Mgr, Finance Reconciliation Services

Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: Benefits from

Day One:

Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100%

Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule:

Full time

Shift:

Day (United States of America)

Address:

900

HOPE WAY City:

ALTAMONTE SPRINGS

State:

Florida Postal Code:

32714

Job Description:

Oversees reconciliation and research activities to ensure timely resolution of payment posting exceptions. Provides direction and support to staff, promoting their development and collaboration with other managers and administrative staff. Analyzes and resolves problems related to payment posting activities. Manages personnel activities including hiring, training, development, and termination of staff. Monitors payment and adjustment trends, interpreting reports and dashboards. Ensures the timeliness and appropriateness of posting payments. Works closely with IT resources, insurance payers, and bank vendors to utilize technology and automation in payment posting functions. Develops, implements, and monitors key performance indicators and productivity goals. Identifies root causes for variances and applicable process improvements. Reports key findings to appropriate leadership. Establishes and ensures the effectiveness of internal controls. Reviews and approves write-offs and adjustments on accounts as defined in policies.

Knowledge, Skills, and Abilities:

• General knowledge of insurance billing practices, including Provider Level Balance (PLB) adjustments
• Understanding of file formatting and interpretation of insurance Explanation of Benefits (EOB)
• Clear understanding of payer adjudication and file flow that may include clearinghouses and other third party intermediaries.
• Ability to demonstrate solid knowledge and application of generally accepted accounting principles
• Ability to communicate effectively both orally and in writing
• Technical Skills
• Extensive Knowledge on use of email, search engine, Internet
• Ability to effectively navigate payer websites
• Knowledge and use of Microsoft Products
• Outlook
• Word
• Excel
• Teams
• OneNote
• Experience with ERP systems (e.g. PeopleSoft)
• Experience with various patient accounting systems
• NextGen
• AthenaHealth
• Cerner
• HomeCare Homebase
• Working knowledge of

Epic Practice Management System Education:

• Bachelor's [Required]

Field of Study:

• in Healthcare Administration, Finance, Business Administration, or equivalent degree from a four-year accredited university or college or an Associate degree plus 3 years of relevant experience

Work Experience:

• 2+ years of experience working as a manager, supervisor or lead with direct reports [Required]
• 4+ years of experience in healthcare revenue cycle or payment posting operations [Required]

Additional Information:

N/A Licenses and Certifications:

• Epic Resolute Hospital Billing Charging (EPIC RHBC) [Preferred]

Physical Requirements:

(Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

$72,786.83 - $135,385.27 Background Screening Requirement (Florida Law) Certain positions are subject to Florida Level 2 background screening , including fingerprinting, as required by state law. Applicants may review general information about Florida's background screening requirements at the

Florida Care Provider Background Screening Clearinghouse :

https://info.flclearinghouse.com/ This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.