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Manager-Patient Financial Services (Professional Billing)

Newark, NJ, USA | Stanford Health Care hospital

  • Industry:
    Healthcare - Hospitals
  • Position Type:
  • Functions:
    Accounting / Control
    Finance (Internal)
  • Experience:
    5-7 years
Job Description:
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The essential functions listed are typical examples of work performed by positions in this job classification.They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities.Employees may also perform other duties as assigned.

Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient’s rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.

Employee must perform all duties and responsibilities in accordance with the C-I-CARE Standards of the Hospital. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions.

Ensures that all staff follow appropriate billing requirements and receives necessary compliance training.

Ensures timely updates to the billing system (Caramedic/Cirius) for appropriate billing edits.

Participates in development, implementation and maintenance of policies, objectives, short-and long-range planning; develops and implements projects and programs to assist in accomplishment of established goals.

Performs all related Stockamp (revenue cycle management system) duties; KPI, HDDL, PHDDL, quality reviews, weekly TRAC meetings and Worklists/QUIC lists.

Performs supervisors functions by interviewing, selecting and providing training for new staff; by approving or disapproving recommendations from subordinate staff on personnel actions; by evaluating subordinates' performance; by hearing and resolving employee grievances; and by determining the need for and initiating disciplinary action in order to ensure adequate and competent staffing for the department, division or institution.

Provides overall direction and supervision to the billing, follow-up, collection, and resolution of all payor accounts.

Serves as a contact to other departments for information on government guidelines; updates staff and outside departments on Medi-Cal/Medicare regulations.

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Job Qualifications:

Minimum Requirements

Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.

Education: Bachelor's degree from an accredited college or university or equivalent combination of education/experience.

Experience: Five (5) years of progressively responsible and directly related work experience

Knowledge, Skills, and Abilities

These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education, or licensure/certification.

Ability to develop long-range business plans and strategies

Ability to foster effective working relationships and build consensus

Abilityto mediate and resolve complex problems and issues

Ability to provide leadership and influence others

Ability to recognize and analyze the impact of regulatory changes on the financial performance of professional revenue

Knowledge of accounts receivables and reimbursement management

Knowledge of CPT, ICD9 coding and medical terminology

Knowledge of government program regulations and requirements as they relate to billing and collections of accounts receivable

Knowledge of information system and software relating to accounts receivables management and billing

Knowledge of local, state and federal regulatory requirement related to the functional area

Knowledge of principles and practices of organization, administration, fiscal and personnel management

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