OPERATIONS MANAGER PROFESSIONAL BILLING OFFICE BEDFORD NH
Location: Charlestown, Rhode Island
Description: Faulkner Hospital is looking of OPERATIONS MANAGER PROFESSIONAL BILLING OFFICE BEDFORD NH right now, this occupation will be presented in Rhode Island. More details about this occupation opportunity kindly read the description below. General Overview Reporting directly to the Sr. Associate Director of Patient Financial Services in the Professional Billing Office (PBO), the Operations Manager is responsible for approximately 35 employees in our Bedford NH location: 1. One Billing & Accounts Receivable Manager 2. Five Team Supervisors with teams of 5 to 10 staff per team
The Operations Manager is also responsible for collaborating, guiding and supporting our CNY (Charlestown Navy Yard) Office location with approximately 100+ employees.
The Operations Manager oversees all aspects of the following areas within the Patient Financial Services â€" Accounts Receivable Management Department and is expected to serve as a back-up to the Sr Associate Director as well as CNY billing office: 1. Third Party billing and follow-up 2. Credit balance follow-up 3. Charge corrections
The Operations Manager acts as an expert resource to all staff within the Department and is responsible for overseeing the daily operations of the department, as well as within the PBO, related to revenue cycle enhancement and accounts receivable management. This position is unique since it also has responsibility for the facility and coordinating with the landlord on any issues that arise.
The Operations Manager serves as an important link to interdepartmental initiatives and is responsible for developing, authorizing and implementing numerous policies and procedures. The Operations Manager serves as the voice of the PBO in all hospital forums related to third party billing. The Operations Manager oversees all aspects of third party billing for the NH based teams. The Operations Manager is responsible for the overall development of the management team, working to ensure consistent adherence to policies and procedures while implementing best practices across the department.
The MGPO Professional Billing Office is the central billing office for physician practices affiliated with Massachusetts General Hospital in Boston Massachusetts. Major Duties ¿ Achieve excellence in performance by working collaboratively with others on MGPO and MGPO Professional Billing Office initiatives. Establish and develop collaborative relationships with internal staff to modify and/or create procedures aimed at reducing backlogs, improving financial performance, or cash collections.
¿ Supports and demonstrates the values of the Massachusetts General Hospital and the Massachusetts Physician’s Organization by conducting activities in an ethical manner with integrity, honesty, and confidentiality. Demonstrates a positive, open-minded, can-do attitude. Represents a team perspective and willingness and enthusiasm to collaborate with others. Follows through on commitments and achieves desired results. Exhibits sound judgment, obtains the facts, examines options, gains support, and achieves positive outcomes. ¿ Maintain high standard of professional conduct at all times. Represent the MGPO Professional Billing Office at events and projects external to the organization. Act as a leader to enthusiastically promote a cooperative team environment within the PFS Department, the PBO, and hospital wide to provide value to all customers. Demonstrate a service orientation which consistently aims at exceeding client expectations and which contributes positively to the greater working environment. ¿ Provide the proper leadership, coaching, supervision, environment and reporting structure to assure productivity, performance and well being of employees in the units. Provide clear channels of communication, delegation and accountability within the units fro effective supervision and problem solving. ¿ Hire and retain qualified staff by providing opportunities of continuing education, skill training and upward mobility. Create an environment that encourages productivity, loyalty, job satisfaction and positive reinforcement. ¿ Work closely with PFS ARM Department Managers to achieve the following:
o Reach financial performance related to their assigned teams. By understanding all facets of the revenue cycle, the Operations Manager is able to focus the areas or receivable that may need improvement.
o Independently monitor key team indicators to bring to the attention of the responsible Managers who will recommend process improvements. Indicators will include accounts receivable aging summaries and other ad-hoc reports. Monitoring key performance indicators and work with PFS Billing & ARM Department Managers. Operations Manager will assist in the adjustment of daily operations accordingly to meet unit objectives.
o Conduct weekly team meetings to address any issues, resolve problems, and authorize the implementation of department policies and procedures.
¿ Facilitate and represent the department and PBO in meetings with other PBO or hospital departments and committees. Work closely with PBO and other hospital departments including Coding, Group Practice Management, Payer Relations, Information Systems as well as MGH Patient Accounting to expedite the resolution of issues, understand, and address key business needs.
¿ Build direct communication and collaborative relationships with outside collection agencies, attorneys, vendors, and other PBO teams and departments within MGH.
¿ Provide oversight and guidance for the implementation of new initiatives and processes.
¿ Work with ARM Managers to implement policies and procedures to address employee issues, (i.e. counseling, discipline, EAP, FMLA).
