Holly Hill Hospital

Director of Insurance, Billing & Collections

  • Holly Hill Hospital
  • Raleigh, NC
  • Full Time
  • 24 days ago
Salary
$70K - $108K / Year

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Job Description

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal

Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily

since its inception into an esteemed Fortune 500 corporation, our annual revenues were $11.4 billion in

2019. In 2020, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in

2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America’s

Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 90,000 employees

and through its subsidiaries operates 26 acute care hospitals, 328 behavioral health facilities, 42

outpatient facilities and ambulatory care access points, an insurance offering, a physician network and

various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United

Kingdom.

: Undergraduate degree from four-year College or University in accounting or finance OR an Associate degree and related experience. Previous management experience required.

: Demonstrated leadership, communication, teaching and management skills. Strong Excel skills required. Patient Accounts experience and knowledge.

POSITION SUMMARY

Organizes and conducts business office operations in accordance with facility standards. Implements procedures for filing reimbursement claims and follow up. Maintains proper documentation regarding cash receipts, revenue, census, bad debt and contractual and administrative adjustments. Verifies financial coverage of all patients after admission and coordinates initial financial contract if not done at the time of admission. Prepares and distributes all reports as required by facility and corporate policy.

· Participates in external review and reimbursement activities.

· Assists with appeals of denied claims.

· Chairs weekly accounts receivable meeting and prepares minutes for weekly distribution.

· Works collaboratively with Admissions and Utilization Management departments to insure accurate and timely billing and follow up of all claims.

· Reviews claims for accuracy prior to filing and ensures claims are filed timely.

· Consistently reviews accounts and requests follow up documents, identifying any additional information needs. Inputs accurate and timely documentation into computer system.

· Consistently follows up on delinquent accounts and makes determination in coordination with CFO for their proper disposition.

· Conducts regular follow-up of pending claims by monitoring internal billing readiness reports.

· Forwards past due accounts to collection agencies, providing appropriate patient account information.

· maintains cash collections at established goals; documents issues if cash collected falls below 80% of monthly goal.

· Actively monitor collections and insure all accounts are worked in a timely manner to minimize uncompensated expense and meet budgeted goals.

· Review credit balances monthly and process repayments as needed.

· Ensures financial counselling is performed and documented and efforts to collect upfront amounts due are made.

· Ensures that Medicare bad debt is processed per corporate policy.

· oversees verifications, billing and follow up on all accounts through collection.

· responsible for maintaining and updating all contracts files including any reverification necessary to remain in network with providers.

the Hospital’s goals.

QUALIFICATIONS:

· Displays written and verbal communication skills, and is able to follow written and oral instructions.

· Able to work collaboratively, diplomatically, and with integrity in problem identification, projects management, and problem solving activities.

· Is knowledgeable of, can interpret, and put into practice pertinent federal, state, local regulations as well as JCAHO and related standards.

· Displays knowledge of ethical principles and compliance issues in a healthcare setting.

· Knowledgeable of insurance billing and collections procedures

· Basic personnel management skills.

· Ability to prepare and analyze data and figures.

Education/Training:

· Bachelor’s degree Accounting or related field.

Experience:

· 5 years experience in managing business office in hospital/medical setting required.

Licensure/Certification:

· None

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.comor 1-800-852-3449.

Job Type: Full-time

Pay: $70,030.40 - $108,056.00 per year

Benefits:

  • 401(k)
  • Dental insurance
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Retirement plan
  • Tuition reimbursement
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Experience:

  • AR Reporting: 1 year (Required)
  • Billing and Collections: 1 year (Required)

Work Location: In person

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ॐ श्रीं ह्रीं क्लीं श्रीं क्लीं वित्तेश्वराय नमः॥