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Manager of Government Billing and Reimbursement

Company: Atlantic Health System
Location: Morristown
Posted on: March 30, 2024

Job Description:

This individual is responsible for ensuring and enforcing billing and collection policies and procedures according to Governmental and non Governmental regulations. Establishes, implements, and monitors short- and long-term goals for the department which are in line with the organizations strategic plan, mission, vision, and values. This position will have a collaborative role with the Centrastate partnership including the Epic implementation. This position will work extensively and collaboratively with the Managers of Patient Financial Services (PFS) and will report directly to the Director, PFS. You will be managing a team of up to 26 employees.
Oversight of billing and collections procedures for all payors payors ensuring claims submitted are in accordance with regulatory requirements and acceptance rate is maintained at an acceptable level while ensuring errors are identified and resolved timely
Works closely with the various departments to ensure all Governmental and non Governmental audit requirements are met and are compliant and ensuring timely response to audit requests
Works collaboratively with the Managers of PFS to maintain a thorough and up to date knowledge of payor reimbursement practices and procedures including Medicare & Medicaid regulations, as well as Managed Medicaid requirements
Troubleshoots any issues and escalates timely
Develop and review detailed policies and procedures, training and workflow documentation.
Routine meetings with PFS Managers to review payer performance
Routine meetings with the PFS Managers and Director to ensure all governmental regulations are being met and audits are completed timely.
Identifies and participates in continuous quality improvement initiatives across the billing team and other functional areas to streamline processes.
Implement specialized program/billing requirements including planning and implementation as issued by CMS
Maintains open communications with the Director of Patient Financial Services and Subordinates keeping all informed of progress on goals, issues, solutions, or any other significant factors affecting the Patient Financial Services Department
Maintains an open relationship with other Managers to optimize processes as needed
Responsible for overseeing all Billing Audits including all COVID related audits in the future.
Work with our PWC audit team to provide support when needed.
Must possess a comprehensive knowledge of revenue cycle functions and systems and minimum of three (3) years of experience within the area of revenue management, specifically experience with Account Billing and Follow-up or other functions related to revenue cycle activities.
Must possess knowledge of all Governmental and non Governmental regulations.
Management experience required.
1. High School diploma required, Bachelors Degree preferred
2. Minimum of 5 years experience in a hospital billing setting
3. Proven leader with excellent human relations skills
4. Embraces change by being able to change focus and adapt to new enterprise strategies while encouraging development of the team and leading them to success
5. Epic experience required project management skills preferred
At Atlantic Health System, our promise to our communities is that anyone who enters anyone of our facilities, receive the highest quality care delivered at the right time, at the right place, and at the right cost. That commitment is also echoed in the respect, development and opportunities we give to our more than 18,000 team members. Headquartered in Morristown, New Jersey, we are one of the leading non-profit health care systems in the state, and committed to creating a Trusted Network of Caring. Our facilities and sites of care include:
+ Morristown Medical Center, Morristown, NJ
+ Overlook Medical Center, Summit NJ
+ Newton Medical Center, Newton, NJ
+ Chilton Medical Center, Pompton Plains, NJ
+ Hackettstown Medical Center, Hackettstown, NJ
+ Goryeb Children's Hospital, Morriston NJ
+ Atlantic Rehabilitation
+ Atlantic Home Care and Hospice
We also have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group. We are part of Atlantic Accountable Care Organization, one of the largest ACOs in the nation, and are a member of AllSpire Health Partners.
We receiver awards and recognitions for whate we provide to our patients, team members and communities. Below are just a few of our accolades:
+ 100 Best Companies to Work For and FORTUNE magazine (13 years in a row)
+ Best Places to Work in Healthcare - Modern Healthcare
+ 150 Top Places to work in Healthcare - Becker's Healthcare
+ 100 Accountable Care Organizations to Know - Becker's Hospital Review
+ Best Employers for Workers over 50 - AARP
+ Gold-Level "Well Workplace": Wellness Council of America (WELCOA)
+ CEO Cancer Gold Standard
+ One of the 100 Best Workplaces for Millenials" Great Place to Work and FORTUNE magazine
+ One of the 20 Best Workplaces in Health Care: Great Place to Work and FORTUNE magazine
+ Security 500: Security Magazine
+ Official Health Care Partner of the New York Jets
+ NJ Sustainable Business
Atlantic Health System, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.

Keywords: Atlantic Health System, Parsippany-Troy Hills Township , Manager of Government Billing and Reimbursement, Executive , Morristown, New Jersey

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