Collections Manager in Johnstown, PA at Health Support Center

Date Posted: 6/26/2018

Job Snapshot

Job Description

Health Support Center

Job Summary:
The Collections Manager is responsible for providing overall insight, management and leadership of all aspects of collections within LifePoint Health Business Services. 

Job Responsibilities:
•Oversee the insurance collectors
•Working knowledge of all facets of insurance claim filing, requirements and regulations
•Maintain account follow up work daily to ensure timely follow up
•Research account specifics to complete necessary follow up actions
•Contact insurance payers via telephone on aged/delayed claims for resolution
•Contact patients/insurance companies on unresolved claims
•Communicates with all parties in a professional manner and provides explanations regarding the account(s)
•Ensure confidentiality of all patient accounts by following HIPAA guidelines
•Adheres to compliance of CMS and other payer guidelines
•Responsible for being aware of the current department policies and procedures
•Review and follow adjustment requests and explanations timely as identified
•Meet or exceed quality and quantity benchmark targets as established by management (productivity, AR days, Cash Collections, Bad Debt, Past Due Follow Up) or other key performance indicators
•Communicate daily with management on payer trends identified
•Assist insurance follow up specialists with resolution of aged claims
•Provide feedback and training to insurance collectors for claim follow up
•Flexibility to assist with insurance follow-up based on need regardless of payer
•Maintain complete and accurate follow up actions in the patient accounting system
•Establishes and maintains insurance payer, employer, vendor and provider representative relationships including the coordination of meetings to improve dialog and processes
•Maintains a working knowledge of insurance carriers, payers and processes utilized within the revenue cycle
•Timely and consistently reports project status to upper management/leadership
•Assist upper management/leadership in the development of staff, plans and goals
•Participates in all educational activities, and demonstrates personal responsibility for job performance.   
•Ability to work with technology necessary to complete job effectively. This includes, but is not limited to phone technology, patient accounting system products, insurance verification / eligibility tools, patient liability estimation tools, and scanning technology.
•Organizes work/resources to accomplish objectives and meet deadlines.  
•Maintains stable performance under pressure or opposition.  Handles stress in ways to maintain relationships with patients, customers and co-workers.
•Other relevant work functions, as requested.
•Work on multiple projects/initiatives at a time
•Maintain applicable continuing education requirements
•Organizes work/resources to accomplish objectives and meet deadlines.  
•Maintains stable performance under pressure or opposition.  Handles stress in ways to maintain relationships with patients, customers and co-workers.
•Maintains a professional image and provides excellent customer service
•Attends department meetings and education sessions
•Meets/exceeds performance expectations within required timeframes.
•Practices and adheres to the “Code of Conduct” philosophy and Mission and Values statement.
•Supports special projects as requested.
•Adheres to all LifePoint Health Business Services Policies and Procedures

Job Requirements

Education:
BA/BS Degree or higher in business administration or health administration required 

Required Work Experience:

Five (5)years healthcare revenue cycle experience, two (2) year of supervisory


Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran