Patient Financial Services Manager - Remote 901

Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals in recovering their health, hopes, and dreams. Telecare continues to advance cultural diversity, humility, equity, and inclusion at all levels of our organization by hiring mental health peers, BIPOC, LGBTQIA+, veterans, and all belief systems.
Full Time; AM 8:30 am - 5:00 pm; Monday - Friday
Expected starting wage range is $81,565.12 - $100,762.48. Telecare applies geographic differentials to its pay ranges. The pay range assigned to this role will be based on the geographic location from which the role is performed. Starting pay is commensurate with relevant experience above the minimum requirements.
POSITION SUMMARY
The Patient Financial Services Manager is responsible for managing and supervising the centralized Revenue Cycle Patient Financial Services operations to ensure accurate and timely insurance verification, financial data entry, authorization management, & single case agreement initiation is conducted with timely and effective communication of department/program issues or successes to the Director Revenue Cycle and programs.
QUALIFICATIONS
Required:

Minimum of eight (8) years of either billing and collection experience in a healthcare billing environment, financial counseling in a patient access/patient admission environment, or a collective combination of both

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Four (4) or more years of supervisory experience in a billing environment or patient access environment for a large physician practice, hospital, or medical environment; preferably with a multi-state and multiple discipline company.

Proven ability in training, coaching, performance improvement and disciplinary action as well as working with remote staff

Detailed knowledge of Medicare, Medicaid, commercial insurance billing and other payers along with associated billing/collections timelines

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Exceptionally organized, analytical and resolution oriented problem-solving ability

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Hands on leader who can roll up the sleeves and work alongside staff

Superior decision-making skills and the confidence to know when to say "no"

Ability to work and communicate effectively with program staff, management staff, government representatives and customers

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Computer literacy and demonstrated capacity to work with sophisticated automated billing systems as well as manual systems

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A valid state driver's license and proof of insurance is required

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Applicant must be fingerprinted and receive clearance from the U.S. Department of Justice and The Office of Inspector General

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Must be at least 18 years of age

• All opportunities at Telecare are contingent upon successful completion and receipt of acceptable results of the applicable post-offer physical examination, 2-step PPD test for tuberculosis, acceptable criminal background clearances, excluded party sanctions, and degree or license verification. If the position requires driving, valid driver's license, a motor vehicle clearance, and proof of auto insurance is required at time of employment and must be maintained throughout employment. Additional regulatory, contractual, or local requirements may apply
  Preferred:
  
Experience in a psychiatric hospital or other behavioral health facility

Experience with the authorization for service process with commercial insurers

Experience with health insurance payment contract negotiation

• Bachelor's degree
  ESSENTIAL FUNCTIONS
  
Demonstrates the Telecare mission, purpose, values and beliefs in everyday language and contact with internal and external stakeholders.

Plans, organizes, directs and controls the centralized Revenue Cycle Patient Financial Services activities to ensure data accuracy and maximize the ability of timely claim filing with correct information and/or having followed correct authorization protocols.

Makes use of management practices that include empowerment of staff, the provision of clear and concise expectations regarding duties assigned to employees, frequent feedback focusing on both positive and problematic aspects of work performance, and other management practices that are consistent with Continuous Quality Improvement.

Participates in strategic planning to ensure the Patient Financial Services team is well positioned to meet the changing demands of the customers, the corporation and healthcare in general.

Maintains knowledge of all Telecare contracts and authorization practices for all Telecare locations with fee for service contracts.

Promotes and maintains harmonious and effective relationships and communications within the department and with other departments.

Provides leadership support and technical oversight of Patient Financial Services functions performed by Revenue Cycle and program staff.

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Identifies concerns and provides solutions when systems are not effective or efficient. Maintains knowledge of Federal and State billing requirements and changes and updates Patient Financial Services practices/systems to meet those changes.

Collaborates with other administrative staff in strategic planning activities with the goal of ensuring ongoing effectiveness of the program's billing.

Interfaces on a daily basis with other departments including contracts and reimbursement, general accounting, medical records, new business development and operations as well as program operations and financial staff

Ensures payer authorization requirements are met

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Assigns staff according to the changing needs of program / payor demands to maximize insurance verification and insurance process efficiencies using individual program billing requirements

Works with the Director Revenue Cycle to develop, implement and maintain Department Fee for Service policies and procedures to insure appropriate submission and payment of claims

Manages the Patient Financial Services staff within allocated budgetary parameters

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Monitors insurance data and financial data integrity on an on-going basis through reports and measurement techniques

• Conducts trend analysis and detects rising issues early, before they become larger problems with back-end billing
  Duties and responsibilities may be added, deleted and/or changed at the discretion of management.
  SKILLS
  
Advanced Excel skills

• Exceptional organizational, analytical and problem-solving skills
  PHYSICAL DEMANDS
  The physical demands here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
  The employee is constantly required to sit and occasionally required to stand, walk, reach, twist, bend, pull and lift and carry items weighing 10 pounds or less as well as to do simple grasping occasionally. The position requires manual deviation, repetition and dexterity. Visual requirements include computers and books exposure.
  EOE AA M/F/V/Disability
  If job posting references any sign-on bonus internal applicants and applicants employed with Telecare in the previous 12 months would not be eligible.
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