Patient Accounting Blue Cross and Physician Practice Follow Up Manager

US-MA-Brookline
5 months ago
Job ID
2017-7703
Category
Finance/Accounting/Patient Billing
Type
full time
Grade
23

Overview

Located in Boston and the surrounding communities, Dana-Farber Cancer Institute brings together world renowned clinicians, innovative researchers and dedicated professionals, allies in the common mission of conquering cancer, HIV/AIDS and related diseases. Combining extremely talented people with the best technologies in a genuinely positive environment, we provide compassionate and comprehensive care to patients of all ages; we conduct research that advances treatment; we educate tomorrow's physician/researchers; we reach out to underserved members of our community; and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.

Reporting to the DFCI Senior Manager of Patient Financial Services (PFS), the Patient Accounting Manager coordinates the day-to-day activities and infrastructure of the Billing Department for three Physician hematology-oncology offices as well as the Blue Cross Hospital Outpatient Team at Dana-Farber.

Responsibilities

  • Accountable for guiding the staff and ensuring metrics are met and often exceeded in both productivity and claims payment collections.
  • Will be consistently looked upon to take a pro-active approach and provide management with process improvement concepts and initiatives to improve staff engagement and productivity.
  • Expected to stay up-to-date on all current and impending payer policies, initiatives and industry trends.
  • Updates reception on changes in referral requirements, demographic & insurance information necessary for accurate registration and billing
  • Maintains department policies and procedures and ensures proper adherence by both self and staff.
  • Conducts Quality Assurance of work performed by PFS staff.
  • Coordinates staff trainings in accordance with claims follow up best practices.
  • Works across the Revenue Cycle with other Managers, Senior Managers and Directors to improve department relationships and interdependent processes.
  • Participates in cross functional work groups and provides feedback to the Patient Financial Services management and staff.
  • Tracks and trends denials to determine root causes and shares results with appropriate personnel to remediate issues going forward.
  • Generates aging reports; identifies problems with payers holding high receivable balances over 90 days.
  • Responsible for organizing work, setting priorities, time lines, and determining and obtaining the resources required to meet those priorities.
  • Allocates work and provides training and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performance.
  • Tracks department staff productivity; identifies opportunities for improvement through education, training, accountability.

 

Qualifications

  • College education preferred or a minimum of 5 years’ patient accounting experience in the follow up space. Prior managerial/supervisor experience required. Prior hospital and/or physician billing experience or equivalent required.
  • Knowledge of third party regulations.
  • Well organized, detail-oriented and dependable.
  • Preferred experience working with third-party websites, Athena Health and Epic.
  • Excellent/professional communications skills including both verbal and written skills.
  • Team player, self-starter-leader, ability to train others, ability to establish priorities and direct others, ability to recognize and solve problems, ability to meet deadlines, ability to take direction & familiarity with medical terminology.
  • Knowledge of Federal, State, and payer regulations regarding medical billing compliance.
  • Must have experience working with HCFA 1500s and UB04’s.
  • Must have experience working with Medicaid, Medicare, Blue Cross and Other Commercial Insurance.

 

Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other groups as protected by law.

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