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Posted: 04-Nov-23
Location: Alhambra, California
Salary: Open
Internal Number: REQ20141734
The Administrative Manager is responsible for assisting with operational oversight and management including day-to-day operations of specific business functions of the Patient Accounting department including Customer Service. The position will assist with overseeing and constructing current and enhanced system policy and procedures. Recommends changes when necessary and assists in the implementation of new processes. It will also include oversight and tasks associated with vendor management, more specifically, controlling costs, reducing vendor related risks, facilitates all communications between the PFS Business Office and the vendors and ensures service delivery by creating vendor expectations. Position requires continued development of strategies to improve the patient-experience and balance collections and customer contact processes, monitor and report metrics. The Administrative Manager will also maintain ongoing Financial Assistance policies, 501(r) requirements, manage payment plans, oversee bad debt placement, patient refunds as mandated within State and Federal timeframes and all reporting.
Essential Duties:
- Directly manages supervisor/s and staff representatives on a daily basis.
- Oversees and coordinates various activities associated with the collection of A/R and self-pay balances, customer service call center, legal proceedings, and the use of collection agencies or vendors.
- Manages the daily tasks or operations of staff and vendors and projects as assigned
- Develop, implement ongoing training programs to address the needs of the department and monitor established productivity and quality outcomes of staff
- Develops procedures and work practices designed to maximize performance and overall collection activities.
- Manages "special situation" and/or higher complexity calls and/or cases escalated by upper management and Self-Pay Collectors for resolution.
- Organizes and directs staff to maximize efficiency of operations.
- Serves as a resource for both customers and revenue cycle personnel to resolve billing and collections questions and/or concerns
- Evaluates and gives recommendations of process improvements of ongoing operations and programs on a regular basis for efficient use of resources and to ensue better services to customers.
- Develops and maintains the reports status of the Accounts Receivable Unit with respect to staffing, work tools, reports, potential problems, changes and requirements to the Revenue Cycle A/R Director.
- Responsible for developing, preparing and maintaining the weekly/ monthly/status reporting (development/preparation/maintenance of reports).
- Responsible for maintaining and developing workflows and assisting in backlog reduction.
- Conduct routine scheduled meetings with unit supervisor/s to ensure the consistencies, on-going education and training of employees
- Ensures the productivity of Self Pay Call Center staff by utilizing appropriate collection tools to achieve departmental goals.
- Manages legal workflows related to bankruptcy, deceased, and develops special arrangements for delinquent accounts
- Oversees payment plans and other credit procedures, bad debt write-offs, and processing bankruptcies.
- Authorizes write-offs and adjustments to patientâs accounts in compliance with department policies.
- Performs other revenue cycle tasks as required and assigned including, but not limited to, job functions in all AR follow up and Customer Service Units; and all other duties as assigned.
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Required Qualifications:
- High school or equivalent
- Bachelor's degree in healthcare administration, finance, operational analysis, or related field
- 5 years Hospital AR management or related experience in a medical billing or third-party payer environment AND
- 3 years Progressive supervisory/management experience
- Advanced knowledge of CPT, ICD-10, and HCPC coding and medical terminology
- Advanced knowledge of health care and hospital AR management and disciplines.
- Excellent working knowledge of patient accounting rules and operations with specific focus on inpatient and outpatient accounts and the respective rules and regulations.
- Self-starter and independent thinking is essential.
- Proficient skills and knowledge in computer applications.
- Must be experienced in and able to demonstrate proficiency with computerized accounts receivable software applications
- Demonstrated skills and knowledge in analytic and problem solving
- Excellent verbal, written and presentation skills
- High degree of integrity including ability to successfully deal with sensitive or confidential information
- Knowledge of patient accounting, hospital and professional billing processes and reimbursement, and insurance policies
- Expert knowledge of federal, state, and third-party billing, reimbursement and regulatory requirements. Ability to direct and supervise the work of others. Demonstrates exceptional leadership, conflict-resolution, and customer service abilities.
- Ability to plan, organize, maintain priorities and schedule, to ensure that department goals are met.
Preferred Qualifications:
- Master's degree in healthcare administration, finance, operational analysis, or related field
Required Licenses/Certifications:
- Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)
The annual base salary range for this position is $81,120.00 - $133,010.00. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidateâs work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
