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Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better.

All the benefits and perks you need for you and your family:

+ Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

+ Paid Time Off from Day One

+ 403-B Retirement Plan

+ 4 Weeks 100% Paid Parental Leave

+ Career Development

+ Whole Person Well-being Resources

+ Mental Health Resources and Support

+ Pet Benefits

Schedule:

Full time

Shift:

Day-Weekend (United States of America)

Address:

3100 E FLETCHER AVE

City:

TAMPA

State:

Florida

Postal Code:

33613

Job Description:

Responsible for providing strategic direction for governmental and third-party payers in the managed care/commercial realm. This role actively plans, develops, organizes, and manages multiple areas of responsibility as assigned by senior leadership. This position monitors initial processes of Self-Pay accounts during pre-registration, registration, and at discharge to protect hospital financial standing. In addition, this role requires weekly and monthly travel to campuses to meet with teams and ensure consistency in process flows, adhering to the Financial Assistance Policy. Ensures timely payment for services rendered, mitigates associated risks involving payer denials, and ensures compliance with the hospital's net revenue stream.

+ Develops and implements strategies to optimize insurance collections and improve overall financial performance.

+ Manages the insurance collections team, providing leadership, guidance, and support to ensure efficient and effective operations.

+ Monitors and analyzes collection metrics to identify trends, areas for improvement, and opportunities for increased revenue.

+ Coordinates with insurance providers to resolve claim issues, negotiate settlements, and ensure timely payments.

+ Reviews and processes insurance claims, ensuring accuracy and compliance with regulatory requirements.

Knowledge, Skills, and Abilities:

+ Uses discretion when discussing personnel/patient related issues that are confidential in nature [Required]

+ Is responsive to ever changing matrix of hospital needs and acts accordingly [Required]

+ Proficient in time management with superior prioritization skills [Required]

+ Strong organization, analytical, and problem-solving skills [Required]

+ Competence in one or more areas with PCs related programs [Required]

+ Expertise in Excel and Word [Required]

+ Able to understand business processes or organization [Required]

+ Strives for professional excellence through self-assessment, continuing education and maintenance of credentialed status [Required]

+ Initiates creative approaches to problem solving [Required]

+ Able to coach employees effectively while tapping their potential [Required]

+ Knowledge of contract knowledge which drives net revenue collections [Required]

+ Proficient in the performance of basic math functions, capability of communicating professionally with an acceptable use of English and spelling. Capable of communicating effectively and professionally in English, both verbally and in writing with our patients and physicians [Required]

+ Detailed understanding of CCI edits, CPT, HCPCS, ICD-9-CM, ICD-10-CM (future), and revenue codes [Required]

+ Knowledge of Medicare, Medicaid, third party billing rules, coverage, payment, and compliance [Required]

+ Ability to read medical charts or dictation, understand services performed, and correlate such services to bill charges (UB04) [Required]

+ Possesses knowledge of PFS registration, HIM coding, PFS billing processes, and able to work collaboratively with all stakeholders [Required]

+ Experience in budgeting and ability to favorably influence team to meet and exceed department goals [Required]

+ Secures business results in the area of FH Extending Excellence model (Team, Clinical, Service, Market, Finance)Serves as hospital liaison for patient and family in absence of patient representative [Required]

Education:

+ Bachelor's in business, Healthcare, or related field [Required]

+ Master's [Preferred]

Work Experience:

+ 3+ years of financial assistance, federal programs, medicaid, or county state assistance knowledge [Required]

+ 5+ years of managed care experience in collections and billing operations or in a management/leadership role [Required]

+ 7+ years of experience in a revenue cycle department (billing, medicare collections, denials, contract management, or cash management) [Required]

Licenses and Certifications:

+ Certified Revenue Cycle Rep (CRCR) [Preferred]

+ Certified Healthcare Access Manager (CHAM) [Preferred]

The expertise and experiences you’ll need to succeed:

QUALIFICATION REQUIREMENTS:

Bachelor's (Required), Master'sCertified Healthcare Access Manager (CHAM) - Accredited Issuing Body, Certified Revenue Cycle Rep (CRCR) - Accredited Issuing Body

Pay Range:

$83,699.48 - $155,693.55

_This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances._

**Category:** Patient Financial Services

**Organization:** AdventHealth Tampa

**Schedule:** Full time

**Shift:** Day-Weekend

**Req ID:** 150698372