All the benefits and perks you need for you and your family:
·Benefits from Day One
·Career Development
·Whole Person Wellbeing Resources
·Mental Health Resources and Support
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Shift: Monday-Friday
Job Location: Remote
The role you’ll contribute:
The Reconciliation Services team is responsible for payment posting activities for the majority of AdventHealth services provided.Under minimal supervision of the Director of the Payment Reconciliation Center, the Finance Manager is responsible for the reconciliation and related research activities to help ensure timely resolution of payment posting activities.The Manager provides direction and support to staff, promotes staff development, and collaborates with other managers, directors, and administrative staff to help ensure operations function in a safe, effective, and fiscally responsible manner. The Manager creates a clear vision for the future and defines the values that underlie the day to day activities of assigned functions. Additional responsibilities include analysis and resolution of problems related to their areas of assignment as well as personnel activities including hiring, training, development, and termination of assigned supervisors / staff. The Manager is also responsible to maintain a working knowledge of core functions throughout the Reconciliation Services department.
The Manager works closely with other Reconciliation Services teams to help ensure efficient and timely processes and provides detailed feedback to the Director regarding team performance. This position is responsible for monitoring payment and adjustment trends, specifically significant changes and/or any anomalies. This position monitors and interprets reports and dashboards, including payment reports, monthly reconciliation reports and all other reports and dashboards as necessary. The Manager helps ensure the timeliness and appropriateness of posting payments. The Manager works closely with AdventHealth Information Technology (AIT) resources, insurance payers, and bank vendors to help ensure the highest level of technology and automation is being utilized throughout the payment posting functions.
The value that you bring to the team:
·Provide overall leadership and support to Reconciliation Services supervisors and staff responsible for reconciling and researching payment posting exceptions, including proactive guidance, troubleshooting support, issue escalation, and project prioritization
·Identify and resolve problems in the payment posting processes impacting downstream reconciliation activities and when appropriate, identifies and initiates change to prevent future problems or improve existing processes
·Oversee the handling of escalated complaints or inquiries regarding Reconciliation Services functions to help ensure correct and satisfactory resolution
·Manage department in compliance with established policies and procedures of AdventHealth and helps ensure that all policies and procedures reflect compliance with government regulations
·Develop and maintain an understanding of Federal, State, local and industry regulations, rules, and standards to help ensure compliance with payment posting and refund requirements (CMS, Federal and State legislation, etc.)
·Develop, implement, and monitor key performance indicators and productivity goals; identify root cause for variances and applicable process improvements; and report key findings to appropriate leadership
·Responsible for the establishment and effectiveness of internal controls
·Review and approve write-offs and adjustments on accounts, as defined in AdventHealth policies
·Work collaboratively with other department leadership, including revenue cycle, finance, IT, and physician practice personnel
Qualifications
The expertise and experiences you’ll need to succeed:
Minimum qualifications:
EDUCATION AND EXPERIENCE REQUIRED:
·Bachelor’s degree in Healthcare Administration, Finance, Business Administration, or equivalent degree from a four-year accredited university or college or an Associate degree plus 3 years of relevant experience
·Minimum four years of experience in healthcare revenue cycle or payment posting operations
·Minimum two years of experience working as a manager, supervisor or lead with direct reports
Preferred qualifications:
·Experience with ERP systems (e.g. PeopleSoft)
·Experience with various patient accounting systems
·NextGen
·AthenaHealth
·Cerner
·HomeCare Homebase
·Working knowledge of Epic Practice Management System
·Epic Resolute Billing certification and/or other relevant Epic certifications.
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.