Patient Accounting Billing Mgr

US-MA-Brookline
6 days ago(1/11/2018 10:35 AM)
Job ID
2018-9413
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.

Responsible for the daily supervision and operations of the billing staff and as needed, the revenue control staff. Effectively distributes daily work and coordinates staff training as necessary to ensure productivity. Works with Director of Patient Accounting in establishing and revising existing policies/procedures and ensures that the policies/procedures are followed accordingly. Ensures compliance with all departmental, institutional and regulatory policies. Keeps Director of Patient Accounts informed of all problems /issues related to billing operations and staffing.

Responsibilities

  • Monitors and reviews unit activity in the areas of billing, follow-up and as needed, revenue control.
  • Supervise and coordinate/train all staff as well as any temporary or co-op student assistance given on necessary billing and follow up instructions to include usage of third party billing-systems and downloads. Ensure adequate staffing coverage for required duties.
  • Delegate and distribute daily work to include timely/accurate processing of charges and payment. Monitor for productivity, accuracy, and efficiency.
  • Keep current on all payer electronic remittance changes and inform billing staff and/or information systems unit well as other department Managers and Directors of all updates.
  • Review Edit and Hold bill reports and determine appropriate action to resolve accounts timely for billing. Work with billing staff, Managers, and Director as well as other departments necessary to handle problems identified. Keep Director informed of problems, which may delay timely submission of claims or extend ageing of receivables.
  • Establish billing procedures for accurate/timely submission of claims and follow up activity to include posting and working of denials received by third party payors & submit to include posting and working of denials received by third party payors & submit procedures to be followed to director for approval. Instruct billing staff on policy /procedures to be followed. Update on an ongoing basis as required for regulatory and efficiency purposes.
  • Review payment/denials for correct billing submissions and reimbursement activity to include correct coding assigned and billing instructions followed. Coordinate training as necessary & keep Director informed of issues, which affect operations and reimbursement. Work with other departments as necessary to obtain required information or educate as needed.
  • Handles problem accounts and corresponds with third party payors as necessary to verify third party billing policy for claim submission or payment activity. Educates billing staff & other managers and director as necessary on findings as well as updates billing guidelines accordingly.

 

Qualifications

  • College education preferred or a minimum of 5 years patient accounting experience. Prior managerial/supervisor experience required. Prior hospital and/or physician billing experience or equivalent required.
  • Knowledge of third party regulations.
  • Knowledge of patient accounting regulations preferred.
  • Well organized, detail-oriented and dependable.
  • PC experience to include third party billing systems-downloads.
  • Excellent/professional communications skills to include 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 & familiar with medical terminology.




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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