Manager of Hospital Patient Financial Services - Remote

Company: UnitedHealth Group
Location: Charlotte
Posted on: November 26, 2022

Job Description:

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)

Under limited supervision by the Director, Revenue Cycle, is responsible for providing internal and external leadership to the management of the Network Hospital Billing and Accounts Receivable Units. Reporting directly to the Director, Revenue Cycle and in conjunction with the Vice President of Finance is responsible for the development, management and integrity of EPIC HB system data, workflows, accuracy, and efficiency. Insures multi-disciplinary departmental reviews, development and workflow processes are implemented and maintained for efficiency, accuracy, and innovation. Provides leadership to the Hospital Billing and Accounts Receivable Staff in support of Billing and related AR functions. Acts as a liaison in supporting Bassett Healthcare Network subsidiaries to achieve standardization across the network. Recommends and implements action plans supporting the above initiatives with emphasis on cross-functional teamwork and the development, monitoring and evaluation of metrics. The Care Coordinator (also referred to as a Referral Coordinator) is responsible to the Center Administrator and assists with medical management data entry and referral functions.

You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

The following section contains representative examples of work that will be performed in positions allocated to this classification. Bassett Healthcare is a dynamic organization, and the environment can be fluid. Roles and responsibilities can often be expanded to accommodate changing patient or organizational needs and conditions as well as to tap into skills and talents of employees. Accordingly, employees may be asked to perform duties that are outside the specific functions that are listed.

Decision Maker

• Develops and implements strategies and tactics for hospital billing and accounts receivable with special emphasis on Annual Operating Plan Objectives as prioritized and approved by Sr. Director, Revenue Cycle. Where appropriate, institutes corrective actions, including reallocating resources, reprioritizes, and/or recommends modifications to established plans
• Develops and maintains a departmental structure, operating procedures, and core staffing to meet demands for services
• Establishes and/or staffs appropriate intra and interdepartmental teams related to accomplishments of the Annual Operating Plan
• Establishes and monitors operating performance standards for the department which ensure the effective day-to-day operation of the department
  Skilled Communicator
  • Holds regular staff meetings to present relative information and obtain input and participation from staff
  • Follows up on all issues and concerns in an effective and timely manner
  • Conducts on-time performance appraisals
  • Develops, implements, and follows written procedures and policies to ensure the financial integrity of the Revenue Cycle systems and processes
  • Presents data in various forums to various individuals and groups with confidence, professionalism, and forthrightness in a communication style appropriate to the situation
  • Maintains relationships that provide accountability and responsiveness to issues affecting the department
    Accountability
    • Accepts responsibility for all aspects of leadership without blame, complaining or procrastination
    • Identifies and corrects systems, care and service delivery problems which interfere with patient, staff, and customer satisfaction issues and/or recommends action to appropriate party
    • Recommend and implement approved internal and external work groups where opportunities exist to improve revenue cycle outcomes
    • Evaluates, develops, and maintains departmental performance improvement standards and measures
    • Ensures compliance with all regulatory agency requirements (e.g., JCAHO; CMS; Governmental Agencies)
    • Proactively identifies potential and actual risks to safety, identifies the underlying causes and makes necessary improvements so risk is reduced
      Human Resource Management
      • Ensures that all employees in the department know what is to be accomplished in their jobs; whether their performance is satisfactory and what they can do to improve performance
      • Supervises direct reports and others within the department, develops mutually agreed upon standards of performance, appraises performance, and provides direction ensuring effective performance of department responsibilities
      • Ensures that employees in the department possess or are developing the necessary knowledge and skills to perform their work
        Financial Resource Management - Monitors accomplishment of agreed upon objectives at the departmental level; and where appropriate, institutes corrective actions, including reallocating resources, reprioritizing, and/or recommending modifications to established plans.
        • Develops service improvements, management systems, expense control programs etc. to ensure achievement of financial objectives
        • Ensures that business development objectives are met through support of the Director, Revenue Cycle and Manager, Revenue Integrity
        • Is accountable for timely identification of performance issues resulting from Hospital Billing and Accounts Receivable unit's and direct corrective action to mitigate controllable loss in alignment with negotiated contract terms
        • Monitors overall compliance with policies, procedures and plans, and to institute corrective action as needed according to negotiated contract terms
        • In collaboration with Manager, Revenue Integrity acts upon reported denial patterns in relation to Hospital Billing and implements corrective action plans where appropriate
        • Is accountable for ensuring the Hospital Billing and Accounts Receivable systems are maintained and in alignment with corporate objectives and when necessary, implementing corrective action plans
        • In collaboration with Manager, Revenue Integrity. Is responsible for overall success in Hospital accounts receivable (AR) management as measured by organizational AR metrics
        • Corporate Development of Basset Network/System Thinking- A leader who thinks globally and adopts philosophy of continuous improvement for Bassett processes/systems and the Bassett Network
        • Develops working relationships with partners throughout the Bassett Healthcare Network to effect positive results
        • Regularly assesses opportunities to enhance system(s) performance
        • Develops action plans and completes them to improve patient and employee satisfaction
        • Connects with counter parts at affiliate sites to actualize potential for adoption of best practices and standardization
        • As appropriate, takes action to create a better experience for patients traversing the continuum of care
        • Measures deployment of resources and develops plans to optimize ROI
          • Leads and assists in the development, implementation, education, and training of the following system responsibilities. Makes recommendations and drives change regarding optimization and standardization.
          • Integration
          • System Processes
          • System Financial Reporting
          • Education and Training
            
            You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
            
            Required Qualifications:
            • High School Diploma/GED with an additional 3 years of experience as listed may be considered; healthcare finance, revenue cycle, finance system support and/or receivables management
            • Proficient in the use of Microsoft Office Programs, including but not limited to Excel, Word, and Access
            • Extensive knowledge of CPT/HCPCS, UB-04 Revenue Coding, modifiers, billing regulations APC's, APG's and DRG's
            • Ability to understand and work with integrated Financial Software applications
            • Ability to read and compose business correspondence and communicate effectively with all levels of the organization and external parties
            • Able to travel once a month for a week on-site to Bassett Hospital in Cooperstown, NY
            • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation
              
              Preferred Qualifications:
              • Associates Degree with an additional 2 years of experience as listed may be considered; healthcare finance, revenue cycle, finance system support and/or receivables management . click apply for full job details

Keywords: UnitedHealth Group, Charlotte , Manager of Hospital Patient Financial Services - Remote, Accounting, Auditing , Charlotte, North Carolina