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Thứ Tư, 8 tháng 4, 2015

Mgr Cash Credit Balances - Fresenius Medical Care - Metairie, LA

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PURPOSE AND SCOPE:

Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements.


Contributes to the efficient and effective functioning of the FMS Divisional Reimbursement department by managing the cash and credit posting department within a FMS billing group. Ensures billing system transaction and reporting is accurate, properly authorized, and in compliance with Corporate policies and procedures. Ensures compliance with governmental processing and reporting requirements and that external reporting is timely and accurate. Contributes to the development and implementation of cash and credit posting strategies and initiatives to ensure the timely and accurate posting of cash receipts, denials and adjustments to patient accounts. Verifies proper administration of write-offs relating to bad debt.


DUTIES / ACTIVITIES :


CUSTOMER SERVICE:



  • Responsible for driving the FMS culture through values and customer service standards.

  • Accountable for outstanding customer service to all external and internal customers.

  • Develops and maintains effective relationships through effective and timely communication.

  • Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner.




PRINCIPAL RESPONSIBILITIES AND DUTIES:


  • Manages and oversees the Cash and Credit process within a FMS billing Group verifying the appropriate actions are taken to ensure cash received is posted accurately according to the pertinent time parameters to the correct account, and balanced appropriately. Ensures the application of appropriate internal controls (SOX), timeliness, accuracy and compliance with Corporate and governmental policy and other regulatory requirements.

  • Provides direction, guidance and support to the staff of the Cash Department. Ensures the provision of functional training to direct reports and establishes individual performance measures to facilitate job growth and ensure technical competence. Monitors the staff workload, establishing priorities and making adjustments to ensure the attainment of goals and objectives. Provides informal feedback to staff on an ongoing basis and formal feedback through the annual performance evaluation process. Manages the department staffing by taking the appropriate hiring, firing and disciplinary actions.

  • Facilitates the monthly eCube Financials close process ensuring the appropriate steps are taken to verify that the information is accurate and complies with corporate reporting requirements.




- Reviews the AR Aging report and Revenue per Treatment report to identify and address receivables booking at Gross inappropriately, checking to see if Insurance is setup correctly, and/or if Contract needs to be assigned etc.

- Reviews the Change in Reimbursement report identifying for voids requiring approval and reporting MTD change in expected reimbursement.


- Reviews the Contractual Allowance Report showing manual contractual adjustments and the Write-Off Report for manual write-offs providing approvals or obtaining approvals as required.



  • Monitors the Cash Department staff performance, developing an action plan to address any deviations from acceptable levels of performance. Conducts regular meetings to review escalated issues and other problems to ensure that proper follow-up activities have been taken to result in resolution of issues. Acts as liaison between direct staff and Regional Vice Presidents, Central Admissions Office and Corporate Reimbursement in order to effectively resolve outstanding issues such as missing information on 855 or Medicaid application to prevent interruption of clinical operations and cash flow.

  • Monitors activities of all direct reports performance of all cash related functions within the eCube Financials Remittance Response Batch Processing system ensuring completion of all required activities pertaining to the posting of available electronic remittance advices, daily manual cash batches, denials appearing in manual cash batches, and contractual adjustments in cash batches as allowed per policy .

  • Ensures appropriate eCube Financials worklists are managed accurately and within the appropriate timelines, following up with issues such as cash transactions that were not able to post etc., variances and other problems, assisting with resolution activities as necessary.

  • Prepares weekly, monthly or on-demand reports pertinent to the Cash Department for Divisional and Corporate Management as required.

  • Contributes to the development of procedures and process documentation to implement policy and responds to changed conditions providing training as needed to ensure compliance with all established corporate policies and procedures. Ensures the Cash Department operates in accordance with established Corporate/Divisional policies and procedures. Reviews and evaluates operational processes used by assigned group taking actions when needed to correct deficiencies.

  • Approves all bad debt write-offs within approval limits assessing quarterly patient insurance profiles to determine reserve requirements. Ensures that corporate policies and Medicare regulations are followed with respect to bad debt write-offs examining collection agency referrals before submission. Reviews and evaluates posting of the approved Insurance / Indigent Waiver write-off batches and Guarantor write-off batches to ensure timely posting and reconciling.

  • Oversees and monitors the review and evaluation of cash and credit department reports including the 4245 report, the Guarantor and Payer Overpayment Letters Report, and the 4245 Period to Date (PTD) Activity Report ensuring all appropriate actions and procedures have been carried out as required.

  • Other duties and projects as assigned.




PHYSICAL DEMANDS AND WORKING CONDITIONS:

The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


EDUCATION


Bachelors degree required, but will consider 5+ years directly related billing management experience in lieu of a degree.


EXPERIENCE AND REQUIRED SKILLS:



  • Minimum of 7 years Healthcare Receivable / Medical Billing experience; including collections, Medicare, Medicaid and Commercial billing, with at least 2 of the years being in a Supervisory capacity.

  • A good understanding of General Accounting Principles.

  • Extensive proficiency in Financial software applications in addition to Microsoft Excel, Access, SAP Business Warehouse; prior knowledge of Billing Software; understanding of revenue cycle; and fundamental knowledge of general accounting cycle.

  • Excellent time management skills, research skills, and excellent written and verbal communication skills.

  • Prior training experience preferred.

  • Well organized and detail oriented.


EO/AA Employer: Minorities/Females/Veterans/Disabled

Fresenius Medical Care - 21 hours ago - save job


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