Payment Posting Manager

Vaga não está no LinkedIn

🕒 6 dias atrás

🤠 Texas – Remoto

🤠 Texas – Remote

💵 $70.000 - $116.000 / ano

⏰ Tempo Integral

🟠 Sênior

🔴 Especialista

👔 Gerente

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Guidehouse

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 2018

🏥 Saúde

🎖️ Defesa

📦 Logística

💰 Grant em 2023-02

Healthcare • Defense • Logistics

A Guidehouse é uma consultoria global que oferece serviços de consultoria, digitais e gerenciados nos setores comercial e público. Ela é projetada para apoiar indústrias como segurança nacional, serviços financeiros, saúde, energia e infraestrutura. A Guidehouse colabora com líderes para navegar na complexidade e impulsionar mudanças transformacionais que impactam o futuro. Sua expertise abrange análise de dados, tecnologias digitais, gestão de riscos e mais, com forte ênfase em sustentabilidade e inovação.

Descrição

• Oversee daily cash posting and payment reconciliation for hospital and healthcare revenue cycle operations • Ensure patient and payer payments, adjustments, denials and other financial transactions are posted accurately and timely • Lead, train and support cash posting, billing, collections and follow-up staff • Drive cash and accounts receivable resolution and work with payers on resolution and escalation • Manage expected reimbursement variance • Ensure accuracy of CPT4, HCPCS and Revenue Codes • Provide Medicare and payer updates, notices and coverage changes • Review processes and systems and work with IT and billing vendors to maintain billing accuracy • Ensure electronic bill holds meet established goals • Identify and resolve patient accounts receivable issues, payer issues, underpayments and denials • Review and approve credit arrangements, refunds, write-offs and account adjustments • Manage third-party and self-pay account follow-up • Prepare, distribute and present daily, weekly and monthly reporting packages • Monitor departmental performance and productivity and ensure reports are completed timely • Maintain Medicare Bad Debt Log documentation and oversee bad debt vendor reconciliation • Communicate compliance issues and educate employees on compliance procedures • Review and maintain JACHO billing, cash posting and collections requirements • Complete weekly Key Indicator Reports, daily Patient Accounting and Billing Scrubber reports, claim reports and other management reports • Document account activity in the patient accounting system • Develop and execute projects to reduce aged A/R and enhance collections • Manage client service-level metrics and revenue cycle KPIs and develop methods for KPI improvement • Complete assigned special projects within established time frames

🎯 Requisitos

• Bachelor’s degree and a minimum 7 years of prior relevant experience; relevant experience may be substituted for formal education or advanced degree • 5 years of healthcare revenue cycle, hospital cash posting, payment posting • Experience with Epic, MEDITECH Magic, and/or MEDITECH 6.x/Expanse • Minimum 2 years of people management experience within the required 7 years of relevant experience • Solid understanding of healthcare revenue cycle • Strong cash posting and reconciliation experience • Excellent critical-thinking skills • Strong AR acumen • Knowledge of State and Federal Rules and Regulations • Knowledge of Medicare regulations and reimbursement • Knowledge of HIPAA compliance and JACHO requirements • Ability to work with CPT4, HCPCS and Revenue Codes • Ability to manage expected reimbursement variance, payer issues, underpayments and denials • Demonstrated competency in working in teams and ability to effectively communicate with all levels • Ability to travel up to 25%

🏖️ Benefícios

• Medical, Rx, Dental & Vision Insurance • Personal and Family Sick Time & Company Paid Holidays • Position may be eligible for a discretionary variable incentive bonus • Parental Leave • 401(k) Retirement Plan • Basic Life & Supplemental Life • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts • Short-Term & Long-Term Disability • Tuition Reimbursement, Personal Development & Learning Opportunities • Skills Development & Certifications • Employee Referral Program • Corporate Sponsored Events & Community Outreach • Emergency Back-Up Childcare Program • Flexible benefits package • Travel required: Up to 25%

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