Description

Purpose:
Primarily responsible for the coordination and supervision of a fully integrated cash management process that encompasses several different corporations. The Senior Manager is responsible for the overseeing and monitoring of all of the team activity as it relates to the collection and posting of all of the insurance and guarantor/patient payments in both electronic and manual forms, which amounts to over $1 billion. This service will support several Hospitals, Medical Services (approximately 125 multi-specialty practice sites), Cardiovascular Heart Institute, and Regional Physician entities. He/she will work with the Team Leads to review and ensure that the functions in the payment posting and reconciliation area, as well as, refunds are performed efficiently and timely. Coordinates the activity of the department with other areas such as: Patient Accounts, Information Technology and Financial Accounting departments. He/she will work as the liaison between the payment posting area and the Financial Accounting department to maintain an efficient and accurate workflow for final reconciliation to the general ledger. Will work with the System Director of Patient Financial Support Services to establish analytical reporting, financial and production goals, performance evaluations, establish and enforce policies and procedures and communication to stakeholders outside of the Patient Financial Support Services department. He/she supports the essential processes of sustaining and improving operational and system performance based on trends and changes in the healthcare industry. The position requires that all responsibilities be carried out in accordance with the Pinnacle Health System's mission statement.

Responsibilities:

• The Patient Financial Support Services unit is a service and production-oriented component of PinnacleHealth Hospitals. The centralized patient business office allows for communication between work teams. Senior Manager of Cash Reconciliation, Payment Posting, and Refunds will work with management and staff of the Professional Billing, Patient Accounts, Information Technology, and Financial Accounting departments. He/she has significant interaction with subordinates and he/she needs to balance a hands-on approach with staff through managerial responsibilities, which include communication, advocacy, enforcement of policy, and establishment of performance targets. This position requires the ability to work with a large diverse staff. The interaction, which takes place, must be effective with both the exempt and non-exempt staff. Individuals must be able to succeed in a busy and complex environment.
• Facilitates team activities by assessing needs for team building and team development within Patient Financial Support Services dept.
• Performs other duties and completes special projects as assigned by the Corporate Director Patient Financial Support Services.
• Communicates process changes to the management team for proper implementation and distribution.
• Monitors the success and implementation of vendor products such as Epic single billing office system, patient billing, banking both electronic and manual, clearinghouses, and Onbase document imaging file transmissions.
• The Senior Manager will be responsible for a team of approximately 32 FTEs comprised of Team Leads in both Payment Posting and Refunds, Cashiers staff including Cash Reconciliation Specialists, and Refund Analysts. The Senior Manager will be responsible for preparing and delivering performance evaluations for each team member in consideration with Team Lead's input.
• Initiates and maintains quality measures that include goals for the accuracy and timeliness of responsibilities.
• Establishes and implements policies and procedures as necessary to assure accurate and timely payment posting and refunding of credits is being performed.
• Attends and schedules meetings as needed with other department leaders to facilitate process change/improvement.
• Schedules and facilitates department meetings to inform staff of changes in processes, review goals and financial metrics, and to provide in-service training on changes in healthcare insurance and Pinnacle Health System services.
• Interviews, hires, directs, and evaluates the performance of assigned staff, as well as, disciplines and terminates employees as necessary in accordance with Pinnacle Health System's Policy and Procedures Manual.
• Establishes and prioritizes team goals for cash collections and posting, rejections, ATB aging, etc.
• Creates and reviews departmental reports such as, but not limited to, cash reconciliation, unposted cash, cash or credit/debit card discrepancies or in transit, lost remittance files, accounts receivable aging, unbilled reports, or credit balances.
• Utilize reports to identify and quantify issues relating to the receivables for the payers served.
• Assist with the coordination and review of the Medicare bad debt logs prior to its deliver to the Reimbursement department, which performs the final review and submission for the Medicare cost report.
• Responsible for the overseeing and monitoring of all team activity as it relates to the collection and posting of cash, cash reconciliations, and refunds.
• Assist and guide the Business Analyst(s) with their duties as needed.
• Setup functionality and work with the bank and clearinghouses on remittance transfers and processing.
• Collaborate with Information Technology department on all software aspects including new system builds.
• Works as a liaison between our Information Technology department and our software vendors as needed.
• Ensures and audits the transactions postings performed by the staff for accuracy.
• Establishes and maintains positive and effective communication channels with third party vendors.
• Ensures procedures are in compliance including but not limited to banking regulations.
• Ensures that all payment postings and deposits to the bank are timely and accurate, and capture all of the needed information for recording and reconciling payments.

Qualifications

Bachelor's degree in Accounting or Business Administration, substitution of an Associate degree and/or extensive experience in cash posting or refund areas of a healthcare facility. Minimum of 7 years of experience in healthcare or finance.A minimum of five years of experience in a senior or supervisory role.Strong information systems knowledge and their integration with third party software and processes including but not limited to billing, banking, clearinghouse remittance processing, and electronic funds transfer processes.Must have strong problem solving skills to approach situations in an imaginative, innovative, interpretive, and analytical manner.Must be able to make effective decisions in challenging situations.Complete understanding of the health care reimbursement principles.Ability to manage multiple billing and financial systems and communicate relevance of reports to staff.Ability to compile and present analytics to senior management as they relate to team performance.Competence in Microsoft Office products to include a minimum of Excel and Word.Demonstrated ability to teach and motivate other members of the department and improve team performance.Ability to analyze workload and establish staff performance expectations.Must be able to plan and manage area of responsibility.Must have effective oral and written communication skills.Preferred Knowledge, Skills and Abilities:Master's degree in Accounting Certified Revenue Cycle Executive (CRCE) or Certified Revenue Cycle Professional (CRCP) or other appropriate certification or demonstration of continuing professional development and training is preferred.Knowledge relating to hospital registration and patient billing processes and systems.

Licensure, Certifications, and Clearances:
Clearances must be dated within 90 days

• Act 33 with renewal
• Act 34 with renewal
• Act 73 FBI Clearance with renewal

UPMC is an Equal Opportunity Employer/Disability/Veteran

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