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Hoag
Costa Mesa, CA, United States
Source: Hoag careers · View original posting
From Hoag's posting. “We” and “our” refer to the employer.
The Manager of Hospital Billing is responsible for the overall operations and management of Patient Financial Services. This position oversees billing, collections, cash management, regulatory compliance and participation in long-term strategy for Patient Financial Services. Oversees department supervisors and billing staff and is responsible for performance management of employees. Identifies and coordinates training of all patient accounting and managed care staff.
Works with staff to focus specifically on collections of Medicare, Work Compensation, group insurance, and private pay accounts. Serves as a point of escalation for complaints and issues. Uses monthly statistical reports to identify progress and trends with credit balances, aged accounts, and overall status of accounts. Standardizes and streamlines processes for efficiencies to improve revenues. Supports the business office and hospital mission. Performs other duties as assigned.
Additional Responsibilities
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Supervise and mentor a team of billing specialists.
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Conduct regular performance evaluations and provide training as needed.
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Develop and implement policies and procedures to improve billing efficiency and accuracy.
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Oversee the preparation and submission of Medicare, Medi-Cal, other government and patient claims.
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Ensure all claims are compliant with Medicare and government regulations and guidelines.
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Monitor and resolve billing discrepancies and denials.
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Stay updated on changes in Medicare billing regulations and ensure the team is informed.
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Prepare and present regular reports on billing activities, collections, and outstanding claims.
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Conduct internal audits to ensure compliance and identify areas for improvement.
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Supports Accounting Department with supplying information related to Medicare Cost Reporting
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Address patient inquiries and concerns regarding billing.
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Provide clear and accurate information to patients about their billing statements and payment options.
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Work with patients to resolve billing issues and facilitate payment plans if necessary.
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Work closely with the finance department to reconcile accounts and ensure accurate financial reporting.
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Collaborate with clinical staff to ensure accurate documentation and coding of services.
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Liaise with Medicare representatives to resolve complex billing issues.
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