Easter Seals Jobs

All the benefits and perks you need for you and your family:

· Paid Days Off from Day One

· Student Loan Repayment Program

· Career Development

· Whole Person Wellbeing Resources

· Mental Health Resources and Support

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full Time

Shift : Days

The community you’ll be caring for: AdventHealth Tampa

· AdventHealth Pepin Heart Institute, known across the country for its advances in cardiovascular disease prevention, diagnosis, treatment and research.

· Surgical Pioneers – the first in Tampa with the latest robotics in spine surgery

· Building a brand new, six story surgical and patient care tower which will ensure state of the art medical and surgical car for generations to come

· Awarded the Get With The Guidelines – Stroke GOLD Quality Achievement Award from the American Heart Association/American Stroke Association and have been recognized as a recipient of their Target: Stroke Honor Roll for our expertise in stroke care. We have also received certification by The Joint Commission in collaboration with the American Stroke Association as a Primary Stroke Center.

The role you’ll contribute:

Under general direction, manages all functions of Billing and Insurance Reimbursement areas for assigned payer accounts. Maintains working relationship with managed care/commercial payers, staying in constant communication with provider representatives/contract managers. Monitors account receivables (A/R) by reviewing all assigned payers on aged trial balance reports averaging from $30 million to $100 million per team ensuring all accounts are processed timely and identifies barriers causing delays in reimbursement. Timely reports all issues identified at quarterly JOC meetings/state meetings or escalating to Director and/or managed care provider representative.

Performs managerial duties in absence of Director. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all. Adheres to AdventHealth Corporate Compliance Plan and to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies. Responsible for maintaining positive working relationship with each payer and resolving A / R projects. Responsible for maintaining outcomes as described by department goals. Maintains effective working relationship with all payers, staying in constant communication with provider representatives/contract managers.

Monitors A / R by reviewing all payer account listing logs, ensuring all accounts are processed and identifies barriers causing delay in payment.

The value you’ll bring to the team:

· Plans, develops, organizes, and manages all staff in daily operations of working payments, denials, correspondence and credit balances as appropriate. Responsible for all Insurance Reimbursement outcomes in assigned areas.

· Monitors A/R by reviewing all payer account listing logs averaging from $30 million to $100 million per team, ensuring all accounts reaching days in A/R over 60, 90 and 150 are processed timely, and identifies barriers causing delay in payment. Follows up as appropriate with payers and contract manager for resolution. Reports all issues identified at quarterly JOC meetings/state meetings for governmental agencies.

· Monitors all accounts pending DNFB or ANSB on a weekly basis ensuring timely billing per payer requirements and Federal Regulations; escalates as needed to resolve issues holding accounts.

· Establishes and maintains working relationship with all payers, staying in constant communication with provider representatives/contract managers, ensuring contract language is followed, and if not, appropriate action is taken with contract management.

· Focuses on process improvement strategies with special focus on Insurance Reimbursement outcomes to protect financial standing of AdventHealth. Reviews all financial reports available, communicates outcomes to team and leadership timely, and provides accurate statistical records and reports. Holds self and staff accountable for individual and team goals set by PFS Department. Evaluates staff at 90 day and annually in accordance with Joint Commission standards including giving constant feedback on productivity and any disciplinary action that is required including HR when appropriate.

Qualifications

The expertise and experiences you’ll need to succeed :

· Minimum of ten years related work experience in a hospital-based revenue cycle department or related area (Registration, Finance, Collections, Customer Service, Medical Office/Physician, or Contract Management).

· Minimum of five years in a supervisory/managerial position in a similar-sized or hospital CBO

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

Category: Patient Financial Services

Organization: AdventHealth Tampa

Schedule: Full-time

Shift: 1 - Day

Req ID: 24044969

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.