OVERVIEW Lead the daily operations of the Patient Financial Services team by overseeing staffing, performance, compliance, and workflow optimization to support efficient revenue cycle operations. This role partners across departments to improve claims processing, reimbursement outcomes, and team development while ensuring adherence to organizational policies, regulatory requirements, and industry best practices.
Full -Time
8am-4:30pm, Monday - Friday, 40 hours per week
AND RESPONSIBILITIES Strong leadership, management, judgment, and presentation skills Knowledge of organizational policies and procedures. In-depth knowledge of all applications used by Patient Financial Services partners such as: Workday, Epic, Vispa, ArcProtect, Real Time Eligibility, Mercyhealth intranet, Microsoft Outlook, Kronos, Halogen, OnBase, etc. Responsible for maintaining budgeted staffing levels.
Interviews and hires applicants. Travels to staff locations to serve as support to team members. Supervises partners and identifies areas of opportunity to help enhance partner development.
Performs audits to review partner performance on an ongoing basis to ensure policies and procedures are being followed consistently and that any issues are brought to the attention of the Director. Evaluates partners by conducting employee reviews on time. Presents and discusses with partners in a timely manner pertinent findings and recommendations to their work performance.
When deficiencies are noted, monitors employee performance through continued auditing to help identify if performance improvement plans or corrective action is necessary. Tracks and measures volume of work assigned to the partners to set goals and monitor trends and shifts in volume. Escalates changes in data and trends to the Director and/or Manager.
Monitors and maintains productivity on each partner. Coordinates functions within defined work group, works cooperatively with other work group supervisors to ensure smooth and timely processing of third party claims and timely follow-upon receivables. Designs, revises, develops, and recommends policies and procedures for their respective work group and for the department to ensure workflows are consistently following Patient Financial Services standards.
Implements finalized policies and procedures within the Revenue Cycle area. Coordinates with Managed Care Contracting for various third party payers to maintain and enhance appropriate claims processing procedures and ensures managed care contract terms are operationalized in the process. Reviews for approval any submitted adjustments, identifying partner and/or payor trends to help with any ongoing team education.
Responsible for reviewing and analyzing new government billing regulations/guidelines, new managed care contract summaries, and industry publications to advise Director, partners, and other department heads of potential issues that could impact billing, reimbursement and compliance. Performs ongoing daily assessment of workflows, to ensure the most optimal path for claim reimbursement is in place, developing a process improvement where challenges present to help improve any financial outcomes.
Maintains open communication with extensions of Mercyhealth billing partners, (extended business offices) when applicable, to assure pertinent information has been shared and any areas of opportunity has been resolved. EDUCATION AND/OR EXPERIENCE High school diploma or equivalent required. Associates degree in a business or healthcare field preferred.
Five years of healthcare experience required, with emphasis in billing, insurance, collections, registration, scheduling, or customer service. CERTIFICATION/LICENSURE Epic Resolute certification(s) or billing certifications (AAPC CPB, HFMA CRCR, or comparable certification) required within one year. OTHER SKILLS AND ABILITIES Proven ability to work effectively in a team environment.
Strong typing/data entry experience. Strong organizational skills and attention to detail, accuracy and follow-through. Knowledge of medical terminology preferred.
LEVEL OF SUPERVISION Supervisory responsibilities are conducted in accordance with directives of management, the organization's policies, and applicable laws. SUPERVISES N/A
$51,186.90 - $76,780.36 Mercyhealth is an Equal Opportunity Employer . All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, disability, or protected veteran status. Mercyhealth offers competitive pay and a comprehensive benefits package including: Medical, Dental, Vision Life & Disability Insurance FSA/HSA Options Generous, accruing paid time off Paid Parental and caregiver leave Career advancement and educational opportunities Tuition and certification reimbursement Certification Reimbursement Well-being Programs Employee Discounts On-Demand Pay Financial Education Annual recognition/awards events Partner appreciation days Family entertainment/attractions discount Community service/improvement opportunities Click here for more details regarding Mercyhealth Careers Benefit Information.
At Mercyhealth, we don’t simply hire people, we empower employee-partners who are passionate about making lives better. As an integrated health system, we deliver exceptional, coordinated across seven hospitals, 85 primary and specialty clinics, and a team of over 7,500 professionals serving northern Illinois and southern Wisconsin. Mercyhealth has been nationally recognized for our commitment to our people and culture, including: #1 in the nation on AARP's Best Employers for Workers Over 50 One of Working Mother magazine's 100 Best Companies for Working Mothers A Top 50 Company and Top 10 Nonprofit for Executive Women