Remote Possible Must Reside in Montana Only! Working at Bozeman Health is more than just a job--it's a commitment to caring for the communities of Southwest Montana by being their partner in health and wellness, compassionately delivering the best care for each person, every time. In every role, our employees are inspired by their ability to care for our community and our Culture of Excellence guides each employee to be a high performer, engage in transparent and timely communication, demonstrate dynamic learning and teaching, excel through change, express gratitude and experience joy.
The System Manager of Patient Financial Services is responsible for assisting other leaders and supervisors with planning, directing, organizing, monitoring and staffing the department subject to policies, budgets, objectives and directives mandated by regulatory agencies, DNV and the executive team. Supports Patient Financial Services supervisors in maintaining team discipline for all elements of established standard processes (work management, tools, team briefings, metrics tracking and prompt resolution of issues, problems and opportunities).
Directs and coordinates all functions of Patient Financial Services that relate to billing and payment activities for Bozeman Health and all related entities. Researches and creates education for all department functions regarding billing and payment related issues. Educates, reports, and provides information to Bozeman Health regarding billing and payment progress.
Required: Bachelor's degree in business-related field or the equivalent of five successful years’ business experience Three (3) years of experience prior experience in healthcare administration, revenue cycle, or management of accounts receivable Five (5) years of managerial experience Essential Job Functions: In addition to the essential functions of the job listed below, employees must maintain timely completion of all required education, trainings, and certifications as assigned and in accordance with Bozeman Health policies, department-specific requirements, applicable certification program and registry requirements, and other applicable regulatory requirements.
Ensure the accurate development and submission of claims to support reimbursement, including timely filing requirements Monitor PFS billing and payment key performance indicators, i.e. collection rates, denial rates, clean claim rates, accounts receivable days, candidate for billing, undistributed payments, credit balances, and unposted payments Develop reports/dashboards to summarize billing and payment trends to the applicable committees, work groups, and department leaders Analyze, track, and trend payer reimbursement behavior and collaborate with payers to mitigate underpayments and facilitate timely reimbursement Conduct research regarding billing denials as directed Maintain knowledge of State and Federal Regulations including, Medicare Conditions of Participation, Medicare Billing and Reimbursement regulations, Commercial payor billing rules, and Bozeman Health Payer Contracts Assists Director with broad operations to ensure the provision of comprehensive departmental services in compliance with all regulatory agencies and healthcare system requirements Collaborates with the director to ensure a departmental approach to long-range strategic operational planning, care and service design and development of Bozeman Health policies, which reflect the mission of the Bozeman Health and best practices Coordinates and oversees the Bozeman Health-wide departmental services.
Continuously assesses, measures and improves departmental performance through mutually agreed upon and already approved metrics for success Demonstrates responsible management of all departmental resources Demonstrates clinical/technical and managerial competency. Ensures staff professional needs are met Assesses current staffing model to determine if billing and payment functions are resourced appropriately Leads, teaches, inspires, helps and consistently demonstrates hospital healthcare system standards Other related duties and responsibilities as assigned.
Knowledge, Skills and Abilities: Strong managerial skills including strategic planning, delegation, performance management, problem-solving, maintaining regulatory compliance, and financial management Knowledge of budgeting, forecasting, and financial reporting to support data-driven decision-making and stewardship of departmental resources Excellent communication, writing, and presentation skills, with the ability to communicate complex ideas effectively to diverse audiences using a variety of mediums Demonstrated success in leading, motivating and inspiring employees and cross-functional teams to achieve strategic objectives and deliver results Demonstrate sound judgment, patience, and maintain a professional demeanor at all times Exercise tact, discretion, sensitivity, and maintain confidentiality Demonstrate the Bozeman Health SPIRIT values of: Service, People, Integrity, Respect, Improvement, and Teamwork.
Schedule
This role requires regular and sustained attendance. The position may necessitate working beyond a standard 40-hour workweek, including weekends and after-hours shifts. On-call work may be required to respond promptly to organizational, patient, or employee needs.
Physical
Lifting (Rarely – 30 pounds): Exerting force and/or using a negligible amount of force to lift, carry, push, pull, or otherwise move objects or people. Sit (Continuously): Maintaining a sitting posture for extended periods may include adjusting body position to prevent discomfort or strain. Stand (Occasionally): Maintaining a standing posture for extended periods may include adjusting body position to prevent discomfort or strain.
Walk (Occasionally): Walking and moving around within the work area requires good balance and coordination. Climb (Rarely): Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like using feet and legs; may also use hands and arms. Twist/Bend/Stoop/Kneel (Occasionally): Twisting, bending, stooping, and kneeling require flexibility and a wide range of motion in the spine and joints.
Reach Above Shoulder Level (Occasionally): Lifting, carrying, pushing, or pulling objects as necessary above the shoulder, requiring strength and stability. Push/Pull (Occasionally): Using the upper extremities to press or exert force against something with steady force to thrust forward, downward, or outward. Fine-Finger Movements (Continuously): Picking, pinching, typing, or otherwise working primarily with fingers rather than using the whole hand as in handling.
Vision (Continuously): Close visual acuity to prepare and analyze data and figures and to read computer screens, printed materials, and handwritten materials. Cognitive Skills (Continuously): Learn new tasks, remember processes, maintain focus, complete tasks independently, and make timely decisions in the context of a workflow. Exposures (Rarely): Bloodborne pathogens, such as blood, bodily fluids, or tissues.
Radiation in settings where medical imaging procedures are performed. Various chemicals and medications are used in healthcare settings. Job tasks may involve handling cleaning products, disinfectants, and other substances.
Infectious diseases due to contact with patients in areas that may have contagious illnesses. * Frequency Key: Continuously (100% - 67% of the time), Repeatedly (66% - 33% of the time), Occasionally (32% - 4% of the time), Rarely (3% - 1% of the time), Never (0%). The above statements are intended to describe the general nature and level of work being performed by people assigned to the job classification. They are not to be construed as a contract of any type nor an exhaustive list of all job duties performed by individuals so classified.