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Oversee and direct the coverage assistance process to increase gross self-pay charges converted to Medicaid or other coverage while providing excellent customer experience throughout
Direct operations contributing to the collective review of over 45,000 patients annually to secure coverage opportunities, generating $1B+ in gross self-pay charges converted to Medicaid
Ensure compliance with Medicaid, marketplace or other regulations related to the eligibility and enrollment process
Manage, direct, and evaluate all processes to adhere to quality, productivity, and effectiveness standards
Demonstrate accountability through continuous quality improvement ensuring metrics and key performance indicators are met and exceeded
Specifically increased reimbursement by securing Medicaid or other coverage opportunities for patients
Build and develop a highly effective team to provide oversight for staffing, performance management and regulatory support
Participate in the design and continuous improvement of all processes that ensure accounts are managed promptly and effectively to secure Medicaid or other coverage
Collaborate and build synergies with internal and external partners
Ensure optimal resource utilization and institute measures that result in greater cost effectiveness and efficiency in operations while ensuring high patient satisfaction
Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale
Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives
Requirements:
Bachelor's Degree
Typically, requires 7+ years of experience in revenue cycle operations, preferably in scope with health coverage eligibility and enrollment
Minimum of 5 years in supervisory role managing staff, budgets, reimbursement and receivables management
Demonstrated leadership skills including project management, process improvement, problem-solving, decision making, prioritization, delegation, team building, customer service and conflict resolution
Strong interpersonal, communication and organizational skills
Strong financial analysis and management, long range planning and forecasting, and negotiation skills
Strong background and knowledge in both hospital and revenue cycle operations/principles preferred
Strong background and knowledge in program management, government health plans and regulatory compliance
Experience in executing change and results based upon data analytics and directed goal sets of the leader of billing operations
Previous experience with system conversion and office re-structure
Demonstrated interest in employee development, ability in interpersonal communications and sensitivity to teammate needs
What we offer:
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Opportunity for annual increases based on performance