At Riverside, everyday brings new and exciting challenges. You can expect an interesting environment where you’re part of making sure our organization is running optimally and safely, helping keep the community healthy. We provide the kind of paid training and opportunities that long-term careers are built on and we recognize hard workers who strive to make a difference. You will be able to succeed in our close-knit, safety-focused culture working together as a team. The careers we offer are meaningful because the work we do matters. Join us!
FTE: 1.000000
Shift: Days
Location: HOOVER
Summary:
The Commercial Billing Manager oversees the day-to-day operations of the Commercial Billing and Collections staff as well as the Self Pay Account Receivable Specialists.
Experience/Education Requirements:
Bachelor's degree in Business, Accounting or Healthcare-related field, preferred.Three plus (3+) years' experience in a management/supervisor role, preferred.Previous Collections or Insurance experience within last 3 years, preferred.Excellent guest relation skills, including verbal and writtenICD10/CPT Medical terminology preferredTwo years hospital patient accounting experience, preferredAbility to work independentlyExperience using Microsoft Office Word and Excel is required.PC and Keyboarding Skills (30+ WPM preferred)EPIC experience preferred.License or Certification Requirements:
Responsibilities:
Coordinate educational opportunities within the department.Develop, implement and evaluate existing policies and procedures in the database.Work with Epic Certified Trainer to develop tip sheets and visios.Evaluate outstanding A/R via ATBs, Dashboards, WQ Monitoring, and various reports and works to align the team with designated key performance indicators to achieve goals on a monthly, quarterly and annual basis.Identify and communicate system issues related to billing, collections, statements, payment plans, dialer files, follow up work queues, bad debt and other identified miscellaneous issues with the Epic Coordinators and PFS Director.Submit help tickets and work with Epic Application Coordinators and/or Analytics to resolve issues, including testing and training as necessary.Liaison for Medical Reimbursements of America (MRA).Maintain attendance at Managed Care In-services, onsite meetings and conference calls with Insurance Provider Representatives.Provide feedback of insurance trends to the Denials and Contract Management Manager.Organizes and monitors the productivity and quality of assigned staff. Create and implement metrics for productivity and quality, maximizing staff's efficiency and issues resolutionOversee and manage staff related to Commercial/Blue Cross/3rd Party billing and collections, and Self Pay collections.Perform duties related to Kronos.Prepares documents required by payors, internal and external auditors.Regular rounding with staff.
Education:
Essential:
* BACHELOR DEGREE
Riverside Healthcare is revolutionizing care using leading-edge technology to diagnose and treat patients. We are ranked top in the nation for performance in neurosurgery, orthopedics, and heart surgery and have also been named one of the nation's 100 Top Hospitals by Truven Health Analytics seven times. Riverside is nationally recognized for our specialty programs in obstetrics, trauma, oncology, rehabilitation, geriatrics, occupational health, psychiatric services, and treatment of alcohol and chemical dependency, as well as patient safety. We combine innovation and convenience at state-of-the-art facilities located in communities throughout the greater Kankakee area.
Riverside Medical Center proves that truly progressive medicine is being delivered in Chicago's southwest suburbs and East Central Illinois. Join a team that is not only concerned with providing the best care possible but also with offering a work environment of advancement and growth. Riverside is a place that embraces a culture where opinions count and dedications is respected, where superior performance is rewarded with competitive salaries and excellent benefits.
Other information:
Exposure/Sensory Requirements
Exposure to:
Chemicals: None
Video Display Terminals: Extreme
Blood and Body Fluids: None
TB or Airborne Pathogens: None.
Sensory requirements (speech, vision, smell, hearing, touch):
Speech: Needed for presentations/training, telephone communication, facilitate meetings.
Vision: Needed to read memos and literature.
Smell: N/A
Hearing: Needed for telephone communications, meetings, and listening to employee concerns.
Touch: Need to write, do computer entry, filing.
Activity/Lifting Requirements
Average Hours per Week: 40
Shift: Days
Percentage of time during the normal workday the employee is required to:
Sit: 85%
Twist: 0%
Stand: 5%
Crawl: 0%
Walk: 5%
Kneel: 0%
Lift: 2%
Drive: 0%
Squat: 1%
Climb: 0%
Bend: 1%
Reach above shoulders: 1%
The weight required to be lifted each normal workday according to the continuum described below:
Up to 10 lbs: Occasionally
Up to 20 lbs: Occasionally
Up to 35 lbs: Not Required
Up to 50 lbs: Not Required
Up to 75 lbs: Not Required
Up to 100 lbs: Not Required
Over 100 lbs: Not Required
Describe and explain the lifting and carrying requirements. (Example: the distance material is carried; how high material is lifted, etc.):
Lifting is not usually required.
Maximum consecutive time (minutes) during the normal workday for each activity:
Sit: 408
Twist: 0
Stand: 24
Crawl: 0
Walk: 24
Kneel:0
Lift: 9
Drive: 0
Squat: 8
Climb: 0
Bend: 8
Reach above shoulders: 4
Repetitive use of hands (Frequency indicated):
Simple grasp up to 10 lbs. Normal weight: 5-10# frequent
Pushing & pulling Normal weight: <50#>
Fine Manipulation: Terminal entry, calculator.
Repetitive use of foot or feet in operating machine control: None
Environmental Factors & Special Hazards
Environmental Factors (Time Spent):
Inside hours: 40
Outside hours : 0
Temperature: Normal Range
Lighting: Average
Noise levels: Average
Humidity: Normal Range
Atmosphere: Dust & Poor Ventilation
Special Hazards:
Protective Clothing Required: None