Job Description

General Summary

Under limited supervision is responsible for the collection of the account balances from all third party payors and patients, for services rendered at UMMC, Kernan, and Specialty Hospital. Manages the Cash Posting area and Follow-up. Develops and maintains the policies and procedure to effectively manage the electronic cash posting system and the cash posting team.

Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

Review and analyze summary level A/R reports against defined targets. Pro-actively analyzes various key performances indicators within the billed accounts receivable to identify differences between projections and actual year to date results as it relates to: aging days of accounts receivable, returned claims/billing rejections/third party denials, bad debt, write offs, vendor performance, bad debt recoveries, and medical assistance eligibility conversion rate. Advises Managers of corrective action when necessary.Establishes protocols and standards for the account resolution for Financial Service Representatives. Includes quantity, quality, account prioritization, account documentation requirements, and overall account process requirements.Oversees Department Manager performance; coordinates and prioritizes assigned activities to achieve maximum productivity and assumes responsibility for professional growth and development.Review and evaluate recurring trends; identifies lapses in clinical department protocols that prohibit the collection of dollars due to administrative reasons, such as lack authorization, non-covered services, lack of timely filing, eligibility, exceed policy terms, etc. Collaborate and resolve issues with other Revenue Cycle departments; makes recommendations to external departments to implement appropriate measures to decrease lost reimbursement.Primary representative to third party payers to resolve high dollar accounts (over $50,000) for the Centralized Business Office.Evaluates daily/monthly and year to date performance of collection personnel, recommends improvement to individual staff account productivity and adherence to Centralized Business Office policy.Reviews monthly and year-to-date cash deposited/posted reports and reconciles any difference with Accounting. Work with Accounting and other departments involved in the handling of cash to resolve any problems regarding regular bank or credit card deposits and proper distribution of general ledger numbers, including the separation of Accounts Receivable payments and Bad debt recoveries. Implements monthly/yearly cash, days in Accounts Receivable and uncompensated care projections based on deposit and posted totals.Oversees Manager and staff in the Cash Posting division. Includes reviewing and delivering performance evaluations, training and disciplining all system support personnel. Delegates authority as determined appropriate. Provides a goal oriented work environment in which to implement the operation of the Cash Posting policies.Responsible for organizing and designing more efficient procedures for batching lockbox and mail cash, electronic and manual payment posting, denial research and proactive analysis, refund management, filing of remittances, and remittance retrieval.Responsible for improving the timeliness between the deposits and posting date of every payment. Implements reports and balance techniques for reconciliation between bank’s deposit and batch totals, batch totals and posting totals, posting total and system totals.. Participate in departmental and organization-wide meetings/workgroups. Conducts weekly meetings with managerial staff and interacts closely with other departments to provide a smooth business flow to reflect the effectiveness and scope of all policies and procedures administered by the department.Resolves customer service issues promptly and with satisfaction to the patients involved. Demonstrates a positive and professional image at all times when interacting with patients, management, staff and others.Company Description

The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit www.umms.org.

Qualifications

Education and Experience

Bachelors Degree, with a major in business or closely related discipline, or a combination of education and applicable work experience, is required. Experience in directing the daily activities of the collections team in a high volume, complex setting is required.Seven years of billing supervisor/management experience in a large medical system or centralized business office setting preferably within an academic medical center.

Knowledge, Skills and Abilities

Knowledge of medical coding, related medical terminology, the use of medical records, billing claim forms, and federal and state regulations concerning the use of medical records and medical billing. Specifically, comprehensive knowledge of billing requirements for Medicare, Blue Cross and Blue Shield, Medical Assistance, Commercial Insurance and Health Maintenance Organization carriers is required.Strong analytical skills are necessary to be able to conduct analysis of various accounting problems. Demonstrated proficient organizational, analytical, and mathematical skills. Must be detailed-oriented to accurately gather and summarize data, construct graphs and charts, develop projections, etc. and posses the ability to interpret and explain this data to others.Demonstrated proficient personal computer skills, utilizing business applications such as spreadsheets, database programs, presentations programs, and scheduling software.Demonstrates the ability to perform responsibilities in a fast paced environment, requiring excellent organizational skills, sound judgment and critical decision making.Strong written, verbal and interpersonal communication skills are necessary to effectively interact or a variety of hospital administrators and management personnel when collecting information, or explaining financial strategies and models, etc.Ability to work efficiently and accurately, and to organize and plan work. Flexibility and adaptability to work under stress. Excellent negotiation and problem solving skills.Knowledge and understanding to adhere to established department policies for attendance, punctuality, procedures and safety and UMMC policies and procedures.Ability to effectively maintain professional competency, according to department policies, procedures and protocols.Additional Information

All your information will be kept confidential according to EEO guidelines.

Compensation:

Pay Range: $42.64-$64Other Compensation (if applicable):Review the 2024-2025 UMMS Benefits Guide