Looking to be part of something more meaningful? At HonorHealth, you'll be part of a team, creating a multi-dimensional care experience for our patients. You'll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact.
HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives. Visit honorhealth.com/benefits to learn more.
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HonorHealth is one of Arizona's largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more. With nearly 14,000 team members, 3,700 affiliated providers and hundreds of volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona. Learn more at HonorHealth.com.
Responsibilities
Job Summary
Under the direction of the Network Director of Revenue Integrity & Specialty Billing and Collections, this role will be responsible for optimizing and sustaining an efficient revenue-cycle process through a collaborative, cross-departmental framework. These functional areas act interdependently during a patient visit, contributing critical information required for clinical services and procuring payment. Critical responsibilities include the achievement of annual and periodic goals for significant statistical indicators of revenue-cycle performance, the organization's overall financial performance, optimizing and sustaining an efficient revenue-cycle process through a collaborative, cross-departmental framework.
This position is responsible for supervising, planning, and organizing the daily operations of the organizational charge capture functionality and collecting on the accounts receivables. This role will play a pivotal part in ensuring the accurate and efficient capture of all chargeable services and procedures within our healthcare facility. This position requires attention to detail and a strong understanding of healthcare billing and infusion hierarchy charging guidelines. Additionally, this role requires strong leadership skills, in-depth knowledge of charging rules and regulation and the ability to analyze and improve charge capture processes to enhance the financial performance of the organization.
This role works closely with numerous payors and insurance products, including but not limited to Commercial, Workman's Compensation, Medicare Advantage, Medicare, and Medicaid (AHCCCS). This individual will utilize seasoned expertise and judgment to strategize and achieve AR objectives. Ensures a comprehensive understanding of managed care contracts and adheres to regulatory reporting and compliance for Medicare/Medicaid (AHCCCS) and various governmental or payor guidelines/directives. Trains, instructs, and fosters the growth of team members. Maintains optimal staffing levels to proficiently manage accounts receivables while overseeing employee productivity and work quality.
- Supervises the personnel assigned to the section. Monitors employee productivity as well as the quality of their work. Assists staff with issues related to training, personnel matters (i.e. payroll, discipline, vacation and time off requests) and information system issues. Interviews and hires staffs as necessary as well as completing annual evaluations for the staff. Maintains employee tracking logs.
- Monitors assigned work queues for timely follow-up of accounts to ensure overall reduction of aged A/R and timeliness of charges. Ensures all payer audits are completed accurately and timely. Oversees special projects and reviewing of reports as assigned.
- Completes monthly aging for collections as well as completing the aging for payer meetings including the agenda and meeting minutes. Monitors payer issue logs monthly and works closely with the Payer Provider Representative for resolutions of the aged A/R.
- Maintains level of knowledge for HIPAA, federal regulations, hospital policy and reimbursement criteria. Attends departmental meetings in order to enhance communications within departments. Participates and fosters process improvement.
- Serves as a resource for Patient Financial Services within departments and personnel.
- Performs other duties as assigned.
Qualifications
Education
High School Diploma or GED Required
Experience
3 years experience in Collections or Billing. Required
3 years experience in Patient Accounting experience Required