<ol> <li>Works closely with CCHC Directors, Managers, and other leaders to: </li></ol> <p>a. Establish or manage SBO customer service solutions including</p> <p>i. Coordinate patient billing and collections</p> <p>ii. Customer service and patient correspondence resolution</p> <p>iii. Patient demographics and insurance updates</p> <p>b. Ensure positive collaboration between the CCHC staff and revenue cycle vendors</p> <p>c. Coordinate with CCHC patient access teams and/or vendors to:</p> <p>i. Complete conversions from self-pay to third-party insurance</p> <p>ii. Manage payment arrangements</p> <p>iii. Process patient credit balances and refunds as necessary</p> <p>iv. Resolve issues creating delays in billing and/or payment resolution</p> <p>d. Manage the transfer of accounts between pre-collections and bad debt collections vendors.</p> <p>e. Work with internal stakeholders on patient AR audit and regulatory requirements.</p> <p>f. Define, trend, report, and meet patient AR management and cash collections goals</p> <ol start="2"> <li> <p>Oversee billing and collections of Client Submitter accounts including working with teams on new contracts, contract maintenance, and billing patient insurance where applicable.</p> </li><li> <p>Manage workflow of VNA revenue cycle staff and other VNA staff who impact revenue cycle outcomes.</p> </li><li> <p>Produce and maintain VNA operational department policies and procedures. Maintain thorough knowledge of applicable corporate policies and procedures.</p> </li><li> <p>Continually identify, implement and monitor strategies to improve VNA AR throughput and resolution processes.</p> </li><li> <p>Maintain up-to-date knowledge of regulatory and compliance changes impacting billing requirements and operations and ensure billing employees are appropriately educated and processes are modified as needed.</p> </li><li> <p>Works with Director of System PFS, Director PB Revenue Cycle, VP, CFO and vendor(s) to establish customer service / SBO revenue cycle benchmarks</p> </li><li> <p>Reduce redundancies and re-work through proper use of technology and through staff education.</p> </li><li> <p>Serves as the main point of contact for Patient AR Management including Client Submitter, and VNA AR.</p> </li><li> <p>Supports the training and development of CCHC supervisors and staff.</p> </li><li> <p>Monitors CCHC and VNA employee and vendor performance to benchmarks and initiates corrections independently or collaboratively</p> </li><li> <p>Identifies and process and technology improvements to improve the cost, effectiveness and efficiency of patient AR revenue cycle operations.</p> </li><li> <p>Maintains a working knowledge of all revenue cycle management computer systems;</p> </li></ol> <p>Works with internal IT staff and external software vendor to keep up with changes in technology; ensure all payer information is set up correctly. Researches, develops, and promulgates best practices in patient AR management.</p> <ol start="14"> <li> <p>Establishes, updates, and maintains policies and procedures governing billing and collections, ensuring the documentation is always current, complete, and user-friendly.</p> </li><li> <p>Works with CCHC Revenue Cycle Leaders and other stakeholders to identify areas of potential audit concern, and to maintain and implement internal controls as needed.</p> </li><li> <p>Prepares reports and conducts analysis as needed and on a timely basis, to support decisions by leadership and maintain/grow revenue collection.</p> </li><li> <p>Collaborates with internal and external constituents to execute improvements.</p> </li><li> <p>Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies.</p> </li><li> <p>Uses experience, education or training, and judgment to plan and accomplish key performance indicators for AR metrics and other measures of organizational health.</p> </li><li> <p>Maintain up-to-date knowledge of regulatory and compliance changes impacting billing requirements and operations.</p> </li><li> <p>Ensure vendors and CCHC revenue cycle employees are appropriately educated and processes are modified as needed.</p> </li><li> <p>Performs additional special assignments, duties, and related functions as required.</p> </li><li> <p>Challenges current working practices; identifies process improvement opportunities and presents recommendations and solutions to management. Engages and commits to the organization's culture of continuous improvement by actively participating, supporting, and promoting CCHC Pillars of Excellence.</p> </li></ol> <ul> <li>Bachelor's degree preferred or equivalent combination of education and experience. </li><li>Minimum five years health care with at least four years of healthcare Finance or Accounts Receivable Management experience </li><li>Prior experience with customer service and patient billing operations preferred. </li><li>Home healthcare and hospice experience required. </li><li>Minimum two years supervisory/management experience in healthcare environment required. </li><li>Required three to five years of demonstrated experience with electronic health records. Epic experience preferred. </li><li>Ability to work under pressure and manage multiple initiatives concurrently; must be able to work independently, set own priorities and meet deadlines. </li><li>Experience and knowledge of regulatory requirements, payer requirements and third-party reimbursement. </li><li>An understanding of complex corporate relationships, and an ability to influence within such an environment. </li><li>Excellent communication, leadership, delegation, and interpersonal skills. </li><li>Ability to evaluate personal performance against established goals. </li><li>Ability to communicate with and present to a wide variety of CCHC and external users, including senior management and physicians, as well as outside vendors and consultants. </li><li>Demonstrated goal-oriented thinking, operational and organizational skills. </li><li>Ability to coach and support staff in their efforts to improve overall performance. </li><li>Capable of learning reporting systems and other new tools </li><li>Exceptional time management skills. </li></ul>