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📁
Managerial/Professional
💼
Hospital Billing & Collections 600819
📅
138912 Requisition #
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The mission of The University of Texas M. D. Anderson Cancer Center is to eliminate cancer in Texas, the nation, and the world through outstanding programs that integrate patient care, research and prevention, and through education for undergraduate and graduate students, trainees, professionals, employees and the public.

The primary purpose of the Manager of Insurance Follow Up is to manage and coordinate daily operations in the Hospital Billing and Collections department.  Plans and coordinates collection strategies with Supervisors and Collection Teams in order to reduce AR days and insure consistent/improved cash collections for the institution from third party payers.  

Manages daily operations of assigned functions so that organizational goals are met. Hires and evaluates staff.  Provides for adequate staffing of unit during hours of operation. Ensures that staff is appropriately and adequately trained by assessing competence, providing training resources and following up to measure improvement. Ensures that policies and procedures are received, followed and/or updated as required.  Works with departmental director on budget preparation and ensures budget performance.  Recommends business improvements as appropriate. Designs and implements a system of internal controls. Communicates effectively with a variety of healthcare professionals at all levels both internal and external. Monitors and analyzes reports to assess department operations, payor performance, and financial outcomes.

Key Functions

Develop individual and unit goals to identify accountability, responsibility and maximum production while providing procedures for the follow up unit to ensure documentation is current.  Discuss management decisions with staff to ensure understanding of policies and procedures.

Perform quality audits on each collector’s portfolio along with the monitoring of production standards.  Identify and address deficiencies where appropriate with the specific collector. 

Coordinate and collaborate with other teams in PBS to discuss AR, slow pay or unpaid accounts and identify trends and create solutions to resolve these issues.  Communicate with appropriate departments, such as Patient Access, Ambulatory Operations, Financial Clearance Center, Revenue Operations and Coding, Case Management, Managed Care and Clinical Revenue and Reimbursement regarding trends and operational impacts related to reimbursement.

Collaborate with PBS Customer Service to ensure a positive patient experience related to insurance billing and collections.

Review patient accounting system for opportunities to improve performance and efficiency.  Develop and update workflows as needed to improve processes and outcomes.  Communicate and collaborate with IT on any limitations to add to future development lists, system initiatives, and functionality requests.

Perform a comparative and financial analysis on payors in portfolio to identify opportunities.  Be able to articulate findings in payor review and payor relations/operational meetings.

Participate on revenue cycle committees as a representative of Patient Business Services to assist the institutional members in understanding revenue cycle processes and denials.

Prepare and submit weekly/monthly management reports.  Assess reports and identify trends and create solutions for items identified as outliers.  Responsible for interviewing and hiring.  Provides employee counseling, updates position descriptions, prepares and presents employee performance evaluations within appropriate timeframes.

Other duties as assigned.

Working Conditions

This position requires:

 

 

 

Working in Office Environment

______ No

___X___ Yes

 

Working in Patient Care Unit (e.g. Nursing unit; outpatient clinic)

___X___ No

______ Yes

 

Exposure to human/animal blood, body fluids, or tissues

___X___ No

______ Yes

 

Exposure to harmful chemicals

__X____ No

______ Yes

 

Exposure to radiation

___X___ No

______ Yes

 

Exposure to animals

___X___ No

______ Yes

 

Physical Demands

Indicate the time required to do each of the following physical demands:

 

Time Spent

Never

0%

Occasionally

1-33%

Frequently

34-66%

Continuously

67-100%

Standing

 

X

 

 

Walking

 

X

 

 

Sitting

 

 

X

 

Reaching

 

X

 

 

Lifting/Carrying

 

Up to 10 lbs

 

X

 

 

 

10lbs to 50 lbs

X

 

 

 

 

More than 50 lbs

X

 

 

 

Pushing/Pulling

 

Up to 10 lbs

 

X

 

 

 

10lbs to 50 lbs

X

 

 

 

 

More than 50 lbs

X

 

 

 

Use computer/keyboard

 

 

 

X

 

 

Education
Required
: Bachelor's degree in Business, Healthcare Administration or related field.

Experience
Required:
Five years of supervisory experience in a healthcare setting. May substitute required education degree with additional years of equivalent experience on a one to one basis. Successful completion of the LEADing Self Accelerate program may substitute for one year of required supervisory or management experience.

It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html

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