*Manager, Financial Analyst
Company Name:
MetroSouth Medical Center
Summary: Leads activities for a team of Analytical and Professional individuals to ensure Clinic Fee Schedules are properly maintained and Managed Care Contracts are evaluated and managed in the Clinic Revenue Cycle System and/or other Third Party Software.
Monitors staff progress in researching claims identified as paid incorrectly by insurance carriers; resolving requests to modify Clinic Fee Schedules; evaluation of proposed Managed Care Contracts; standardization of Clinic Fee Schedules; and, all other related issues that impact the Clinic Revenue cycle and Clinic Accounts Receivable.
Essential Duties and
Responsibilities: Include the following_. Other duties may be assigned._
Assigns supervisors and staff according to operational needs
Establishes and monitors team goals
Reviews work completed by supervisors and staff
Handles escalated issues related to clinic daily operations
Effectively leads, coaches, and counsels supervisors and team members as necessary
Reviews actions plans and educates supervisors and staff on proper follow up techniques
Audits staff investigation into billing problems and educates when appropriate
Reviews Managed Care Payment Evaluations and presents findings as appropriate
Reviews Managed Care Proposals and Evaluations and presents findings as appropriate
Reviews Fee Schedule Changes to ensure Policies and Standards are followed
Writes CBO and Clinic Operational Procedures as necessary
Supervisory
Responsibilities: Directly supervises employees. Carries out supervisory responsibilities in accordance with the organization''s policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Competencies: To perform the job successfully, an individual should demonstrate the following competencies:
Analytical - Collects and researches data; Uses intuition and experience to complement data; Designs work flows and procedures
Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs
Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Keeps emotions under control; Remains open to others'' ideas and tries new things
Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings
Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Presents numerical data effectively; Able to read and interpret written information
Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others'' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Able to build morale and group commitments to goals and objectives; Supports everyone''s efforts to succeed
Leadership - Inspires and motivates others to perform well; Accepts feedback from others; Gives appropriate recognition to others
Supervising People - Includes staff in planning, decision-making, facilitating and process improvement; Makes self available to staff; Provides regular performance feedback; Develops subordinates'' skills and encourages growth; Improves processes, products and services; Continually works to improve supervisory skills.
Quality Management - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance
Diversity - Diversity - Shows respect and sensitivity for cultural differences; Promotes a harassment-free environment
Ethics - Treats people with respect; Works with integrity and ethically
Organizational Support - Follows policies and procedures; Completes administrative tasks correctly and on time
Planning/Organizing - Prioritizes and plans work activities; Uses time efficiently; Organizes or schedules other people and their tasks; Develops realistic action plans
Professionalism - Approaches others in a tactful manner; Treats others with respect and consideration regardless of their status or position; Follows through on commitments
Quality - Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness
Quantity - Completes work in a timely manner; Strives to increase productivity
Safety and Security - Observes safety and security procedures; Reports potentially unsafe conditions
Adaptability - Adapts to changes in the work environment; Able to deal with frequent change, delays, or unexpected events
Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Completes tasks on time or notifies appropriate person with an alternate plan
Initiative - Undertakes self-development activities; Asks for and offers help when needed
Innovation - Meets challenges with resourcefulness; Generates suggestions for improving work
Attendance/Punctuality - Is consistently at work and on time; Ensures work responsibilities are covered when absent
Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Preferred Education and/or
Experience: Bachelor's degree in Accounting, Health care management or Business; 10 years in leadership or supervisory experience involving Practice Revenue Cycle including billing and managed care contracting.
Other Skills and Abilities:
Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups and to physicians, practice managers, clinic staff, and other employees within the organization. Ability to effectively communicate with insurance carrier staff and vendor staff.
Reasoning Ability: Ability to apply common sense understanding to carry out detailed written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.
Computer Skills: To perform this job successfully, an individual must have knowledge of general computer applications and practice management systems.
Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to reach with hands and arms and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision and ability to adjust focus.
Job: Business Office Support
Primary Location: TN-Franklin (Nashville Region)
Organization: PPSI
Employee Status: Full-time
Req ID: 1429642
Req Number: 1429642Estimated Salary: $20 to $28 per hour based on qualifications.
