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Cape Cod Healthcare

Hyannis, MA
Job Code:
  • Accounting
  • Healthcare
  • Management
Cape Cod Healthcare
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Job Details

MANAGER HOSP BILLING-171223-50006773
Provides leadership and oversight for the hospital billing function. Ensures that all billing is done timely, accurately and compliantly. Member of the Unbilled Committee.
  • Develop, implement, and manage efficient and effective operational policies, procedures, processes and performance-monitoring for billing.
  • Support, oversee, and manage the performance and productivity of the team as it relates to billing activities and pre-defined goals/targets.
  • Collaborate with other disciplines to implement changes needed to address payer and regulatory billing requirement changes.
  • Work with the systems support analyst and the claim scrubber vendor to implement required changes to meet all payer and regulatory billing requirements.
  • Work with payor representatives, vendors and other departments to resolve outstanding billing issues.
  • Ensure that daily reconciliation of electronic claim files occurs and that corrective actions are implemented as needed.
  • Confirm supervisory staff are consistently performing performance-monitoring processes.
  • Define, implement, and monitor strategies to improve overall billing processing efficiency.
  • Ensure that control processes are in place to avoid billing related timely filing denials.
  • Maintain up-to-date knowledge of regulatory and compliance changes impacting billing requirements and operations, and ensure billing employees are appropriately educated and processes are modified as needed.
  • Manage to applicable billing Key Performance Indicators (KPIs). Define and implement action plans when performance is not meeting expectations.
  • Assess direct reports performance on a consistent basis and provide feedback to reward effective performance and enable proactive performance improvement steps to be taken.
  • Ensure billing employees and vendor staff are performing billing functions in a manner which complies with established policies, processes and quality assurance programs.
  • Assess workflow prioritization on a daily basis to confirm that DNFB metrics and benchmarks are consistently achieved.

  • Bachelor's degree required or equivalent combination of education and experience. Masters degree preferred.
  • Minimum five years health care with at least three years of healthcare Finance or Accounts Receivable Management experience.
  • Minimum two years supervisory/management experience.
  • Required three to five years of demonstrated experience with Soarian financials or comparable software applications.
  • Ability to work under pressure and manage multiple initiatives concurrently; must be able to work independently, set own priorities and meet deadlines. Experience and knowledge of regulatory requirements, payer requirements and third party reimbursement.
  • An understanding of the psychology of complex corporate relationships, and an ability to influence within such an environment.
  • Excellent communication, leadership, delegation, and interpersonal skills.
  • Ability to evaluate personal performance against established goals.
  • Ability to communicate with and present to a wide variety of CCHC and external users, including senior management and physicians, as well as outside vendors and consultants.
  • Demonstrated goal-oriented thinking, operational and organizational skills. Ability to work under pressure and manage multiple initiatives concurrently; must be able to work independently, set own priorities and meet deadlines.

Schedule Details: Full-time 40 Hours per week 8a-5p Mon-Fri, occ w/e, occ hol
Organization: Cape Cod Hospital
Primary Location: Hyannis
Department: CCH-Revenue Cycle
Employee Classification: Regular-Regular
Shift: Day
Weekend Shifts: Occasional
Holiday Shifts: Occasional
Posting Start Date: Dec 26, 2017
Posting End Date: Ongoing
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