Manager, Hospital Patient Financial Services Job Listing at NorthBay Healthcare in Fairfield, CA (Job ID 4270)

Description

At NorthBay Health, this position will assist the Patient Financial Services (PFS) Hospital Revenue Cycle Director in overseeing the day-to-day operations of the PFS department billing and collections operations. Responsibilities will include monitoring NorthBay Hospital and ASC billing and accounts (AR) collection operations; developing, recording, and monitoring Key Performance Indicators (KPI), as well as other operational indicators to ensure AR focus is aligned with meeting the financial performance goals of NorthBay Healthcare. The incumbent will work with each of the PFS areas to review performance measures, provide support and recommendations to the PFS Director and Senior Director to assist them in achieving the department's goals and objectives.

The manager will review policies and processes in each area and work with the leadership team to make processes more efficient and effective to include ensuring staff assignments, duties and training are appropriate. Responsible for all operational policies and procedures related to accounts receivable management. Responsible for ensuring accurate and efficient workflow operations and compliance with all applicable billing regulations and contracts. The manager is also responsible for evaluating, recommending, and assisting with implementation of systems solutions to enhance the automation of accounts receivable management.

Performs, or directs, audits designed to ensure integrity, quality and control over the billing and collection processes. Mentors and provides staff with day-to-day guidance and assistance.  Recommends and implements policies to enhance the billing and collection process while preparing accurate and timely financial reports to measure the effectiveness of A/R management and follow-up. 

Education:  

• Bachelor's degree from accredited college or university; or, a combination of education (experience is counted as 2 years experience = 1 year of education) industry-specific certifications, and commensurate experience, with at least 2 years in a supervisory or staff leadership role.

Licensure/Certification: 

• Obtain an HFMA Certified Revenue Cycle Representative (CRCR) Certification within 9 months of hire date.

Experience: 

• Minimum 8 years in a health care financial environment required with at least 2 years in a hospital billing management position required. 
• Experience and understanding of the flow of information and systems required for accounts receivable management.  
• Excellent working knowledge of ICD10 and CPT codes. 
• Active experience in implementing and supporting healthcare information systems. 
• Proven tract record of A/R management and resolution follow-up. Demonstrates understanding of wide variety of managed care contracts, terms methodologies and payment structures. 
• Must maintain current understanding of state regulations and their impact on medical care and reimbursement in the workers' compensation care market. 
• Requires proficiency and compliance in understanding and applying applicable elements of the Fair Debt Collection Practices (FDCPA), the Fair Credit Reporting Act (FCRA), California Senate Bill No. 1276 and Cal. Civ. Code. Section 1624 (Promissory Estoppel and the Statute of Frauds in California).   

Skills: 

• Excellent oral and written communication skills required. Proficient in PC applications. 
• Must have excellent organizational skills, be able to set priorities, work independently and be an effective team member.  
• Ability to manage multiple projects simultaneously.  Excellent knowledge of revenue cycle and financial systems applications and processes. 
• The manager must demonstrate critical and analytical skills in examining information presented by asking thoughtful questions, examining and interpreting data while performing the duties of position. 
• Extensive experience and working knowledge of computers, especially in data extract/reporting in Revenue Cycle software and MS Office Suite to include proficiency in Excel.

Interpersonal Skills:  

• Demonstrates the True North values. The True North values are a set of value-based behaviors that are to be consistently demonstrated, and role modeled by all employees that work at NorthBay Health. The True North values principles consist of Nurture/Care, Own It, Respect Relationships, Build Trust and Hardwire Excellence. Ability to interface effectively through oral and written communication with administration, medical staff, and staff at all levels.  Ability to effectively manage complex issues simultaneously.

Compensation: 

• $140K to $150K  based on years of experience doing the duties of the role. 
• Annual bonus eligible.