About the job
Responsibilities
This job is responsible for planning, directing and evaluating patient access and patient financial/revenue cycle operational functions/services (clinic and hospital) for the assigned Virginia Mason Franciscan Health (VMFH) market in accordance with overall strategic business objectives, professional standards and applicable regulatory requirements. An incumbent provides ongoing leadership in assessing, developing, implementing and executing initiatives/programs that facilitate optimal financial performance/productivity, maximize effective utilization of resources, reduce operational vulnerability, strengthen the focus on patient access/revenue cycle accountability and generate a competitive advantage for the organization. Work involves balancing revenue stream administration with the operationalization of multiple billing requirements and managed care contracts that require exception-based handling.
Assigned functions include:
- Hospital admitting, patient access and patient account services
- Health Information Management, charge review, professional/OR coding, identification of missed revenue
- Provider audits/assessments and appropriate training to maximize revenue and minimize risk;
- Value based contracts
- Access center/ambulatory scheduling, switchboard
- Claims submission; customer service; financial assistance, self-pay
- Cash applications (payment posting, reconciliation, patient/insurance credits/refunds, etc)
- Hospital/clinic insurance billing, follow-up/denials management, auditing and appeals, recovery audit response
- Advanced revenue cycle analytics
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