Job Details

ID #2704304
State Texas
City Houston
Full-time
Salary USD TBD TBD
Source MD Anderson Cancer Center
Showed 2019-09-15
Date 2019-09-15
Deadline 2019-11-13
Category Et cetera
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Manager, Patient Business Services

Texas, Houston 00000 Houston USA

Vacancy expired!

Mission StatementThe mission of The University of Texas M. D. Anderson Cancer Center is to eliminate cancer in Texas, the nation, and the world through outstanding programs that integrate patient care, research and prevention, and through education for undergraduate and graduate students, trainees, professionals, employees and the public.SummaryThe primary purpose of the Credit Resolution Manager position in Service Documentation is to oversee the day-to-day operations of the Credit Resolution department.Core ValuesCaring Behaviors· Courtesy: Is respectful and courteous to each other at all times· Friendliness/Teamwork: Promotes and rewards teamwork and inclusiveness; Is sensitive to the concerns of our patients and our co-workersIntegrity Behaviors· Reliability: Communicates frequently, honestly and openly· Accountability: Holds self and others accountable for practicing our values· Safety: Notices a safety concern and brings it to someone's attention; Models safe behaviors (wears badge, washes hands, keeps work area clean and orderly); Mitigates risk to the institution through sound business practicesDiscovery Behaviors· Responsiveness: By his/her actions, creates an environment of trust; Encourages learning, creativity and new ideas· Personal Leadership/Self-Initiative: Helps others to identify and solve problems; Seeks personal growth and enables others to do soKey Functions:

Provide oversight to Credit Resolution and contracted vendors and consistently review processes for efficiency.

Monitor and manage work queues in the patient accounting system to ensure a positive patient experience and compliance with payor refund requirements

Collaborate with PBS Customer Service to ensure a positive patient experience related to timely and accurate refund processing.

Work with insurance carriers and their collection agencies on credit resolution and refunds and monitor/trend these activities. Communicate these trends/issues to managed care and other revenue cycle committees as appropriate.

5.Coordinate with compliance and legal services for refunds based on their reviews.

Review patient accounting system for opportunities to improve performance and efficiency. Develop and update workflows as needed to improve processes and outcomes. Communicate and collaborate with IT on any limitations to add to future development lists, system initiatives, and functionality requests.

Participate on revenue cycle committees as a representative of Patient Business Services to assist the institutional members in understanding revenue cycle processes related to credit balances and refunds.

Ensure that departmental policies are updated annually and distributed to the staff for compliance.

Manage the daily reapplication of all patient and insurance payments based on departmental guidelines.

Collaborate with billing to ensure the CMS regulations regarding the quarterly reporting of Medicare credits and monitor the vendors who assist in the account review.

Manage the appropriate handling of returned guarantor and insurance refund checks, including stop payment and reissue of these checks.

Oversee the State of Texas Unclaimed Property Filing and submit as required by state

Oversee and coordinate the monthly performance statistics distributed to the staff.

Monitor quality control process in the departments to ensure an error rate of 1% or less.

Ensure documentation control procedures for imaging are followed.

Ensure HIPAA compliance within the area.

Monitor production standards.

Provide feedback to the supervisors and the Director regarding work flow, quality, production and work performance issues as necessary.

Responsible for interviewing and hiring. Provides employee counseling, updates position descriptions, prepares and presents employee performance evaluations within appropriate timeframes.

Oversee the reconciliation of the General Ledger for the credit clearing account.

Monitor "Not Applied" payment control accounts for resolution.

Explore opportunities for automation of departmental processes.

Report any system problems or staffing issues to Director when identified.

Other duties as assigned by management.

Other duties as assigned by management.REQUIREMENTSExperienceRequired: Five years of supervisory experience in a healthcare setting. May substitute required education degree with additional years of equivalent experience on a one to one basis.Preferred: Ten years supervisory experience in a healthcare setting with direct experience in hospital (institutional) collectionsEducationRequired: Bachelor's degree in Business, Healthcare Administration or related fieldIt is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.htmlAdditional Information

Requisition ID: 130035

Employment Status: Full-Time

Employee Status: Regular

FLSA: exempt and not eligible for overtime pay

Work Week: Days

Fund Type: Hard

Pivotal Position: Yes

Minimum Salary: US Dollar (USD) 81,600

Midpoint Salary: US Dollar (USD) 102,000

Maximum Salary : US Dollar (USD) 122,400

Vacancy expired!

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