Direct operational accountability for billing and follow up for multiple service lines of business, including all assigned payers, across all Swedish acute ministries
Manage billing and collections for critical access hospitals, rural health clinics, provider based clinics and hospital based professional fee billing, including specialty service lines such as Clients, Third Party Liability, Behavioral Health, Research, and Global/Bundle arrangements
Assist in developing and executing a strategic plan to accomplish goals for commercial, other government and specialty service lines of business
Partner with leaders of Providence RCS Services to implement revenue cycle strategies
Oversee denial management, reporting and reimbursement recovery
Requirements
Bachelor’s Degree in Business, Healthcare Management, or related field --or-- equivalent education and experience
Demonstrated experience in managing all aspects of billing follow-up, denial management – reporting and reimbursement recovery, including patient accounting, third-party payor billing and EDI billing experience in a business office that supports a multiple hospital healthcare system
Experience with Critical Access Hospital (CAH) billing and collections, CAH regulatory guidelines, Swing bed rules, SNF billing rules and follow-up processes, Rural Health Clinic rules, Provider Based Clinic rules in a CAH setting
Professional fee billing in both a clinical and Acute Hospital setting
SNF consolidated billing rules, Medicaid TAD claim submission rules, CAH Method I and Method II Billing rules, CRNA Pass Through Exemption, and Provider Based Clinic Billing
Preferred: 4 years related experience in healthcare, revenue cycle or finance
Preferred: 3 years leadership experience
Preferred: Epic Experience
Preferred: Experience with Reference Lab Billing rules
Benefits
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Retirement 401(k) Savings Plan with employer matching
Health care benefits (medical, dental, vision)
Life insurance
Disability insurance
Time off benefits (paid parental leave, vacations, holidays, health issues)
Voluntary benefits
Well-being resources
Best-in-class benefits designed to support you and your family in staying well, growing professionally, and achieving financial security.
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