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Banner Health Patient Financial Services Senior Manager - Home Infusion Therapy and Home Medical Equipment PFS in Gilbert, Arizona

Primary City/State:

Gilbert, Arizona

Department Name:

PFS HME & HIT

Work Shift:

Day

Job Category:

Revenue Cycle

This position will initially work in-office and transition to remote work.

Banner Health believes leadership matters. We look for people who share our vision making health care easier, so life can be better. Our leaders are at the front of the health care transformation, planning the future of Banner Health.

The Patient Financial Services (PFS) Department is responsible for the timely and accurate billing and collections of revenue based on CMS guidelines, payer contracts and federal regulations. You will be assigned to a specific team dedicated to work with specific payor group(s). We strive to create an environment that engages employees to produce at the highest level and recognition for their accomplishments. All individual and team work assignments are designed to collectively meet Banner’s goals emphasizing excellent customer service and making a difference in our customer’s lives.

The Patient Financial Services (PFS) Billing Manager will manage open accounts. In addition, this person will be tasked with, trending issues, preparing issues lists, monitoring denials/appeals and attending 1:1 conference calls with payers as well as attending monthly payer meetings. This person will also be responsible for training new staff, completing annual performance reviews, and talent mapping for existing employees.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position is responsible for supervision and performance of one or more billing units; the appropriate and timely resolution of account receivables, ensuring a positive cash flow and a high degree of customer satisfaction, and for attaining the company goals of the timely and complete collection of receivables, cash and Bad Debt Write Offs within guidelines. Must develop and maintain effective working relations with third party payers and with hospitals’ staff. Provides expertise and in-house consultation to Managed Care on operations and collections issues as they relate to contract negotiations.

CORE FUNCTIONS

  1. Manages staff and the daily operations of the collection and adjudication process of an ongoing Accounts Receivable Billing Unit, by performing billing and collection and accounting activities necessary to ensure positive cash flow and maintain the age of accounts receivables at or below the target level. This position must project a positive and professional image to third party payers, the hospital providers, patients and contract management while maximizing cash flow.

  2. Responsible to accurately review adjustments and controlled write-offs. Works effectively with other payor units to find solutions and improve processes

  3. Selects, trains, coaches, motivates, conducts performance evaluations, and directs the workflow for the staff. Develops goals and performance expectations for staff. Provides effective leadership and promotes teamwork within the department, facilities and outside agencies.

  4. Ensures that company fiscal policies and procedures and accepted accounting principles and practices are followed when updating patient accounts with payment information.

  5. Closely monitors activity results in billing unit to ensure timely and accurate resolution of problems identified by payers, patients, other PFS units and hospitals. Independently and through the efforts of staff, maintains ongoing positive communications with all parties to provide information and resolve issues.

  6. Conducts ongoing analysis of the department and employee productivity using available statistical indicators; uses analysis results to detect developmental opportunities. Develops and updates processes and procedures as appropriate. Achieves designated production and quality goals for the unit, and maintains expenses within budgetary guidelines for the assigned unit(s).

  7. Provides opportunities for strategic departmental improvements and communicates suggestions to the appropriate supervisory and management staff within System Patient Financial Services and other various departments at the facilities and the System Center.

  8. Accountability for significant volumes of system billing. Manages receivables under the full scope of all payor Contractual Arrangements for insurers, Managed Care Payers, a variety of Medicaid plans, and Medicare.

Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Banner Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.

NOTE : The core functions are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by the incumbent's immediate manager.

MINIMUM QUALIFICATIONS

This position requires a level of expertise in Accounting principles normally demonstrated by an advanced education Degree in Accounting and/or multiple years of experience in managing receivables for a multi-facility health care organization.

Requires extensive knowledge and understanding of provider contracts and billing processes normally acquired in three (3)or more years of progressive responsibility in the collection and processing of health care receivables. Requires demonstrated skills in supervision of similar work. A thorough knowledge of third-party billing requirements, reimbursement principles, collection laws and managed care and contract payor implications are essential.

Familiarity within receivable-related accounting principles, patient accounting system capabilities, and the ability to analyze statistic data is required. Must have a demonstrated ability to develop and maintain effective business relationships with third-party payors as well as possess exceptional written and verbal communications skills and excellent human and public relations skills. A proficiency in problem resolution and training techniques is necessary.

PREFERRED QUALIFICATIONS

At least one year previous supervisory responsibility is strongly preferred.

Additional related education and/or experience preferred.

Date Approved: 8/19/2007

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability.

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