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Providence Health & Services Manager Revenue Cycle in Seward, Alaska

Description:

Providence is calling a Manager Revenue Cycle (Business Services, Days, 1.0 FTE - 40 hours per week) to Providence Seward Mountain Haven in Seward, Alaska. We are a community of caregivers delivering every day on our Mission to provide compassionate care that is accessible for all - especially those who are poor and vulnerable.

Apply Today! Applicants that meet qualifications will receive a text with some additional questions from our Modern system.

In this position you will:

  • Responsible for daily management of business offices and revenue integrity activities including charging, coding, billing, claim submission, collections, and patient accounting. Ensures all accounts receivable records are maintained according to established procedures and regulatory requirements. Reviews and analyzes patient charts to determine accurate charges are recorded.

  • Ensure verification of benefit eligibility and authorizations for insurance and third party payers. Educates patients and assists with prior authorization for the use of Medicaid vouchers and provides patients’ resource information to be used while traveling.

  • Facilitate monthly Revenue Cycle meetings with representatives from business and clinical departments to monitor the health of Accounts Receivables and review Key Performance Indicators (KPI). Formulates corrective actions plans to improve outcomes as necessary and provides activity reports PSMC and PSMH Administration and Region Finance leaders as indicated.

  • Develop and implement billing, charging, admitting and registration protocols, policies and procedures. Collaborates with Region Integrity Manager to develop and implement policies and procedures related to Charge Description Master and charging processes. Works effectively to build proactive relationships and communicates with other health care organizations, insurance companies and government agencies.

  • Responsible for the daily management of assigned staff, including the hiring, orientation, training, scheduling, evaluation and mentoring process. Facilitates cross-training of staff to ensure that the Business Office functions and duties for both PSMC and PSMH are performed accurately and timely. Provides guidance for staff through clear and consistent communication. Encourages staff to use their talents to achieve the desired outcomes. Ensures all evaluations are completed timely for assigned staff. Builds trust, develops, coaches and trains staff to work as a team. Develops a succession plan for this and other leadership positions.

  • Ensure systems in place to maintain and protect confidentiality of all patient information. Monitors all systems and guidelines to assure data security and validity as well as efficient and appropriate system use. Assists in the development, planning, implementation and maintenance of consistent information systems policies and procedures for use, customization and maintenance for all Business Office information systems.

  • Ensure coding and charging standards. Assigns and ensures appropriateness and accuracy of diagnosis and corresponding ICD-10 codes through establishment of policies, auditing, training and oversight. Manages coding activity for maximum reimbursement of services provided in accordance with all applicable regulations governing this activity.

  • Collaborate with Region Revenue Integrity leaders to review, develop, implement, evaluate, and revise ministry charge guidelines to optimize revenue management in accordance with prevailing policies and regulatory requirements.

  • Responsible for effectively implementing recommendations from the Region Revenue Integrity leaders on charging practices, monitor results, and provide feedback to appropriate finance leaders as indicated.

  • Ensure changes to regulatory, legal, integrity and audit standards are documented, communicated and implemented in daily operations.

  • Implement requirements for the compliance of the various government billing and registration requirements. Actively participates in the preparation of the various government reporting requirements. Ensures Provider and Physician enrollment is completed timely and accurately.

  • Monitor and report on upcoming risks to PSMC and PSMH. assist in proactive measures when potential financial impacts have been identified.

  • Assist financial leaders in resolving revenue variances as requested. Approves monitors, analyzes, and reports on revenue adjustments/write-offs submitted at the ministry level.

  • Report audit requests by Federal, State and Commercial Payors to Region Revenue Integrity leaders. Participates in audits as assigned, to meet requirements and ensure compliant charging practices and timely and accurate response to payor audits.

  • Identify and reduce the risk of non-compliance through proactive participation in education programs, regular and ad-hoc internal CAH and LTC communications, and audit responses.

  • Participate in maintaining the facilities Charge Description Master (CDM) in collaboration with Region Revenue Integrity leaders and One Revenue Cycle CDM team for incorporating new charges and services identified by the departments, third party changes, special requirements, and/or coding updates. Communicates CDM changes to the hospital departments and administration, patient financial services staff and others who are impacted by changes to the CDM. Maintains audit trail of all transactions that change the facility CDM.

  • Collaborate with the Region Revenue Integrity leaders to determine the charge and charge attributes for new services, procedures and products: Serves as a resource to hospital departments for charge capture, ie assists with the start-up process for new programs/services. Assists with charge research and relevant CPT codes, revenue codes, and other issues referred by the revenue cycle team.

