated. Helps manage internal control failure remediation efforts. Ensures subordinates’ historical internal control performance is monitored and results incorporated into the performance review process.
Minimum Knowledge, Competencies & Qualifications:
5 years experience in a hospital business office setting or similar setting.
Ability to work well individually and in a team environment.
Able to work in a professional, corporate setting.
Knowledge of/experience working in hospital operations, specifically hospital IT/IS.
Experience working with customer support/client issue resolution management.
Must be reliable, responsible, goal oriented and flexible.
Professional telephone skills.
Proficiency with MS Office
Strong leadership skills.
Excellent interpersonal, communication and organizational skills.
Prior management and supervisory experience.
Occasional Travel to client Hospitals.
MedAssets is an Equal Opportunity Employer and ensures its employment decisions comply with principles embodied in Title VII, the Age Discrimination in Employment Act, the Rehabilitation Act of 1973, the Vietnam Veterans Readjustment Assistance Act of 1974, Executive Order 11246, Revised Order Number 4, and applicable state regulations.
MedAssets is at the center of improving the quality and effectiveness of the healthcare industry. From establishing best practice value for...