Mgr, Hospital Rev Mgmt

Position Summary:

At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we serve. By daily embodying our over 100-year legacy, we have grown into a 3,900-bed healthcare organization that delivers care for more than 142,000 inpatient and 3.9 million outpatient visits each year. Our 24 award-winning hospitals and ERs, 9 specialty institutes, 14 urgent care centers, 100+ primary care practices and more than 60 outpatient facilities serve communities that span Florida’s east to west coasts and beyond.

“Orlando Health Is Your Best Place to Work” is not just something we say, it’s our promise to you

The Manager, Hospital Revenue Management is responsible for the resolution of hospital accounts receivable. This includes daily oversight of insurance collections, cash posting, denial and appeals management, and variance review.

Responsibilities:

• Develops goals and objectives for the department and team members
• Responsible for the orientation and training of new Assistant Managers
• Ensures Assistant Managers are compliant with productivity standards, performance evaluations, team member development,

• Responsible for monthly review of the accounts receivable for all assigned payers, as well as, optimizing reimbursement and

• Reviews and validates overpayment requests as necessary.
• Develops and maintainstracking of all payer-related issues impacting the accounts receivable for assigned payers.
• Facilitates and presents at task force meetings the status of payer issues, outstanding accounts receivable, action plans underway

• Provides feedback to the Managed Care team regarding issues and trends that cause the accounts receivable to age.
• Ensures that state and federal legislative changes are communicated to the appropriate team members throughout the Patient Accounting Department.
• Develops and maintains standard process workflows for account review to be followed by the Assistant Managers and team

• Works closely with all departments within Revenue Management to increase the clean claims percentage, first pass denial rate,

• Establishes and implements policies and procedures for department operations.
• Responsible for the management of all team members in Human Resource related functions.
• Reviews departmental performance and implements changes as necessary to improve services and simplify workflows.
• Develops and implements appropriate new business relative to new insurance contracts and/or new facilities.
• Maintains good payor relationships
• Works closely with the contract managers and the revenue integrity team in maintaining good payor relationships and ensuring

• Develops and implements rules within the electronic health record to facilitate cleaner claims.
• Completes special projects as assigned.
• Establishes and maintains intra/interdepartmental communication. Participates in management meetings and attends other meetings as necessary.
• Meets with team members on a regular cadence.
• Establishes and maintains safety, policies, procedures, objectives, and infection control in the department.
• Ensuresimplementation of process improvements.
• Manages various personnel functions including hiring, work assignments, coaching plans, and disciplinary actions.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal,

• Maintains compliance with all Orlando Health policies and procedures.

• Assumes responsibility for professional growth, development, and continuing education.
• Conductsspecial trainingsfor mentoring as necessary. .
• Performs other duties as assigned.
• Completes all mandatory education.

Qualifications:

Education/Training

Four (4) years of experience in a related field (medical billing/collections/managed care) may substitute for the bachelor’s degree.

HFMA or AAHAM certification is preferred.

Two (2) years of prior supervisory experience or 2 years of a lead/preceptor role is required.