• Collaborate with payers and negotiators as needed to ensure compliance with contract policies and parameters. Ensure compliance with state and federal laws and regulations. Ability to articulate contract provisions as well as state/fed legislation to the payers to drive resolution.
• Optimizes interactions with assigned providers and internal business partners to establish and maintain productive, professional relationships that ultimately resolve accounts. Manages the development of agendas, validates materials, and facilitates external payer meetings regularly.
• Maintains a thorough understanding of health insurance and government programs, where necessary.
• Coordinate efforts with stakeholders to drive changes in auto adjudication, aging and cycle time. Follow up with cross functional teams to ensure we are following through with implemented changes.
• Works with A/R supervisors to identify department training needs for system education, industry updates and changes in collection processes and protocols. Provide guidance and training to support teams

KNOWLEDGE, SKILLS, ABILITIES

• Advanced knowledge of healthcare A/R
• Excellent working knowledge of Patient Financial Services operations with specific focus on Inpatient and Outpatient Managed Care and Commercial payers (i.e., Medicare regulations and compliance; HIPAA)
• Proficient in Microsoft Office (Word and Excel)
• Advanced writing skills
• Ability to provide advanced customer service
• Ability to plan and implement process improvements
• Ability to train and coach staff
• Ability to multi-task
• Strong leadership and organizational skills
• Proficient in building a strong team to meet performance goals
• Very good written and verbal communication skills
• Strong interpersonal skills
• Strong technical skills, including PC and MS Office Suite knowledge

EDUCATION / EXPERIENCE

• 4 year college degree in Healthcare Administration, Business or related area or equivalent experience. MBA/CPA preferred
• 5 � 10 years experience in Healthcare Administration or Business Office
• 2 � 3 years supervisory experience

• HFMA-Patient Accounts or Hospital Accounting Certification encouraged

PHYSICAL DEMANDS

• Ability to sit and work at a computer terminal for extended periods of time

• Call Center environment with multiple workstations in close proximity

Employment practices will not be influenced or affected by an applicant�s or employee�s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.