Manager

Job Family:

PFS General

Travel Required:

None

Clearance Required:

None

What You Will Do:

The Manager of Support -is responsible for supervising the MSO staff in a fair and consistent manner on daily operations of billing, cash posting, and collections. Also performs any and all related job duties as assigned.

Essential Job Functions

• Leadership / Training
• Billing / Cash Posting / Collections
• Compliance
• Reporting

Duties and Responsibilities

Leadership and Training:

• Acts and leads in a manner that will instill trust and foster team play.
• Ensures that all employees know and understand all State and Federal Rules and Regulations.
• Provide a working environment which allows employees to communicate ideas for improvement to department. Whenever possible request employee input on policies and procedures that may affect or impact the way their job is performed.
• Maintain open communications and provide appropriate feed back to MSO staff and management.
• Allow employees to attend seminars which will enhance productivity and knowledge.
• Ensures employees have all the tools necessary to achieve the goals set.

Billing/Cash Posting/Collections:

• Works with all departments to ensure accuracy of CPT, HCPCS and Revenue Codes.
• Provide departments with Blue Cross and Commercial payer updates, notices and coverage changes which effect both billing and reimbursement.
• Reviews process and systems to ensure the most effective methods are maintained to meet all departmental and facility goals.
• Works with IT to ensure that all changes are completed to ensure accuracy of billing is maintained.
• Ensures bill hold in electronic systems meets established goal.
• Works with both electronic billing vendor and payers to resolve billing issues.

Compliance:

• Communicates all compliance issues to Manager.
• Educates and ensures that all employees understand Compliance and appropriate procedure for reporting compliance issues for State, Federal and HIPAA.
• Attends pertinent seminars, internal and external and shares obtained information with staff and other appropriate departments.
• Reviews and maintain JACHO requirements for billing, cash posting and collections.

Reporting:

• Responsible for the weekly Key Indictor Reports and Accomplishments Reports
• Responsible for monitoring daily rejection reports for initial and fatal denials
• Maintain payer logs for issues requiring escalation
• Monitor daily electronic and paper claim report
• Other reports as requested by management.
• Monitor daily claim edit reports to ensure departmental standards are maintained

What You Will Need:

• Bachelor's Degree or equivalent experience.
• Five years of healthcare financial management experience.
• Must have a solid understanding of the healthcare revenue cycle.
• Demonstrated competency in working in teams and ability to effectively communicate with all levels.

What Would Be Nice To Have:

Special Billing Experience

Management Experience

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance
• Personal and Family Sick Time & Company Paid Holidays
• Position may be eligible for a discretionary variable incentive bonus
• Parental Leave
• 401(k) Retirement Plan
• Basic Life & Supplemental Life
• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
• Short-Term & Long-Term Disability
• Tuition Reimbursement, Personal Development & Learning Opportunities
• Skills Development & Certifications
• Employee Referral Program
• Corporate Sponsored Events & Community Outreach
• Emergency Back-Up Childcare Program

About Guidehouse

Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at [email protected]. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.