Insurance Reimbursement Assistant Manager – PFS Billing – Maitland at AdventHealth

Date Posted: 6/28/2019

Job Snapshot

  • Job Schedule
  • Location:
    Maitland, FL
  • Date Posted:
  • Job ID:
  • Job Family
    Patient Financial Services
  • Travel
  • Shift
  • Application Zone
    2-Legacy System
  • Organization
    AdventHealth Central Florida

Job Description

Insurance Reimbursement Assistant Manager – PFS Billing – Maitland

AdventHealth Maitland seeks to hire a Patient Access Assistant Manager who will embrace our mission to extend the healing ministry of Christ.

Facility Profile:

Established in 1908, AdventHealth is one of the largest not-for-profit healthcare systems in the country, caring for more than a million patients each year. The Maitland Office Plaza houses our highly skilled teams that support our hospital system including Marketing, Patient Financial Services, Revenue Management, the Credit Union and Human Resources. The Trickel Building, a two-story office structure, creates an atmosphere of health and healing, with a healthy-style café and quaint chapel. The main lobby is filled with lush greenery and a light trickle of water, creating a holistic environment.

Department Profile:

The Medicaid and Government Payors Insurance Reimbursement team at AdventHealth Maitland includes Billing Representatives, as well as their support and management staff. The Medicaid and Government Payors Insurance Reimbursement department consists of a great team of individuals responsible for collecting all insurance dollars for the services provided to AdventHealth patients. This is accomplished by making frequent and effective status calls to Medicaid and Government Payors or via online requests. In an effort to resolve outstanding accounts, the Insurance Reimbursement team tracks and trends Medicaid and Government Payor payments in order to provide feedback to Medicaid and Government Payors for improved future performance. This information is often utilized by various departments within AdventHealth when making operational decisions. We strive to build a working relationship with Medicaid and Government Payors in an effort to create a partnership for success.

Work Hours/Shifts:

Monday - Friday; 8:00am – 5:00pm

Job Summary:

Under management, accountable for day to day functions of all insurance reimbursement areas and teams. Ensures proper reimbursement on patient accounts, identifying error trends and reporting to leadership as needed. Coordinates with Insurance payors and interprets contracts to ensure proper reimbursement on patient accounts. Ensures team success in meeting and exceeding accuracy and productivity goals set by PA/PFS department. Specifically takes responsibility for patient satisfaction and employee engagement scores, meeting goals set by AdventHealth and PA/PFS department. Performs managerial duties in absence of Manager. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all. Adheres to AdventHealth Corporate Compliance Plan and to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies.

Knowledge, Skills, Education, & Experience Required:

  • Ability to use discretion when discussing personnel/patient related issues that are confidential in nature.
  • Ability to be responsive to ever-changing matrix of hospital needs and act accordingly.
  • Self-motivator, quick thinker.
  • Proficiency in performance of basic math functions.
  • Capable of communicating professionally and effectively in English, both verbally and in writing.
  • Three (3) years’ experience in Patient Access/Patient Financial Services Department or related area (registration, finance, collections, customer service, medical office, contract management) and at least six (6) months team lead or supervisory experience.
  • Minimum (2) years college degree (business, healthcare or health services administration, health information management, communications, finance, accounting, public administration, human resources, management, or marketing) with (2) or more years in Patient Access/Patient Financial Services department or related area as defined above. (Preferred)

Licensure, Certification, or Registration Required:

  • Certified Patient Access Representative or Certified Patient Account Technician (Preferred)

Job Responsibilities:

Demonstrates through behavior AdventHealth’s Core Values of Keep Me Safe, Love Me, Make it Easy, and Own it as outlined in the organization’s Performance Excellence Program.
  • Coordinates with Insurance payors to ensure proper reimbursement on patient accounts. May be required to participate in conference calls, review accounts receivable reports, and/or create reports to compile issues in order to expedite resolution of accounts.
  • Responsible for examining and interpreting contracts to ensure patient accounts are properly reimbursed. Trends and reports any issues to leadership or as requested.
  • Reviews quality assurance reports with appropriate Leadership and staff. Creates, prepares and updates various weekly and monthly reports as assigned by Management within specified time frame. Analyzes and reviews statistical reports when requested by Leadership.
  • Specifically takes responsibility for patient satisfaction and employee engagement scores, meeting goals set by AdventHealth and PA/PFS department. Promotes an atmosphere of open communication for staff at all times. Assists Customer Service with Patient concerns/questions to ensure prompt and accurate resolution is achieved.
  • Presents written and verbal directions to employees to ensure well-informed status in performance of their job requirements as indicated, and provides feedback for employee performance evaluations while adhering to AdventHealth and regulatory evaluation guidelines. Identifies problems proactively to expedite resolution, offering training whenever needed.
  • Provides continuing education of all team members on process and A/R requirements. Provides team members with tools and training needed to assist in meeting productivity and accuracy goals. Conducts interviews for open positions. Oversees new hire training to successfully meeting 90 day standards.
  • Required to constantly ensure a high level of team productivity by proactively assigning and directing workload distribution amongst all team members. Enables staff to meet goals and deadlines by monitoring time management of staff. Limits use of overtime. Documents employee performance and attendance.
  • Adheres to HIPAA regulations by verifying pertinent information to determine caller authorization level receiving information on account.
If you want to be a part of a team that is dedicated to delivering the highest quality in patient care, we invite you to explore the Insurance Reimbursement Assistant Manager opportunity with AdventHealth Maitland and apply online today.

Job Keywords:

Insurance Reimbursement, Assistant Manager, Patient Financial Services, Maitland

Position Location:  Maitland
Job:  Patient Financial Services
Organization:  AdventHealth Central Florida
Primary Location:  US-FL-Maitland
Schedule:  Full-time
Shift:  Day
Job Level:  Staff / Associate
Education Level:  None
Travel:  No
Job Posting:  Jun 28, 2019, 10:16:16 AM

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