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Director, Patient Financial Services, Claims…
- Hackensack Meridian Health (Edison, NJ)
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Our team members are the heart of what makes us better.
At **Hackensack Meridian** **_Health_** we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
The **Director of Patient Financial Services for Claims Management** provides management of pre-billing and billing functions for inpatient, outpatient, and specialty areas across the Hackensack Meridian Health (HMH) network. Provides management, coordination, and standardization of claims production and transmission for all payers in HMH hospital billing, impacting the primary source of revenue for the network. Develops and controls all tasks necessary to ensure that all billing activities are completed compliantly and on time. Responsible for oversight and administration for the Epic claims editor and clearinghouse application, including all related electronic data interchange (EDI) transactions. Develops and maintains strong payer relationships to remove barriers to claim creation and submission and works through any issues that arise. Identifies issues and recommends possible solutions to increase productivity, maximize cash collections, and improve the revenue cycle. Supports the success of a high-performing business office by helping to champion and drive long-term success, achieving results comparable to national best practices.
Education, Knowledge, Skills and Abilities Required:
+ Bachelor's degree in Business, Healthcare Administration, Finance, or other relevant field.
+ Minimum of 10 years of experience in healthcare receivables, health insurance claims processing, or healthcare customer service, including at least 5 years in a management role.
+ Extensive knowledge of Federal and State regulations and mandates relating to patient self-pay collections.
+ Excellent customer service acumen
+ Strong leadership skills.
+ Good written and verbal communication skills.
+ Strong financial management skills.
+ Excellent knowledge of information technology and management information systems and how they can be used to improve operations.
Education, Knowledge, Skills and Abilities Preferred:
+ Master's degree.
+ Prior experience with Epic.
+ Management of a claims & clearinghouse application.
+ Experience working in a hospital billing setting.
+ Member of nationally recognized professional organization - Healthcare Financial Management Association (HFMA) a plus.
Licenses and Certifications Preferred:
+ HFMA Certified Healthcare Financial Professional (CHFP) or similar certification
+ Epic proficiency or certification in hospital billing (HB)/Claims.
If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!
165229
HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER
All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.
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Director, Patient Financial Services, Claims Management
- Hackensack Meridian Health (Edison, NJ)