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Manager- Patient Financial Services- Non-Government

Company: Guidehouse
Location: Birmingham
Posted on: January 16, 2022

Job Description:

OverviewGuidehouse is a leading global provider of consulting services to the public and commercial markets with broad capabilities in management, technology, and risk consulting. We help clients address their toughest challenges and navigate significant regulatory pressures with a focus on transformational change, business resiliency, and technology-driven innovation. Across a range of advisory, consulting, outsourcing, and digital services, we create scalable, innovative solutions that prepare our clients for future growth and success. The company has more than 10,000 professionals in over 50 locations globally. Guidehouse is a Veritas Capital portfolio company, led by seasoned professionals with proven and diverse expertise in traditional and emerging technologies, markets, and agenda-setting issues driving national and global economies. For more information, please visit: Responsibilities The Patient Financial Service Manager is responsible for supervising the PFS staff in a fair and consistent manner on daily operations of billing, cash posting, and collections. Also performs any and all related job duties as assigned. Essential Job Functions

  • Leadership / Training
  • Billing / Cash Posting / Collections
  • Compliance
  • Reporting Duties and Responsibilities Leadership and Training:
    • Acts and leads in a manner that will instill trust and foster team play.
    • Ensures that all employees know and understand all State and Federal Rules and Regulations.
    • Provide a working environment which allows employees to communicate ideas for improvement to department. Whenever possible request employee input on policies and procedures that may affect or impact the way their job is performed.
    • Maintain open communications and provide appropriate feed back to PBA staff and management.
    • Allow employees to attend seminars which will enhance productivity and knowledge.
    • Ensures employees have all the tools necessary to achieve the goals set. Billing/Cash Posting/Collections:
      • Works with all departments to ensure accuracy of CPT4, HCPCS and Revenue Codes.
      • Provide departments with Medicare and other payer updates, notices and coverage changes which effect both billing and reimbursement.
      • Reviews process and systems to ensure the most effective methods are maintained to meet all departmental and facility goals.
      • Works with IT to ensure that all changes are completed to ensure accuracy of billing is maintained.
      • Ensures bill hold in electronic systems meets established goal.
      • Works with both electronic billing vendor and payers to resolve billing/cash posting issues. Compliance:
        • Communicates all compliance issues to Manager.
        • Educates and ensures that all employees understand Compliance and appropriate procedure for reporting compliance issues for State, Federal and HIPAA.
        • Attends pertinent seminars, internal and external and shares obtained information with staff and other appropriate departments.
        • Reviews and maintain JACHO requirements for billing, cash posting and collections. Reporting:
          • Responsible for the weekly Key Indictor Reports and Accomplishments Reports which are due every Monday by 12:00pm.
          • NDC/Epremis billing error report to departments daily.
          • Maintain logs by department for claims in Epremis hold status.
          • Daily electronic and paper claim report.
          • Other reports as requested by management.
          • Weekly report of Late Charge to Departments. Qualifications Required:
            • Bachelors Degree or equivalent experience.
            • Three years of healthcare financial management experience.
            • Must have a solid understanding of the healthcare revenue cycle.
            • Demonstrated competency in working in teams and ability to effectively communicate with all levels. Preferred:
              • BCBS, Commercial Payers, Specialty Payers, VA, Transplant, Medicaid, Medicare Billing/Follow up experience
              • CPAR certification
              • Excellent problem solving and critical thinking skills Additional Requirements
                • The successful candidate must not be subject to employment restrictions from a former employer (such as a non-compete) that would prevent the candidate from performing the job responsibilities as described. DisclaimerAbout GuidehouseGuidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation. Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco. If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee. Rewards and BenefitsGuidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace. Benefits include:
                  • Medical, Rx, Dental & Vision Insurance
                  • Personal and Family Sick Time & Company Paid Holidays
                  • Position may be eligible for a discretionary variable incentive bonus
                  • Parental Leave and Adoption Assistance
                  • 401(k) Retirement Plan
                  • Basic Life & Supplemental Life
                  • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
                  • Short-Term & Long-Term Disability
                  • Tuition Reimbursement, Personal Development & Learning Opportunities
                  • Skills Development & Certifications
                  • Employee Referral Program
                  • Corporate Sponsored Events & Community Outreach
                  • Emergency Back-Up Childcare Program #IndeedSponsored

Keywords: Guidehouse, Birmingham , Manager- Patient Financial Services- Non-Government, Government & Protective Services , Birmingham, Alabama

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