Sharp Healthcare
Manager Patient Financial Services System Operations | Sharp HealthCare | Onsite
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):
$52.340 - $67.536 - $82.731
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:
Provides management direction, project development and analysis, implementation planning, and results reporting in the areas of computer systems (both PC-based and ICD or CCD patient accounting systems), payment processing, chargemaster maintenance, and staff development.
Under the direction of the System Director, Institutional Care, PFS, the Manager of System Operations is responsible for all hiring, training, coaching, evaluating, disciplining, and termination of staff in functional unit. The Manager prepares 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, billing production, cash flow, and reimbursement. Maintains centralized dictionaries and chargemasters, assures timely input of all chargemaster coding to ensure compliance with State and Federal billing regulations. Coordinates all computer conversion activity, performs all system testing and quality controls, verifies accuracy and completeness of all mapping criteria, and continues implementation of EDI applications. In addition to Chargemaster Analyst, BAR and HPA/Meditech Analysts, 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 ICD and CCD department Managers/Directors on a regular basis to ensure efficient and effective interdepartmental work processes. 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:
Bachelor's Degree
3 years' experience in large hospital setting, medical group, or A/R consulting company in inpatient accounting.
Preferred Qualifications:
Epic system experience.
Other Qualification Requirements:
Bachelor's degree in business administration or equivalent knowledge and experience, preferably in accounting or finance. - Required
Essential Functions:
QUALITY:Maintains and updates Hospital and Community Care chargemasters in a manner that ensures proper charging, coding, and item descriptions. Assures compliance with all Medicare and Medi-Cal billing regulations by reviewing bulletins and billing manuals timely and making necessary chargemaster edits.
FINANCIAL PERFORMANCE:Manages Department budget within confines of approved budget. Contributes to the identification of and operationalizes cost reduction measures.
SYSTEM INTEGRATION:Implements and provides training to ICD, CCD, and SDHA staff to assure maximum competency in computer functionality, customer service, and general admission, insurance, and billing criteria.
LEADERSHIP:Enforces all policies in a consistent and fair manner. Manages and resolves all payroll, compensation, evaluation, training, hiring, termination, grievance, disciplinary, and development issues for assigned staff.
Regular one-to-one supervision with the System Director, Institutional Care, Patient Financial Services.
Knowledge, Skills, and Abilities:
Appropriate affiliation with national organizations which provide or enhance expertise and ongoing knowledge.
Knowledge of the continuous quality improvement concept required.
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):
$52.340 - $67.536 - $82.731
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:
Provides management direction, project development and analysis, implementation planning, and results reporting in the areas of computer systems (both PC-based and ICD or CCD patient accounting systems), payment processing, chargemaster maintenance, and staff development.
Under the direction of the System Director, Institutional Care, PFS, the Manager of System Operations is responsible for all hiring, training, coaching, evaluating, disciplining, and termination of staff in functional unit. The Manager prepares 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, billing production, cash flow, and reimbursement. Maintains centralized dictionaries and chargemasters, assures timely input of all chargemaster coding to ensure compliance with State and Federal billing regulations. Coordinates all computer conversion activity, performs all system testing and quality controls, verifies accuracy and completeness of all mapping criteria, and continues implementation of EDI applications. In addition to Chargemaster Analyst, BAR and HPA/Meditech Analysts, 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 ICD and CCD department Managers/Directors on a regular basis to ensure efficient and effective interdepartmental work processes. 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:
Bachelor's Degree
3 years' experience in large hospital setting, medical group, or A/R consulting company in inpatient accounting.
Preferred Qualifications:
Epic system experience.
Other Qualification Requirements:
Bachelor's degree in business administration or equivalent knowledge and experience, preferably in accounting or finance. - Required
Essential Functions:
QUALITY:Maintains and updates Hospital and Community Care chargemasters in a manner that ensures proper charging, coding, and item descriptions. Assures compliance with all Medicare and Medi-Cal billing regulations by reviewing bulletins and billing manuals timely and making necessary chargemaster edits.
FINANCIAL PERFORMANCE:Manages Department budget within confines of approved budget. Contributes to the identification of and operationalizes cost reduction measures.
SYSTEM INTEGRATION:Implements and provides training to ICD, CCD, and SDHA staff to assure maximum competency in computer functionality, customer service, and general admission, insurance, and billing criteria.
LEADERSHIP:Enforces all policies in a consistent and fair manner. Manages and resolves all payroll, compensation, evaluation, training, hiring, termination, grievance, disciplinary, and development issues for assigned staff.
Regular one-to-one supervision with the System Director, Institutional Care, Patient Financial Services.
Knowledge, Skills, and Abilities:
Appropriate affiliation with national organizations which provide or enhance expertise and ongoing knowledge.
Knowledge of the continuous quality improvement concept required.
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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