Kaiser Permanente
Collections & Customer Relations Manager - Maui Health
Kaiser Permanente, Wailuku, Hawaii, United States, 96793
Job Summary:
Evaluates and monitors statistical and financial data generated by Collections, Insurance, and Billing sections. Manages collection of revenue from patients for services rendered. Supervises assigned staff.
Essential Responsibilities:
Establishes and collaborates with others to enforce all credit and collection policies at all clinics and business offices. Analyzes charge and total revenues. Develops improved collection methods and procedures; conducts in-service programs on department policies for all employees involved in information/collection process to maximize collection of revenue.
Analyzes history of delinquent accounts to determine collection potential. Reviews and authorizes write-offs to collection agencies, attorneys; bad debt allowances for non-plan and health plan accounts and uncollectible write-offs on third party accounts. Reviews and approves collection refund requests as appropriate.
Optimizes system functionality to automate follow-up and collection processes.
Analyzes allowance for doubtful accounts; generates reports.
Compiles monthly financial reports to monitor Accounts Receivable.
Participates in negotiation and administration of contracts with collection agencies to protect organizations interest in monies due, and amounts paid to collection agencies. Represents organization in counter suits arising from assignment of accounts.
Analyzes Revenue Cycle opportunities within collection area.
Participates with outside attorneys in negotiations, compromise settlements and collection of accounts subject to litigation and subrogation.
Optimizes customer satisfaction by providing excellent Customer Relations support, managing incoming phone inquiries, emails, patient correspondence, and other inquiries regarding patient billing issues.
Maintains current knowledge of all federal, state, and local regulations relating to extension of credit, billing and allowable follow-up procedures, and all reimbursement procedures of third party and private insurance payers.
Liaisons to assigned clinics regarding financial issues.
Participates in national and local work groups related to billing and collection.
Hires, trains, supervises, counsels, disciplines, and terminates assigned staff as appropriate.
Communicates goals, objectives, accountabilities, priorities, and authority parameters to assigned staff.
Basic Qualifications:
Experience
Minimum five (5) years collections experience in healthcare organization or related field.
Minimum two (2) years management experience.
Education
Bachelors degree in business administration, accounting, finance, or related field or four (4) years of experience in a directly related field.
License, Certification, Registration
N/A
Additional Requirements:
Demonstrated knowledge of related federal and state regulations.
Preferred Qualifications:
One year credit analysis experience.
Formal credit/collection training.
Knowledge of Kaiser Permanente health plans and systems.
Medical claims experience.
Primary Location:
Hawaii, Wailuku, Maui Mem. Wili Pa Loop Building
Hours Per Week:
40
Shift:
Day
Workdays:
Mon, Tue, Wed, Thu, Fri
Working Hours Start:
08:00 AM
Working Hours End:
04:30 PM
Job Schedule:
Full-time
Job Type:
Standard
Employee Status:
Regular
Employee Group/Union Affiliation:
NUE-MHS-01|NUE|Non Union Employee
Job Level:
Manager with Direct Reports
Job Category:
Accounting, Finance & Actuarial Services
Department:
WILI PA - Pat. Financial Ops & Admin - 3601
Travel:
No
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.
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Evaluates and monitors statistical and financial data generated by Collections, Insurance, and Billing sections. Manages collection of revenue from patients for services rendered. Supervises assigned staff.
Essential Responsibilities:
Establishes and collaborates with others to enforce all credit and collection policies at all clinics and business offices. Analyzes charge and total revenues. Develops improved collection methods and procedures; conducts in-service programs on department policies for all employees involved in information/collection process to maximize collection of revenue.
Analyzes history of delinquent accounts to determine collection potential. Reviews and authorizes write-offs to collection agencies, attorneys; bad debt allowances for non-plan and health plan accounts and uncollectible write-offs on third party accounts. Reviews and approves collection refund requests as appropriate.
Optimizes system functionality to automate follow-up and collection processes.
Analyzes allowance for doubtful accounts; generates reports.
Compiles monthly financial reports to monitor Accounts Receivable.
Participates in negotiation and administration of contracts with collection agencies to protect organizations interest in monies due, and amounts paid to collection agencies. Represents organization in counter suits arising from assignment of accounts.
Analyzes Revenue Cycle opportunities within collection area.
Participates with outside attorneys in negotiations, compromise settlements and collection of accounts subject to litigation and subrogation.
Optimizes customer satisfaction by providing excellent Customer Relations support, managing incoming phone inquiries, emails, patient correspondence, and other inquiries regarding patient billing issues.
Maintains current knowledge of all federal, state, and local regulations relating to extension of credit, billing and allowable follow-up procedures, and all reimbursement procedures of third party and private insurance payers.
Liaisons to assigned clinics regarding financial issues.
Participates in national and local work groups related to billing and collection.
Hires, trains, supervises, counsels, disciplines, and terminates assigned staff as appropriate.
Communicates goals, objectives, accountabilities, priorities, and authority parameters to assigned staff.
Basic Qualifications:
Experience
Minimum five (5) years collections experience in healthcare organization or related field.
Minimum two (2) years management experience.
Education
Bachelors degree in business administration, accounting, finance, or related field or four (4) years of experience in a directly related field.
License, Certification, Registration
N/A
Additional Requirements:
Demonstrated knowledge of related federal and state regulations.
Preferred Qualifications:
One year credit analysis experience.
Formal credit/collection training.
Knowledge of Kaiser Permanente health plans and systems.
Medical claims experience.
Primary Location:
Hawaii, Wailuku, Maui Mem. Wili Pa Loop Building
Hours Per Week:
40
Shift:
Day
Workdays:
Mon, Tue, Wed, Thu, Fri
Working Hours Start:
08:00 AM
Working Hours End:
04:30 PM
Job Schedule:
Full-time
Job Type:
Standard
Employee Status:
Regular
Employee Group/Union Affiliation:
NUE-MHS-01|NUE|Non Union Employee
Job Level:
Manager with Direct Reports
Job Category:
Accounting, Finance & Actuarial Services
Department:
WILI PA - Pat. Financial Ops & Admin - 3601
Travel:
No
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.
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