Job Description

Location: Steward Medical Group - West
Posted Date: 2/5/2020

About Steward Health Care System

Steward Health Care is the largest private, tax-paying physician-led health care network in the United States. Headquartered in Dallas, Texas, Steward operates 35 hospitals in the United States and the country of Malta that regularly receive top awards for quality and safety. The company employs approximately 42,000 health care professionals. The Steward network includes multiple urgent care centers and skilled nursing facilities, substantial behavioral health services, over 7,900 beds under management, and approximately 2.2 million full risk covered lives through the company's managed care and health insurance services.

Steward Medical Group (SMG), Inc. is Steward's multi-specialty group practice with over 4,500 employees including over 1,800 physicians and advanced practitioners. SMG operates approximately 450 practice locations throughout Massachusetts, Southern New Hampshire, Rhode Island, New Jersey, Pennsylvania, Ohio, Florida, Utah, Arizona, Texas, Louisiana and Arkansas, and provides more than 4 million patient encounters per year.

Summary:This position is responsible for providing leadership and subject matter expertise in timely and accurate cash posting, processing, and balancing activities related to third party remittances. The Cash Operations Team Lead reports to the Cash Operations Supervisor for Steward Medical Group.

Responsibilities:
• Independently manage and monitor daily work related resolution of third-party payer accounts receivable follow-up, billing and re-billing and favorable resolution of denials and underpayments.
• Provide subject matter expertise regarding specific payers to revenue cycle associates and others throughout the CBO in accounts receivable follow-up, billing, denials and/or underpayments.
• Assist in supervising the daily operations of a payer or other operational team. Assist in the evaluation and recommendations of programs, procedures for improved operations, modifications to and/or implementation of new procedures.
• Identify and work with management to resolve problems in CBO processes and when appropriate, initiate changes to prevent future problems.
• Assist in establishing long and short term unit goals and objectives to support department and corporate strategic plan.
• Maintain professional competency, according to department policies, procedures and protocols.
• Maintain a repository of knowledge required to train new Cash Operations associates including manuals, tip sheets and other materials.
• Maintain strict confidentiality and adheres to all HIPAA guidelines/regulations.
• Assure that the Cash Operations Staff have the necessary education and training to effectively participate in the Cash Operations Department.
• Assist in creating/updating education and training materials for the Cash Operations Department.
• Motivate and inspire team members.
• Facilitate problem solving and collaboration.

Required Knowledge/Skills:
• Associate Degree or higher.
• 2 years minimum experience in hospital billing with specific payer(s) subject matter expertise.
• Demonstrated ability to supervise teams or groups of colleagues.
• Experience with patient accounting systems, billing/claim submission software required. Specific athenaNet, Cerner, Next Gen, ECW and/or Meditech experience a plus.
• Possess ability to investigate, analyze and in coordination with management, resolve departmental issues.
• Possess ability to work efficiently and accurately, and to organize and plan work.
• Possess flexibility and adaptability to work additional hours and to work under stress.
• Ability to establish and maintain effective working relationships and communicate clearly with customers both within and outside of Steward.
• Highly detail oriented and well organized; ability to multitask.
• Ability to utilize Microsoft Office & Excel programs.

Education/Experience/Etc.:
I. 3 years minimum experience in medical group billing with cash posting, processing or reconciliation experience.
II. Demonstrated ability to manage teams or groups of colleagues.
III. Experience with patient accounting systems such as athenaNet, Cerner, Next Gen, ECW and/or Meditech is a plus.
IV. Possess ability to investigate, analyze and in coordination with management, resolve departmental issues.
V. Possess ability to work efficiently and accurately, and to organize and plan work.

Application Instructions

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