Job Description

Department:

10296 Enterprise Revenue Cycle - Admin: MW PB Billing Operations

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Salaried position - hours typically are 8 to 5pm

Pay Range

$44.15 - $66.25

Major Responsibilities:

Manages and coordinates accounts receivable functions to ensure efficiency and maximum reimbursement. Analyzes ​processes to identify payer issues, results and progress, and implements plans for improvements. 

​Assists in ensuring compliance with contracting agreements and governmental regulations. 

​Provides systems guidance along with operation level understanding and direction. Assists both users and systems ​development staff with design, evaluation of controls, development of procedures, user training, and conversion. 

​Acts as a liaison with insurance companies, government agencies, hospital departments, physicians, patients and/or their responsible parties. 

Assists in development and implementation of new services and programs. 

​Develops and administers policies and procedures to accomplish department-specific and organizational initiatives. 

​Utilizes key performance indicators to analyze processes to streamline workflow design operations, improve quality, ​service and revenue cycle performance. 

​Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale. 

​Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives 

​Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business​ 

​​​

Stays current with all regulations and standards to ensure compliance with governmental regulatory agencies and third- party payers.​​

Licensure, Registration, and/or Certification Required:

None Required.

Education Required:

​​ Bachelor's Degree (or equivalent knowledge) or related field ​​

Experience Required:

​​Typically requires 5 - 7 years of experience in Revenue Cycle Billing Operations with a minimum 3 years in a supervisory role managing staff, budgets, reimbursement and receivables management. ​

Knowledge, Skills & Abilities Required:

Demonstrated leadership skills including project management, process improvement, problem-solving, decision making, prioritization, delegation, team building, customer service, relationship building, diplomacy, and conflict resolution.​​ 

Strong interpersonal, communication and organizational skills.​ 

Ability to interact and positively influence at all levels of the organization to impact change​ 

Demonstrated knowledge of managed care contracts and/or government billing/payment regulations​ 

Demonstrated proficiency in the Microsoft Office Suite or similar products and in patient and billing systems. Epic experience highly desired.​ 

Demonstrated skills in financial and statistical analysis necessary to examine patient accounting activities and detect/resolve any related issues.​ 

Demonstrated ability to effectively manage claims processing, accounts receivable, billing audits, medial audits, and coding functions.​ 

Ability to deal and work effectively across departments and in matrix organizational structures.

Strong negotiating skills. 

​Strong oral and written communications skills as well as proven presentation skills​.

Physical Requirements and Working Conditions:

This position is remote, but may require travel, therefore, will be exposed to weather and road conditions. ​​ 

Operates all equipment necessary to perform the job.​ 

Exposed to a normal office environment.​ ​

DISCLAIMER

All responsibilities and requirements are subject to possible modification to reasonably accommodate individuals with disabilities.

This job description in no way states or implies that these are the only responsibilities to be performed by an employee occupying this job or position.Employees must follow any other job-related instructions and perform any other job-related duties requested by their leaders.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training

• Premium pay such as shift, on call, and more based on a teammate's job

• Incentive pay for select positions

• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs

• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability

• Flexible Spending Accounts for eligible health care and dependent care expenses

• Family benefits such as adoption assistance and paid parental leave

• Defined contribution retirement plans with employer match and other financial wellness programs

• Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.