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Government Claims Manager

Company: Memorial Health System
Location: Springfield
Posted on: June 13, 2019

Job Description:

Position Summary: Responsible for the daily quality and productivity of 20+ FTE Follow-up and Billing Staff at a 500+ bed acute regional center which include regional trauma, Burn Centers and Cardiac and transplant services. Responsible for $120M A/R and $10+ million in monthly cash collections. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values. Minimum Qualifications: Education: Bachelor of Science in Business Administration, Accounting or Management is required. MBA is preferred. Experience: A minimum of 5 years previous experience in claims operations specifically related to Medicare, Medicaid, or Government Managed care in hospital or physician office setting is required. Experience should include all aspects of billing personnel management, extensive knowledge of Medicand or Medicaid regulatory requirements, collections, and an understanding of third party contractual arrangements. Minimum of three (3) years of experience managing personnel with at least two (2) years managing personnel in a claims processing environment required. Other Knowledge/Skills/Abilities: Must demonstrate extensive knowledge of Federal and State regulatory guidelines to ensure compliant billing and follow-up. Demonstrates ability to plan, monitor and lead productivity based upon the goals/needs/requirements of the Patient Financial Department and Health System. Must possess strong leadership skills. Directly manages staff that performs all governmental billing, follow-up and related accounts receivable functions pertaining to Medicare and Medicaid (In and Out of State) and Government Managed Care. Ensures that cash flow and accounts receivable are properly maintained. Ability to establish productivity standards and measures employee performance accordingly. Must possess skills to monitor the training of new and existing staff on roles and responsibilities. Must be able to develop, support and empower subordinate personnel in order for them to successfully contribute to the achievement of Memorial Medical Center. Must be able to demonstrate ability to affect organizational benefits with various integral departments including I/S, MHS Corporate Compliance, Chargemaster/Decision Support, MMC Clinical department directors, etc. Required Skills Required Experience Job Location Springfield, US-IL PandoLogic. Keywords: Claims Manager, Location: Springfield, IL - 62707

Keywords: Memorial Health System, Springfield , Government Claims Manager, Government & Protective Services , Springfield, Illinois

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