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Patient Receivables Manager
St Johns Community Health Los Angeles, CA

Patient Receivables Manager

St Johns Community Health
Los Angeles, CA
  • $85,000 to $90,000 Yearly
  • Vision , Medical , Dental , Paid Time Off , Life Insurance , Retirement
  • Full-Time
Job Description

The Patient Receivables Manager is responsible for ensuring that the financial systems are operational and effective ensure fee-for-service estimates are correct, analyze payer contracts, revenue cycle, operations, and decision support to resolve net revenue issues.

BENEFITS

  • Free Medical, Dental & Vision
  • 13 Paid Holidays + PTO
  • 403 (B) retirement match
  • Life Insurance, EAP
  • Tuition Reimbursement
  • Flexible Spending Account
  • Continued workforce development & training
  • Succession plans & growth within

QUALIFICATIONS

Education and Experience

  • Five (5) years of experience with revenue cycle operations management. With excellent presentation and writing skills. Advanced skills in analysis and MS Office suite. eClinical Works experience is preferred.
  • Required bachelor’s degree in business, Finance, Accounting, Healthcare Administration or equivalent.
  • Demonstrated knowledge of all Insurance companies, HMO’s, PPO’s Government and State programs Medi-Cal and Medicare, and third-party payers.
  • Experience with managing revenue cycle processes including Medicaid and Medi-Cal eligibility, health information management and billing, and charge capture processes.
  • Experience responding to government and financial Audits is a plus.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Performs a combination, but not necessarily all, of the following duties:

  • Maintain knowledge of, Medicare, Medi-Cal, HMO, PPO and publicly funded programs Family PACT and grants.
  • Communicate to Director of Patient Receivables and Billing and other colleagues to stay informed of payer and/or regulatory updates and create action plans to accommodate changes as needed.
  • Engage colleagues to facilitate educational and workflow/process opportunities identified by team to improve documentation, billing, and clinical operations.
  • Continually develop processes, policy procedures and controls to drive revenue integrity.
  • Analyze insurance contracts/contract requirements, and fee schedules.
  • Maintain positive external contacts, attending all pertinent meetings and trainings related to billing.
  • Create and expand procedures of Revenue Cycle Department including cross training of Revenue Cycle personnel.
  • Assist with the filing of Medi-Cal Reconciliation, and Medicare Cost Reports and HRSA site visits. This also includes researching discrepancies and reconciling of the prior years’ reports.
  • Support staff with training and communication of pertinent information affecting the team and other stakeholders.
  • Collaborate with Clinical Management Team on workflow and ensures that office-oriented directives and policies and procedures are implemented in a timely manner. This role has the primary responsibility of creating all necessary procedure guidelines to instruct the Billing and Clinic Support Staff on all revenue-oriented tasks.
  • Assist with Payer Enrollment planning, direction, control, and evaluation of the Payer Enrollment Department.
  • Attend administrative meetings and participate in committees as requested. Conduct special projects and studies as directed.
  • Assist in maintaining eClinical Works patient accounting and registration system tables for registration, patient accounting, eligibility, charge master’s maintenance, billing, claims editing, and account follow-up.
  • The Patient Receivables Manager oversees the day-to-day leadership and management of the collections, accounts receivables, and account resolution management.
  • Display independent judgement by willingness to make timely and accurate decisions based on available information that is sometimes vague or limited in nature.
  • Strong research and auditing skills.
  • Ability to prioritize tasks and projects with limited direction, while understanding and contributing to the success of the organization.

Address

St Johns Community Health

Los Angeles, CA
90037 USA

Industry

Healthcare

Posted date

18 days ago

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St Johns Community Health job posting for a Patient Receivables Manager in Los Angeles, CA with a salary of $85,000 to $90,000 Yearly with a map of Los Angeles location.