Patient Access Services And Cic / Scor Manager
The Manager of Patient Access Services and CIC / SCOR is responsible for the 24-hour per day, 7-day per week operation of all patient access and account activities from admission notification through creation of final billing product. The Manager is accountable for assuring consistency with standards promulgated by appropriate professional organizations, accrediting bodies, and regulatory agencies. Additionally, the Manager assures compliance with established hospital and system objectives, balancing quality, cost, clinical outcomes, and organizational mission, values and philosophy.
Required Qualifications :
- 3 years experience in large hospital setting, medical group, or A / R consulting company in inpatient accounting.
Preferred Qualifications :
Other Appropriate affiliation with national organizations which provide or enhance expertise and ongoing knowledge.Centricity system experience.Other Qualification Requirements :
Bachelor's degree in Business Administration or equivalent knowledge and experience, preferably in accounting or finance.Essential Functions :
Under the direction of the System Director Revenue Cycle-Access Services, the Manager of Patient Access Services & CIC / SCOR prepares budgets and financial reports for the functional areas, develops operational plans and ensures that all claims submitted comply with rules and regulations governing Medicare and Medi-Cal billing.The Manager determines appropriate staffing ratios, evaluates performance, recommends changes which may reduce staffing, enhance efficiencies, improve billing production, maximize reimbursement, and ensures satisfactory service to physicians, patients, and other customers.The Manager advises the System Director on appropriate integration strategies which affect billing and affiliated services.The Manager serves as a professional role model in overall conduct, communication, and approaches to practice.The Manager assures employees possess the training and knowledge to competently deliver services with expected outcomes.The Manager provides leadership to assure that staff practice safe work habits, and that the working environment is consistently within regulatory standards.Knowledge, Skills, and Abilities :
Exposure to and knowledge of the continuous quality improvement concept.Working knowledge of hospital and ambulatory care charging policies, contractual payment schemes, and collection agency policies.Working knowledge of medical terminology, ICD10 coding, RVS coding, and CPT coding.Ability to discuss personal and financial matters with patients or their representatives.Ability to withstand pressure, meet deadlines, and positively react to stress associated with job duties.Ability to use resources in an organized manner.Bilingual preferred.Sharp HealthCare is an equal opportunity / affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class.