Sr Mgr, Pat Accts FU/Denial Mg (Patient Accounts)

Pinnacle Health Systems Harrisburg, PA
Job Details

Job Summary: Under the direction of the Corporate Director, Hospital Patient Accounts; the Senior Manager, Hospital Patient Accounts Follow Up and Denial Management is primarily responsible for the coordination and management of all accounts with open balances to ensure they are paid expeditiously for all Pinnacle Health System hospitals, with total collections in excess of $1 billion annually from insurers. These responsibilities include management of denials and follow up of unpaid or incorrectly paid claims to ensure Pinnacle Health is collecting the appropriate reimbursement from third party payors on a timely basis. He/she coordinates the activity of the Patient Accounts Dept. with the Patient Financial Support Services Dept. and other hospital departments, (Patient Access, Health Information, and Utilization Management) and third party payors.

Job Requirements: B.S. in Business Administration or health care related filed OR 3 years of experience performing the exact functions of this role. Progressive claims processing experience in a large healthcare system required. Minimum of 7 years of experience in healthcare required. 5 years of management and supervisory experience required. Must be able to plan and manage area of responsibility. Must have experience with personal computers. Must have good oral and written communication skills. Must have strong problem solving skills to approach situations in an imaginative, innovative, interpretive and analytical manner. Must be able to make effective decisions in challenging situations. Demonstrated ability to motivate staff. Demonstrated team building ability. Knowledge of all phases of the revenue cycle. Ability to analyze workload and establish staff performance expectations.

Preferred Qualifications: Certified Revenue Cycle Executive (CRCE) or Certified Revenue Cycle Professional (CRCP).