Plan, organize, direct and document the daily operation of the accounts receivable follow-up staff to maintain an efficient work flow and the appropriate allocation of resources for maximizing the legal and ethical collection of all monies due.
Recruit, train, supervise and evaluate enough work force of qualified personnel to achieve desired operational results.
Create a team spirit that cultivates positive and collaborative interaction while meeting and exceeding department goals.
Manage all Physician Billing Specialist and assigned clerical staff. Utilizing system reporting capabilities and other tools, monitor quality assurance processes and productivity levels.
Create, evaluate, modify and/or supplement operational work processes to maximize the efficiency of the collection process.
Utilize the billing platforms (NextGen EPM and EPIC) system to monitor collection results, individual collector performance and volume measures and maintain collection results within defined goals.
Maintain reporting mechanisms to reflect the results of all collection efforts such that they may be sorted by provider, patient and collector for defined periods of time.
Create subjective reporting mechanisms to measure patient and client customer service. Maintain high levels of patient satisfaction for the fair and equitable resolution of accounts.
Monitor and evaluate denial trends for all practices.
Manage the placement of accounts with collection agencies using the systems processes and approved policies and procedures for collection accounts.
Be thoroughly familiar with capabilities of our billing systems regarding effecting, monitoring and reporting collection activity.
Work supportively and collaboratively with other PBS managers, practice managers, Medical Group Directors, System Support and other staff.
Participate in all required training and take advantage, as available time and budgets allow, for additional training in management and needed skill sets.
Participate in and contribute to the Financial Services and other management team meetings, projects, programs and initiatives.
Ensure compliance with all administrative, state, federal and contractual rules and regulations effecting patient collections including a working knowledge of HIPAA, The Federal Fair Collections Act and California statutes on patient collections.
Other tasks and project as may be assigned by the director of the department.
Five years’ experience in supervision of both insurance and patient collections in a multi-specialty environment is required.
Exceptional organizational skills, analytical skills, verbal communication skills and written communication skills.
Computer spreadsheet/Word Processing (MS Word and Excel) intermediate proficiency is expected and good general PC knowledge is a requirement.
The skills and ability to motivate a team to achieve goals with minimal use of resources, in the most efficient and effective manner while providing superior customer service to both internal and external clients.
Detail-oriented, analytical skills and professional demeanor are a must
An associate degree in a business major or field of study is required; a bachelor’s degree is preferred
Coding certification is preferred, along with extensive payer knowledge.
Internal Number: MEM003457
About MemorialCare Medical Foundation
Let us introduce ourselves. We're MemorialCare, a nonprofit health system that includes four hospitals, two medical groups, imaging centers, surgical centers and much more. As one of the leading health systems in Orange County and Los Angeles County, we're confident that no matter what your needs are, we have the teams, tools and know-how to support you every step of the way.
To improve the patient experience by providing health care providers; patients and their families; and others with information, education, networking opportunities, and related resources focused on best practices.