Manager of Patient Accounts - Revenue Integrity

 
Position: Manager of Patient Accounts - Revenue Integrity

Job ID: 151055

Location: US-TX-Houston

Department: REVENUE INTEGRITY

Talent Area: Professional - Non-Clinical

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8a - 5p

About Texas Children's Hospital

Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S.News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years.   Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Center for pediatric research; Texas Children’s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children’s Hospital West Campus, a community hospital in suburban West Houston; and Texas Children’s Hospital The Woodlands, the first hospital devoted to children’s care for communities north of Houston. We have also created the nation’s first HMO for children, established the largest pediatric primary care network in the country and a global health program that is channeling care to children and women all over the world. Texas Children’s Hospital is also academically affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.   To join our community of 13,000 dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.

Summary:

We are searching for a Manager of Patient Accounts — someone who works well in a fast-paced setting. In this position, you will manage billing procedures which include collections, edits, and claims and ensure that all claims are filed timely, accurately, and effectively. You will manage patient accounts, support service areas, and ensure the continuity of cash flow and collection of every collectible dollar with efficient account resolution. Lastly, you will work closely with other departments to effectively retrieve information supporting appeals and communicating denial trends.

 

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Responsibilities :

  • Maintain and implement system edits for both Epic and Med Assets and maintain that gross days in accounts receivable are at or below specified departmental targets
  • Coordinate resources (staff, equipment, and space) and work assignments to meet process performance targets in a cost-effective manner and ensure that staff follows up in a timely manner
  • Evaluate processes to improve reimbursement by communicating with physicians, leadership, hospital departments, and ambulatory leadership
  • Maintain credit balances at two-day revenues in accounts receivable by reviewing and approving refunds to the correct payer and that contractual allowances and payments are posted accurately and within the same day received by conducting periodic audits of transaction entry
  • Oversee the backend business operations and develop best practices for collections which includes self-pay, third party follow-up, and edits
  • Provide training, coaching, and development of staff to meet performance expectations and to provide the highest possible customer service


Qualifications:

  • High school diploma or an equivalent
  • 3 years’ minimum of progressive responsibility in patient accounts or business office experience
  • Supervisory experience preferred
  • A bachelor's degree in business, healthcare, or a related field may substitute for years of the required experience


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