Regional Manager Hospital Billing Business Office DuBois CRC

Penn Highlands Healthcare has been awarded on the Forbes list of Best-in-State Employers 2022. This prestigious award is presented by Forbes and Statistica Inc., the world leading statistics portal and industry ranking provider.

TO MANAGE AND COORDINATE ALL ASPECTS OF THE INSURANCE DEPARTMENT AS IT PERTAINS TO BILLING AND COLLECTION OF RECEIVABLES FROM A 3RD PARTY PAYER. RESPONSIBLE FOR OPTIMIZING REIMBURSEMENT AND REDUCING CLAIM DENIALS BY UNDERSTANDING THE PAYER'S BILLING REGULATIONS AND THE FACILITY'S SOFTWARE CAPABILITIES. RESPONSIBLE FOR ENSURING BILLING SOFTWARE IS PRODUCING ACCURATE AND COMPLIANT CLAIMS, MAKING THE NECESSARY CHANGES TO THE SOFTWARE AS APPROPRIATE. IS DIRECTLY RESPONSIBLE FOR TIMELY SOFTWARE FINANCIAL SYSTEM TABLE MAINTENANCE AS IT PERTAINS TO THE INSURANCE DEPARTMENT. RESPONSIBLE TO MAXIMIZE EMPLOYEE PRODUCTIVITY, SET PRIORITIES AND DELEGATE EMPLOYEES AS NECESSARY TO ENSURE TIMELY AND ACCURATE CLAIM PROCESSING AND COMPLIANCE WITH ORGANIZATIONAL STANDARDS. RESPONSIBLE TO IMPROVE PROCESSES AND DEVELOP/PROVIDE EDUCATION TO THE EMPLOYEES OF THE INSURANCE DEPARTMENT AND EMPLOYEES OF OTHER DEPARTMENTS AS DEEMED APPROPRIATE.

QUALIFICATIONS:

• Education ASSOCIATES DEGREE IN HEALTHCARE MANAGEMENT/BUSINESS/FINANCE/EDUCATION REQUIRED
• BACHELOR DEGREE PREFERRED
• Required Experience/Skills FIVE OR MORE YEARS IN SUPERVISORY/MANAGEMENT CAPACITY OVERSEEING HEALTHCARE FOR BOTH FACILITY & PROFESSIONAL MEDICAL BILLING/COLLECTIONS.
• HANDS ON WORKING KNOWLEDGE OF MEDICAL BILLING SOFTWARE SYSTEMS: CERNER, QUADAX & G.E. CENTRICITY.
• EXCELLENT INTERPERSONAL AND ORGANIZATIONAL SKILLS WITH ABILITY TO WORK INDEPENDENTLY AND AS A TEAM PLAYER.
• INDIVIDUAL MUST HAVE STRONG UP-TO-DATE KNOWLEDGE OF CMS AND MEDICAID REGULATIONS, RULES AND GUIDELINES.
• INDIVIDUAL MUST HAVE EXTENSIVE HANDS-ON-EXPERIENCE WITH SOFTWARE PROGRAMMING AND SOFTWARE CONVERSIONS.
• INDIVIDUAL POSSESSES SELF-INITIATIVE, CREATIVITY AND MOTIVATION, AS WELL AS A HIGH LEVEL OF ABILITY TO IDENTIFY AND TROUBLESHOOT ISSUES AND PROBLEMS AND IMPLEMENT SOLUTIONS THAT WORK BOTH RELATIVE TO SOFTWARE SYSTEMS
• Preferred Experience/Skills KNOWLEDGE OF CPT-4, HCPCS, CCI EDITS AND ICD-9/ICD-10 DIAGNOSIS CODING.

WHAT WE OFFER:

• Competitive Compensation
• Shift Differential
• Professional Development
• Supportive and Experienced Peers

BENEFITS:

• Medical, Dental, and Vision offered after completion of introductory period
• Paid Time Off
• 403(b) retirement plan with company match
• Company Paid Short & Long Term disability coverage
• Company Paid and Voluntary Life Insurance
• Flex Spending Account
• Employee Assistance Program (EAP)
• Health & Wellness Programs