MetroSouth Medical Center
Summary: Leads activities for a team of Analytical and Professional individuals to ensure Clinic Fee Schedules are properly maintained and Managed Care Contracts are evaluated and managed in the Clinic Revenue Cycle System and/or other Third Party Software.
Monitors staff progress in researching claims identified as paid incorrectly by insurance carriers; resolving requests to modify Clinic Fee Schedules; evaluation of proposed Managed Care Contracts; standardization of Clinic Fee Schedules; and, all other related issues that impact the Clinic Revenue cycle and Clinic Accounts Receivable.
Essential Duties and
Responsibilities: Include the following_. Other duties may be assigned._
Assigns supervisors and staff according to operational needs
Establishes and monitors team goals
Reviews work completed by supervisors and staff
Handles escalated issues related to clinic daily operations
Effectively leads, coaches, and counsels supervisors and team members as necessary
Reviews actions plans and educates supervisors and staff on proper follow up techniques
Audits staff investigation into billing problems and educates when appropriate
Reviews Managed Care Payment Evaluations and presents findings as appropriate
Reviews Managed Care Proposals and Evaluations and presents findings as appropriate
Reviews Fee Schedule Changes to ensure Policies and Standards are followed
Writes CBO and Clinic Operational Procedures as necessary
Supervisory
Responsibilities: Directly supervises employees. Carries out supervisory responsibilities in accordance with the organization''s policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Competencies: To perform the job successfully, an individual should demonstrate the following competencies:
Analytical - Collects and researches data; Uses intuition and experience to complement data; Designs work flows and procedures
Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs
Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Keeps emotions under control; Remains open to others'' ideas and tries new things
Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings
Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Presents numerical data effectively; Able to read and interpret written information
Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others'' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Able to build morale and group commitments to goals and objectives; Supports everyone''s efforts to succeed
Leadership - Inspires and motivates others to perform well; Accepts feedback from others; Gives appropriate recognition to others
Supervising People - Includes staff in planning, decision-making, facilitating and process improvement; Makes self available to staff; Provides regular performance feedback; Develops subordinates'' skills and encourages growth; Improves processes, products and services; Continually works to improve supervisory skills.
Quality Management - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance
Diversity - Diversity - Shows respect and sensitivity for cultural differences; Promotes a harassment-free environment
Ethics - Treats people with respect; Works with integrity and ethically
Organizational Support - Follows policies and procedures; Completes administrative tasks correctly and on time
Planning/Organizing - Prioritizes and plans work activities; Uses time efficiently; Organizes or schedules other people and their tasks; Develops realistic action plans
Professionalism - Approaches others in a tactful manner; Treats others with respect and consideration regardless of their status or position; Follows through on commitments
Quality - Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness
Quantity - Completes work in a timely manner; Strives to increase productivity
Safety and Security - Observes safety and security procedures; Reports potentially unsafe conditions
Adaptability - Adapts to changes in the work environment; Able to deal with frequent change, delays, or unexpected events
Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Completes tasks on time or notifies appropriate person with an alternate plan
Initiative - Undertakes self-development activities; Asks for and offers help when needed
Innovation - Meets challenges with resourcefulness; Generates suggestions for improving work
Attendance/Punctuality - Is consistently at work and on time; Ensures work responsibilities are covered when absent
Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Preferred Education and/or
Experience: Bachelor's degree in Accounting, Health care management or Business; 10 years in leadership or supervisory experience involving Practice Revenue Cycle including billing and managed care contracting.
Other Skills and Abilities:
Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups and to physicians, practice managers, clinic staff, and other employees within the organization. Ability to effectively communicate with insurance carrier staff and vendor staff.
Reasoning Ability: Ability to apply common sense understanding to carry out detailed written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.
Computer Skills: To perform this job successfully, an individual must have knowledge of general computer applications and practice management systems.
Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to reach with hands and arms and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision and ability to adjust focus.
Job: Business Office Support
Primary Location: TN-Franklin (Nashville Region)
Organization: PPSI
Employee Status: Full-time
Req ID: 1429642
Req Number: 1429642Estimated Salary: $20 to $28 per hour based on qualifications.
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