¿ Work closely with ARM Managers to set financial performance expectations related to their assigned teams. By understanding all facets of the revenue cycle, the Operations Manager is able to focus the ARM Managers on areas that need improvement.
¿ Ensure Managers establish deadlines and productivity standards with their teams to efficiently minimize accounts receivable and enhance professional fee collections, while maintaining quality standards through ongoing quality assurance measures to deliver quality services to the customer.
¿ Assist the Sr. Associate Director of Patient Financial Services to develop systems and controls to ensure that the 2+ million claims processed per year process successfully through pre and post claim editing systems to reach the third party appropriate destination for processing. Strive to continuously increase the percentage of claims submitted electronically. ¿ Understand the basic hierarchical structure of IDX and all future systems so as to be a resource for all staff. Act as a resource for the PBO, and all business units within, to investigate, analyze and diagnose operational, technical and communication problems regarding insurance billing and collection issues for third party payers as well as self-pay collections. Maintain ongoing priority/issues log for the department.
¿ Participate in continuous quality improvement efforts on an ongoing basis by proactively identifying opportunities for improvement and implementing appropriate solutions. Work with the PFS Manager to develop systems and controls to ensure that accounts receivable issues are identified, and resolved in a timely, cost effective manner. Generate and implement new ideas for reducing costs while maintaining similar or better service levels.
¿ Utilize existing technologies to the fullest to ensure revenue optimization and operations are efficient (examples include maximizing the IDX PCS system/processes, online web based tools) and recommend customer focused solutions that improve processes, increase automation, and decrease expenses.
¿ Collaborate with the Sr. Associate Director of PFS to define and execute the strategic direction, mission and vision for the Accounts Receivable Management Department by defining objectives, tracking progress and measuring success. Provide direction and guidance to help develop and achieve departmental goals that best support the overall mission and objectives of the MGPO and the Professional Billing Office.
¿ Serve as backup to the Patient Financial Services Sr. Associate Director.
¿ Perform other duties as assigned. Responsibilities The Accounts Receivable Manager is directly responsible for a staff of approximately 35 with 1 direct report. The staff size has increased each year to stay current with PBO growth.
The Operations Manager works with the Sr. Associate Director for accounts receivable activities for a total of approximately 3,000 providers billed out of multiple billing groups (MGH, NSMC, NWH, and Privates).
The Operations Manager works with the Sr. Associate Director in collectively ensuring that the PBO payment goals are met. (currently $550 million) Skills/Abilities/Competencies ¿ Ability to act with minimal supervision, notice or direction
¿ Effective communication, interpersonal and negotiating skills necessary to build collaborative relationships and successfully interact with internal and external customers, service vendors, various systems experts as well as parties external to the MGPO Professional Billing Office
¿ Effective presentation skills and the ability to interact with people from all levels of the organization to facilitate and participate in hospital wide meetings
¿ Supervisory, leadership, and managerial abilities necessary to motivate and direct the activities of staff
¿ Strong organizational and project management skills to successfully manage numerous tasks simultaneously
¿ Ability to proactively manage change, anticipate and respond to customer and staff needs and expectations
¿ Analytical skills necessary to dissect complicated issues and formulate creative solutions for effective problem solving are required as are sufficient quantitative skills to use statistics for decision making, to perform cost-benefit analysis, and to make reasonable future projections Qualifications ¿ Bachelor’s degree or equivalent; MBA preferred. ¿ 5 years of increasingly responsible healthcare management experience, particularly in professional billing. ¿ Strong background in billing operations with knowledge of medical billing, coding, and payer issues. ¿ Equivalent experience utilizing IDX or other healthcare billing systems preferred ¿ Strong knowledge of Excel and Access preferred. ¿ 3-5 years supervisory experience required. Working Environment The Professional Billing Office Patient Financial Services - Accounts Receivable Management Departments are located in separate physical locations (Charlestown Navy Yard and PBO North). This position is required to allocate time in each office. There are times when this position is required to attend offsite meetings both within the MGH community and elsewhere.
Office environment
The work environment is very busy and dynamic The employee is required to travel to any Partners’ facilities to attend offsite meetings. This includes travel to new client sites Staff is very collaborative and work together to solve issues with particular practice issues
- .
If you were eligible to this occupation, please email us your resume, with salary requirements and a resume to Faulkner Hospital.
Interested on this occupation, just click on the Apply button, you will be redirected to the official website
This occupation starts available on: Fri, 20 Jul 2012 14:14:02 GMT
Apply OPERATIONS MANAGER PROFESSIONAL BILLING OFFICE BEDFORD NH Here