Collections & Customer Relations Manager - Maui Health
Primary Location Wailuku, Hawaii
Worker Location Flexible
Job Number 1298306 Date posted 08/01/2024
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Description:
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.
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: 04:30 PM
Job Schedule: Full-time
Job Type: Standard
Worker Location: Flexible
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: $81800 - $96200 / year
The ranges posted above reflect the location in the job posting. The salary range may vary if you reside in a different location or state than the location posted.
Travel: No
Flexible: Work location is on-site at a KP location, with the flexibility to work from home.
Worker location must align with Kaiser Permanente's Authorized States policy.
At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. Submit Interest
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. Submit Interest
