Manager, Revenue Cycle Payment Posting & Billing Support

Job Summary:

TManager, Revenue Cycle Payment Posting & Billing Support leads and supports the team that performs critical revenue cycle functions for Good Samaritan.  These functions include payment posting, billing support, and financial counseling that includes hospital and professional billing.  Also, works with external audit companies, financial institutions, and early out/collection agencies. Manager, Revenue Cycle Payment Posting & Billing Support to develop operational plans to reach established performance targets. This role provides direction to team leaders to maximize performance of all team members and drives forward efficient and effective processes.

Essential Job Duties:

1. Provide vision, oversight, and direction for all payment posting, billing support, and financial counseling for both the hospital and professional revenue cycles to achieve departmental goals. 
2. Assists with direction and education for payment posting, billing support, and financial counseling.
3. Achieve KPI targets for each RCM functional area through increasing department effectiveness and efficiency.
4. Ensure timely payment posting, prompt response times, and resolution of patient concerns.
5. Oversee and provide billing support to patients with disputes or inquiries concerning invoices or billing process in conjunction with hospital and professional revenue cycle leadership.
6. Advise staff on proper, legal parameters for collections practices.
7.  Ensure quality and timely posting of electronic remits/manual posting, and scanning functionalities.
8. Support and advise on proper financial counseling procedures and ensure compliance with CMS and IRS on regulatory requirements.
9. Identify issues and provide a structured and disciplined approach to defining problems and improving performance, working collaboratively with other leadership within the revenue cycle, accounting, and other hospital/physician departments.
10. Work closely with EPIC CTs to ensure all build is functioning appropriately for payment posting, billing support, and financial services.
11. Uses data to make informed decisions about RCM operations, completes review and analysis monthly of KPI metrics. Demonstrates curiosity and asks questions on trends and encourages team to dig into the details to understand the root cause.
12. Develop and maintain policies and procedures to ensure compliance with regulatory requirements.
13. Directly supervise billing support team and direct the activities of Patient Accounts Supervisor of Payment Posting to help hire, train, and evaluate team performance.  
14. Cultivate and maintain professional relationships with key internal and external stakeholders
15. Creates and promotes a culture of continuous improvement
     

Secondary Job Duties That May be Reassigned:

1. The above duties and responsibilities are not an exhaustive list of required responsibilities, duties, and skills.  Other duties may be added, and this job description can be amended at any time.

Minimum Qualifications:

• Education -- associate’s degree and/or bachelor’s degree in healthcare management or related field preferred and at least 5 years of Hospital Revenue Cycle Management experience

• Experience -- Experience in EPIC EHR; 5-10 years of progressive leadership experience