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General Summary

Functions in a corporate role to direct, plan, organize and control the activities and functions of third party billing and data control for all hospital and home health revenue cycle accounts. Ensures compliance with external regulatory requirements in addition to the internal policies and procedures of the revenue cycle.

Duties and Responsibilities

+ Evaluates procedures to improve methods for controlling patient accounts receivable, reducing costs of patient accounting operations, and improve work flow.

+ Ensures maximum third party reimbursement through strategic financial planning, familiarity with payer allowances/disallowances of billed charges, and aggressive pursuit of payments and reimbursement through denials management and settlement mechanisms.

+ Investigates and reports on all current reimbursement developments on the state and federal level.

+ Implements appropriate billing and collection procedures, ensuring that all accounts receivable records are kept in accordance with established procedures.

+ Maintains appropriate internal controls over accounts receivable and cash receipt functions.

+ Keeps current on all billing procedures of third party and private insurance payers.

+ Works with the Director-Customer Service and Collections to ensure appropriate billing, payment cycles and procedures for follow-up on third party approvals, billing and collection on all overdue accounts.

+ Works with the Senior Director of Patient Financial Services - PB to develop appropriate billing and collection processes that rely on both Epic Resolute revenue cycle streams.

Common Expectations:

+ Recommends staffing levels, selects and assigns staff, evaluates performance, evaluates/tests competencies (as applicable), provides orientation, training and continuing education of staff, and initiates or makes recommendations for personnel actions.

+ Coordinates and integrates services within the department/service line/entity, with other departments/service lines/entities, and with the System's primary functions. Participates in the selection of outside services (if needed).

+ Continuously assesses and improves the department/service line/entity/System's performance. Maintains appropriate quality control/assessment programs (if applicable).

+ Develops budget(s) for the department/unit/entity and allocates funds within budget(s) to accomplish objectives. Monitors variance against budget(s).

+ Develops, establishes and implements goals, objectives, and policies and procedures for department/service line/entity operation, and which guide and support the provision of the department/service line/entity's services.

+ Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.

+ Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

+ Directs the preparation and maintenance of department reports. Prepares periodic reports for top management, as required.

Qualifications

Minimum Education:

+ Bachelors Degree Required

Work Experience:

+ 10+ years Experience in accounting or business administration. Required and

+ Supervisory experience. Required

Licenses:

+ Certified Public Accountant Upon Hire Preferred or

+ Certified Manager Patient Accounts Upon Hire Preferred or

+ Certified Patient Accounts Manager Upon Hire Preferred

WellSpan Health's vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an integrated delivery system focused on leading in value-based care, we encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and advanced practice providers is dedicated to providing the highest quality and safety, inspiring our patients and communities to be their healthiest.

Quality of Life

Founded in 1741, the city of York is considered by many as the first capital of the United States. The Articles of Confederation were signed by the Second Continental Congress here in 1777. Its beautifully restored historic district is an architectural treasure. While York retains its farming and manufacturing heritage, at its heart York is a thriving cultural community that has attracted creative talent and innovative entrepreneurial investors from across the nation.

Life in York County offers affordable housing, options for higher education, a thriving arts and cultural community, historical attractions, parks and recreational resources, semi-professional baseball team, fine dining and more - within an easy drive of major East Coast cities.

York County residents can find local employment in healthcare, manufacturing, technology, agricultural and service sectors. (Patient population: 445,000)

WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic.