Manager, Revenue Cycle Home Health & Hospice, Full time, days

Under the direction of the Director of Finance – Post Acute Care Services, this is a management position responsible for Home Health and Hospice billing through final resolution of patients accounts to maximize collectible revenue and minimize outstanding discharged receivables. This position oversees collection and follow-up activities, identification and processing of appropriate write-offs, accurate resolution of all credit balances, and prompt response to follow-up issues. Ensures compliance to contract billing requirements to include all coding edits. Oversee Managed Care Liaison’s functions to ensure collaborations with Patient Account Representatives. Provides timely feedback and education to appropriate departments, Directors, Supervisors, and staff. Works closely with Clinical Directors, Managers, Supervisors, Managed Care Liaisons, and Intake Coordinators to ensure that billing information is provided to Patient Accounting Staff.

PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology.

Responsibilities:

1. Oversee Home Health and Hospice billing processes.
2. Manage collection and follow-up activities.
3. Identify and process appropriate write-offs.
4. Ensure compliance with contract billing requirements.
5. Collaborate with Managed Care Liaison and Patient Account Representatives.
6. Provide education and feedback to departments and staff.
7. Work closely with Clinical Directors and other stakeholders.

Minimum Qualifications:

• Must be able to demonstrate excellent problem-solving and analytical skills.
• Ability to manage multiple deadlines and be flexible when priorities change.
• Proficiency in Excel, Word, and PowerPoint.
• Results-oriented professional management skills. Good mathematical skills.
• Strong verbal and written communication skills required.
• Ability to learn new systems and become proficient in development of reports via hospital systems and tools provided.
• Must demonstrate sound decision-making and prioritization skills.
• Requires extensive knowledge of commercial, Medi-Cal, Medicare, and workers’ compensation.
• High school graduate.
• Minimum three years experience in healthcare patient accounting.

Preferred Qualifications:

• BA or BS degree in Business Administration preferred.
• AAHAM CPAT certification preferred.
• Management experience preferred.