Job ID: 0008PC

Tupelo

Support Services - BUSINESS SERV-BILLI

At North Mississippi Health Services, our mission is to “continuously improve the health of the people of our region.” Our vision is to “provide the best patient and family-centered care and health services in America.” We believe that fulfilling our mission and vision calls us to embrace the best people that form incredible connections to our patients and families.
We take pride in celebrating everything that makes you uniquely you – your talents, your perspectives, and your passions. At North Mississippi Health Services, we believe in connecting your passion with a purpose. When you are part of our team, you know what connected feels like.
#WhatConnectsYou
#NMHSConnections

Supervise:

• Plans, directs, and coordinates the daily activities of the Insurance Billing & Collections Department
• Manage, oversee, and evaluates the Payment/Recon Specialist, Credit Resolution Analyst, Customer Service Representative to ensure maximum collection of all receivable/miscellaneous revenue
• Conducts annual performance evaluations and provides feedback
• Interviews, hires, trains, and provides corrective action (when necessary)
  Collections:
• Ensures accurate and timely collection of all appropriate revenue
• Ensures effective financial management of Account Receivables
• Ensures timely and accurate processing of accounts in accordance with best practices, defined workflow, procedures, and applicable legislature/regulations
• Directs the training of employees to include orientation, continuous training in areas such as commercial insurance requirements, UCR Requirements, Medicare and Medicaid remote processes, compliance, etc. to increase productivity and efficiency of Insurance Department
• Oversees the billing system including maintenance and adherence to insurance regulations in terms of edit, physician and facility tablets, all code tablets, and reimbursement issues.
• Monitors daily deposit of payments taken in at Business Services
• Monitor payment denials and notifies appropriated department to obtain correct information or initiate an appeal.
• Works with department heads on coding and billing issues and processes.
• Informs departments of denials regularly so that preventative action can be taken.
• Directs the insurance and patient correspondence unit, works with Billing, Collections, Nursing, Utilization Review, etc., and monitors activity so that problem areas can be addressed promptly.
• Communicates regularly with departments on late charges, incorrect charges and other matters that impact Business Services’ ability to process claims and resolve patient accounts.
• Oversees the insurance claims conflict system, compliance and insurance requirements to prevent false claims submission and ensure compliance with Medicare and other payer regulations
  Customer Service:
• Creates strong customer service orientation and collaboration
• Provide excellent customer service to all internal and external customers
  Communication:
• Effectively communicates information to staff, internal and external customers
  Liaison:
• Serves as a liaison between Manager and collection team
  Budget:
• Comply with departmental budget guidelines
  Reporting:
• Monitors and measures collection performance against cash performance
• Ensures appropriate financial reporting
• Responsible for analyzing, verifying, collecting, and resolving outstanding balances on accounts
  Regulation:
• Adheres to NMHS/NMMC Policies/Procedures/Guidelines
  Complies with applicable Local/State/Federal policies/procedures/guideline/regulations/laws/statues
  Job Knowledge:
• Bachelors Degree in related field, required; Willing to consider Associates Degree in Business/Finance or High School diploma with 6 years applicable experience beyond the minimum experience requirement.
• 2 years Management, Supervisory, and Motivational skills required
• Knowledge of collection techniques and laws required
• Excellent communication skills required
• Knowledge of insurance reimbursement methodologies and coding requirements required
• Knowledge of governmental payer and insurance rules and regulation required
• 2 years Working knowledge of Account Receivable systems, Medicare/Medicaid/3rd Party billing requirements and reimbursement methodology; required
• Proficient in Microsoft Office (Word, Excel, and Outlook); required
• Knowledge of applicable state and federal regulations relating to billing and collections; required
• Excellent negotiating and analytical skills; required
• Strong verbal and written communication skills; required
  Excellent interpersonal skills; required

You must have one of the following combinations to apply:

• Bachelors of Business
• Bachelors of Accounting
• Bachelors of Business Related Field