Description

Job Summary:

Evaluates and monitors statistical and financial data generated by Collections, Insurance, and Billing sections. Manages collection of revenue from patients for services rendered. Supervises assigned staff.

Essential Responsibilities:

• Establishes and collaborates with others to enforce all credit and collection policies at all clinics and business offices. Analyzes charge and total revenues. Develops improved collection methods and procedures; conducts in-service programs on department policies for all employees involved in information/collection process to maximize collection of revenue.
• Analyzes history of delinquent accounts to determine collection potential. Reviews and authorizes write-offs to collection agencies, attorneys; bad debt allowances for non-plan and health plan accounts and uncollectible write-offs on third party accounts. Reviews and approves collection refund requests as appropriate.
• Optimizes system functionality to automate follow-up and collection processes.
• Analyzes allowance for doubtful accounts; generates reports.
• Compiles monthly financial reports to monitor Accounts Receivable.
• Participates in negotiation and administration of contacts with collection agencies to protect organizations interest in monies due, and amounts paid to collection agencies. Represents organization in counter suits arising from assignment of accounts.
• Analyzes Revenue Cycle opportunities within collection area.
• Participates with outside attorneys in negotiations, compromise settlements and collection of accounts subject to litigation and subrogation.
• Optimizes customer satisfaction by providing excellent Customer Relations support, managing incoming phone inquiries, emails, patient correspondence, and other inquiries regarding patient billing issues.
• Maintains current knowledge of all federal, state, and local regulations relating to extension of credit, billing and allowable follow-up procedures, and all reimbursement procedures of third party and private insurance payers.
• Liaisons to assigned clinics regarding financial issues.
• Participates in national and local work groups related to billing and collection.
• Hires, trains, supervises, counsels, disciplines, and terminates assigned staff as appropriate.
• Communicates goals, objectives, accountabilities, priorities, and authority parameters to assigned staff.

Basic Qualifications:

Experience

• Minimum five (5) years collections experience in healthcare organization or related field.
• Minimum two (2) years management experience.

Education

• Bachelors degree in business administration, accounting, finance, or related field or four (4) years of experience in a directly related field.

License, Certification, Registration

• N/A

Additional Requirements:

• Demonstrated knowledge of related federal and state regulations.

Preferred Qualifications:

• One year credit analysis experience.
• Formal credit/collection training.
• Knowledge of Kaiser Permanente health plans and systems.
• Medical claims experience.

Primary Location: Hawaii,Wailuku,Maui Mem. Wili Pa Loop Building
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri
Working Hours Start: 08:00 AM
Working Hours End: 05:00 PM
Job Schedule: Full-time
Job Type: Standard Worker Location: Onsite
Employee Status: Regular
Employee Group/Union Affiliation: NUE-MHS-01|NUE|Non Union Employee
Job Level: Manager with Direct Reports
Department: WILI PA - Pat. Financial Ops & Admin - 3601
Pay Range: $99200 - $128370 / year Kaiser Permanente is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills and geographic location along with a review of current employees in similar roles to ensure that pay equity is achieved and maintained across Kaiser Permanente. Travel: Yes, 5 % of the Time On-site: Work location is on-site (KP designated office, medical office building or hospital). Worker location must align with Kaiser Permanente's Authorized States policy. Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.
Requisition #: 1414531

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