Manager, Hospital /Patient Billing - Government

Job Description

Description

This remote role requires the incumbent to reside in OR, WA, AK or TX. 

 Job Summary

Responsible for implementing and supporting the insurance billing and follow-up activities across the organization. Responsible in the adherence and management of the goals relating to billing and insurance AR resolution. Has responsibility for managing and developing supervisors and caregivers to ensure billing and follow-up activities coincide with department goals and lead to achievement of monthly KPIs. Continually review, report progress, and/or escalate issues relating to current state and work with the Director Billing and Follow-up and other Senior Revenue Cycle leaders for support or resolution. Ensures policies and procedures are current and enforced, business practices are compliant, and a high level of patient and customer satisfaction is maintained across the networks.

What you will enjoy: 

• Leads and manages the billing and follow-up teams to efficiently review and accelerate resolution of the accounts receivable.

• Manages and monitors to set the scope of work and ensure financial goals are met and claims are received and resolved timely.

• Manages and monitors to ensure all lines of business are covered by adjusting staff and assignments for areas with high or low volumes to ensure standards are met.

• Manages and monitors the automation tools to ensure optimal functionality and drive to revenue cycle best performance.

• Manages and monitors the billing activities and follow-up meet State and Federal regulations, mandated collection practices, all regulatory agencies including JCAHO, CMS and are HIPAA compliant.

• Collaborates with Payer Contracting to report payer lags and provide Payer Contracting with data to support negotiations with payers.

• Identifies opportunities for process improvement, and implements them by engaging stakeholders throughout the organization. Works in partnership with local and regional leaders of operating units to identify new ways to enhance revenue recovery.

• Develops and mentors of the caregivers under the scope of their responsibilities.

• Performs other duties as assigned.

What you will bring: 

Education

• Bachelor's Degree Required: Healthcare Administration. or Healthcare Management.

• Master's Degree Preferred: Healthcare Administration. or

• Master's Degree Preferred: Healthcare Management.

Experience

• Minimum of 5 years Required: Progressive management experience in Revenue Cycle (HB/PB)

• Minimum of 2 years Required: Related leadership experience.

• Required: Healthcare experience

• Preferred: Experience in multi-hospital systems

Credentials

• Preferred Upon Hire: HFMA, MGMA, AHIMA

• Preferred Upon Hire: EPIC Certification

• Preferred Upon Hire: Certified Professional Coder

Skills

• Proven ability to build and maintain strategic relationships across functions and levels, fostering collaboration with key stakeholders to support data-driven decision-making and alignment with PeaceHealth’s mission (Required)

• Deep understanding of revenue cycle management, payer landscapes, and associated regulatory requirements (e.g., HIPAA, JCAHO), ensuring analytics and insights are developed within the context of compliance and industry standards. (Required)

• Strategic thinker with excellent communication skills, adept at translating complex data into actionable insights. (Required)

• Ensuring people reach full potential and creates an environment that encourages professional development. (Required)

• Commitment to PeaceHealth’s mission, values, and vision of compassionate, community-centered care. (Required)

Department / Location Specific Notes

Working Conditions

Lifting

• Consistently operates computer and other office equipment.

• Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.

• Sedentary work.

Environmental Conditions

• Predominantly operates in an office environment.

Mental/Visual

• Ability to communicate and exchange accurate information.

• The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.

PeaceHealth is seeking a Mgr Comm & Govt Billing for a Full Time, 2.00 FTE, Day position. The salary range for this job opening at PeaceHealth is $45.14 – $67.70. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.

PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program.

See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility.

For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.