  • Act as the local point person for patient charge inquiries. Consults with hospital staff as needed to develop charge estimates for patient treatments.

  • LEADERSHIP/SUPERVISION: Demonstrate the ability to provide leadership by developing a positive work environment. Provides guidance and support to staff members to ensure that they are able to perform their work effectively and efficiently. Directs the activities of the department to ensure that continuous quality and cost effective services are provided. Demonstrates the ability to make decisions, delegate tasks and encourage staff to use their talents to achieve the desired outcomes. Appropriately credits staff and/or other team members for their effort and accomplishment.

  • COMMUNICATION: Demonstrate professional interpersonal and verbal skills when communicating with a wide variety of people from differing literacy levels, languages and cultures. Communicates effectively in a compassionate manner to patients, families, visitors and other staff members. Exhibits the necessary written skills for effective communication and documentation.

  • TEAMWORK: Exhibit the necessary skills to build effective teams by coaching, building trust, and training staff to work collaboratively and cohesively with other staff and/or team members in a variety of settings Encourages positive interaction and if necessary, directs staff to work directly with other team members when resolving issues. Monitors key processes to identify and define the team’s effectiveness.

  • DEVELOPMENT AND ORGANIZING: Develop and implement work schedules and work assignments fairly, equally, and in a manner which is consistent with staff learning and development plans. Develops implements and maintains departmental policies and procedures in accordance with Joint Commission, Federal, State and Municipal requirements to ensure safe and effective services. Participates in personnel functions including hiring, evaluations, disciplinary actions and terminations. Anticipates and prioritizes workflow and adjusts work assignments to prevent delays and meet workflow demands. Utilizes available resources to recognize errors/problems and takes corrective action and assists with problem resolutions.

  • FINANCIAL RESOURCE/STEWARDSHIP: Is primarily responsible for completing and regularly monitoring the departmental operating and capital budgets. Anticipates and adjusts operating plans to meet facility goals. Coordinates and collects statistical and other information to support and develop current and/or new services while insuring cost effective processes and development plans are in place. Oversees service agreements and equipment purchases to support the departmental, facility and community needs.

  • CUSTOMER SERVICE: Embrace the Providence Service Standards in all aspects of position. Presents and conducts self in a professional manner. Provides support to coworkers and customers while demonstrating service excellence by building positive interpersonal relations to ensure productive and positive relationships are maximized. Develops a deep understanding of customer’s perspectives and needs and works to meet their expectations. Builds a culture of true caring by behavior and interactions with others.

  • PURCHASING: Ensure an effective purchasing process is maintained by requisitioning necessary products and supplies for personnel, determining necessary quality/quantity requirements, selecting suppliers according to current contracting, arranging for deliveries, following up on orders, dispensing of equipment and other items when necessary. Develops and/or maintains department records keeping system, regarding par levels of department supplies. Submit invoices for approval and processing in a timely manner.

Qualifications:

Required qualifications for this position include:

  • Bachelor's Degree in Business Administration or Accounting

  • Three (3) years progressive management experience in Revenue Cycle or Revenue Integrity

  • Two (2) years supervisor experience

Preferred qualifications for this position include:

  • Master's Degree

About Mountain Haven

Providence Mountain Haven is the first Green House® home in Alaska, which is includes 4-lodges, each with 10-Elders. Teams are self-managed, have consistent staffing, and have strong patient to caregiver ratio. Caregivers typically have 5:1 patient ratio and work 12-hour shifts. Nestled against Iron Mountain, in Seward, AK, it is a great home for Elders to live out their later years! http://alaska.providence.org/locations/psmh/Pages/default.aspx

About Providence Seward Medical Center

Providence Seward Medical and Care Center is a 6-bed critical access hospital and 40-bed long term care facility providing quality health care to residents and visitors. Our team of physicians, nurses, and support staff deliver compassionate, quality care to all patients. We care for the patients ranging from infants to the elderly with services including, primary care, emergency, inpatient, swing bed, lab, radiology, therapies and nursing home care.

Located only 125 miles south of Anchorage on Resurrection Bay, Seward offers a small community feel and access to a multitude of world class outdoor activities such as kayaking, fishing and hiking.

We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit

https://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Project & Program Coordination (Non-Clinical)

Location: Alaska-Seward

Req ID: 299484

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