Sharp Healthcare
Manager Revenue Cycle A/R Mgmt. - Non Govt. | Sharp HealthCare | Onsite, Full ti
Sharp Healthcare, San Diego, California, United States, 92189
Hours:
Shift Start Time:
Variable
Shift End Time:
Variable
AWS Hours Requirement:
8/40 - 8 Hour Shift
Additional Shift Information:
Weekend Requirements:
As Needed
On-Call Required:
No
Hourly Pay Range (Minimum - Midpoint - Maximum):
$56.418 - $72.797 - $89.176
The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.
What You Will Do
The Manager Revenue Cycle A/R Mgmt. - Non Govt. provides management direction, project development and analysis, implementation planning, process improvements and financial analysis and reporting in the areas of prebilling, billing, follow up, collections, chargemaster guidance and updates as needed, and staff development. Under the direction of the Vice President Hospital Revenue Cycle, the Manager Revenue Cycle A/R Mgmt. is responsible for all hiring, training, coaching, evaluating, disciplining, and termination of staff in functional unit. The Manager provides overall direction to ensure timely collection of all payers. Identifies issues, monitors performance, and assists in problem resolution.
This position manages department quality and productivity measures while optimizing efficiencies. The Manager is responsible for meeting/exceeding department key performance indicators for Cash Collections, A/R aging, Staff satisfaction and overall A/R days. The Manager prepares assists and adheres to the budgets and financial reports for the functional areas, develops operational plans (short-term and long-term) determines appropriate staffing ratios, evaluates performance, recommends, and implements changes that improve operating efficiencies, prebilling, billing production, cash flow, and reimbursement.
Assists with maintaining workflow modifications that emphasize accuracy, automation, and optimization. Ensures compliance with State and Federal billing regulations. Coordinates all computer conversion activity for responsible area, performs all system testing and quality controls, verifies accuracy and completeness of all mapping criteria, performs ongoing system optimization, and continues implementation of EDI applications. Provides management support to the PFS Trainer/Educator, Payment Processing staff, Shared Service Analyst, Uncompensated Care Specialist, and Hospital Auditors.
The Manager is responsible for coordinating with HB, PB and SBO department Managers/Directors on a regular basis to ensure efficient and effective interdepartmental work processes. PFS Manager acts as a liaison between vendors and hospital departments. The Manager assures employees possess the training and knowledge to competently achieve expected outcomes and performance goals.
The Manager provides leadership to assure that staff practice safe work habits, and that the working environment is consistently within regulatory standards.
Required Qualifications
3 years experience in large hospital setting, medical group, or A/R consulting, company in inpatient accounting.
Preferred Qualifications
Bachelor's degree business administration or equivalent knowledge and experience, preferably in accounting or finance.
One year of Epic system experience.
Other Qualification Requirements
Equivalent knowledge and additional years of experience can substitute for a bachelor's degree.
Knowledge, Skills, and Abilities
Exposure to and knowledge of the continuous quality improvement concept.
Strong professional level of written and oral communication skills.
Ability to defuse volatile situations, use good judgement and tact in dealing with the public.
Working knowledge of hospital and ambulatory care charging policies, contractual payment schemes, and collection agency policies.
Working knowledge of medical terminology, ICD9 coding, RVS coding, and CPT4 coding.
Ability to discuss personal and financial matters with patients or their representatives.
Ability to withstand pressure, meet deadlines, and positively react to stress associated with job duties.
Ability to use resources in an organized manner.
Bilingual preferred.
Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class.
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Shift Start Time:
Variable
Shift End Time:
Variable
AWS Hours Requirement:
8/40 - 8 Hour Shift
Additional Shift Information:
Weekend Requirements:
As Needed
On-Call Required:
No
Hourly Pay Range (Minimum - Midpoint - Maximum):
$56.418 - $72.797 - $89.176
The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.
What You Will Do
The Manager Revenue Cycle A/R Mgmt. - Non Govt. provides management direction, project development and analysis, implementation planning, process improvements and financial analysis and reporting in the areas of prebilling, billing, follow up, collections, chargemaster guidance and updates as needed, and staff development. Under the direction of the Vice President Hospital Revenue Cycle, the Manager Revenue Cycle A/R Mgmt. is responsible for all hiring, training, coaching, evaluating, disciplining, and termination of staff in functional unit. The Manager provides overall direction to ensure timely collection of all payers. Identifies issues, monitors performance, and assists in problem resolution.
This position manages department quality and productivity measures while optimizing efficiencies. The Manager is responsible for meeting/exceeding department key performance indicators for Cash Collections, A/R aging, Staff satisfaction and overall A/R days. The Manager prepares assists and adheres to the budgets and financial reports for the functional areas, develops operational plans (short-term and long-term) determines appropriate staffing ratios, evaluates performance, recommends, and implements changes that improve operating efficiencies, prebilling, billing production, cash flow, and reimbursement.
Assists with maintaining workflow modifications that emphasize accuracy, automation, and optimization. Ensures compliance with State and Federal billing regulations. Coordinates all computer conversion activity for responsible area, performs all system testing and quality controls, verifies accuracy and completeness of all mapping criteria, performs ongoing system optimization, and continues implementation of EDI applications. Provides management support to the PFS Trainer/Educator, Payment Processing staff, Shared Service Analyst, Uncompensated Care Specialist, and Hospital Auditors.
The Manager is responsible for coordinating with HB, PB and SBO department Managers/Directors on a regular basis to ensure efficient and effective interdepartmental work processes. PFS Manager acts as a liaison between vendors and hospital departments. The Manager assures employees possess the training and knowledge to competently achieve expected outcomes and performance goals.
The Manager provides leadership to assure that staff practice safe work habits, and that the working environment is consistently within regulatory standards.
Required Qualifications
3 years experience in large hospital setting, medical group, or A/R consulting, company in inpatient accounting.
Preferred Qualifications
Bachelor's degree business administration or equivalent knowledge and experience, preferably in accounting or finance.
One year of Epic system experience.
Other Qualification Requirements
Equivalent knowledge and additional years of experience can substitute for a bachelor's degree.
Knowledge, Skills, and Abilities
Exposure to and knowledge of the continuous quality improvement concept.
Strong professional level of written and oral communication skills.
Ability to defuse volatile situations, use good judgement and tact in dealing with the public.
Working knowledge of hospital and ambulatory care charging policies, contractual payment schemes, and collection agency policies.
Working knowledge of medical terminology, ICD9 coding, RVS coding, and CPT4 coding.
Ability to discuss personal and financial matters with patients or their representatives.
Ability to withstand pressure, meet deadlines, and positively react to stress associated with job duties.
Ability to use resources in an organized manner.
Bilingual preferred.
Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class.
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