Maitland seeks to hire Insurance Reimbursement Assistant Manager who will embrace our mission to extend the healing ministry of Christ.
Established in 1908, Florida Hospital is one of the largest not-for-profit healthcare systems in the country, caring for more than a million patients each year. The Maitland Office Plaza houses our highly skilled teams that support our hospital system including Marketing, Patient Financial Services, Revenue Management, the Credit Union and Human Resources. The Trickel Building, a two-story office structure, creates an atmosphere of health and healing, with a healthy-style café and quaint chapel. The main lobby is filled with lush greenery and a light trickle of water, creating a holistic environment.
The Medicaid and Government Insurance Reimbursement team at Florida Hospital Maitland includes Billing Representatives, as well as their support and management staff. The Medicaid and Government Insurance Reimbursement department consists of a great team of individuals responsible for collecting all insurance dollars for the services provided to Florida Hospital patients. This is accomplished by making frequent and effective status calls to Medicaid and Government or via online requests. In an effort to resolve outstanding accounts, the Insurance Reimbursement team tracks and trends Medicaid and Government payments in order to provide feedback to Medicaid and Government Payors for improved future performance. This information is often utilized by various departments within Florida Hospital when making operational decisions. We strive to build a working relationship with Medicaid and Government Payors in an effort to create a partnership for success.
Mon – Fri / 8a -5p
Under management, accountable for day to day functions of all insurance reimbursement areas and teams. Ensures proper reimbursement on patient accounts, identifying error trends and reporting to leadership as needed. Coordinates with Insurance payors and interprets contracts to ensure proper reimbursement on patient accounts. Ensures team success in meeting and exceeding accuracy and productivity goals set by PA/PFS department. Specifically takes responsibility for patient satisfaction and employee engagement scores, meeting goals set by Florida Hospital and PA/PFS department. Performs managerial duties in absence of Manager. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all. Adheres to Florida Hospital Corporate Compliance Plan and to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies
Three (3) years experience in Patient Access/Patient Financial Services Department or related area (registration, finance, collections, customer service, medical office, contract management) and at least six (6) months team lead or supervisory experience.
Ability to use discretion when discussing personnel/patient related issues that are confidential in nature.
Ability to be responsive to ever-changing matrix of hospital needs and act accordingly.
Self-motivator, quick thinker.
Proficiency in performance of basic math functions.
Capable of communicating professionally and effectively in English, both verbally and in writing.
Minimum (2) years college degree (business, healthcare or health services administration, health information management, communications, finance, accounting, public administration, human resources, management, or marketing) with (2) or more years in Patient Access/Patient Financial Services department or related area as defined above. (Preferred)
Licensure, Certification, or Registration Required:
Certified Patient Access Representative or Certified Patient Account Technician (Preferred)
Demonstrates through behavior Florida Hospital's Core Values of Integrity, Compassion, Balance, Excellence, Stewardship and Teamwork as outlined in the organization's Performance Excellence Program
Coordinates with Insurance payors to ensure proper reimbursement on patient accounts. May be required to participate in conference calls, review accounts receivable reports, and/or create reports to compile issues in order to expedite resolution of accounts.
Responsible for examining and interpreting contracts to ensure patient accounts are properly reimbursed. Trends and reports any issues to leadership or as requested.
Reviews quality assurance reports with appropriate Leadership and staff. Creates, prepares and updates various weekly and monthly reports as assigned by Management within specified time frame. Analyzes and reviews statistical reports when requested by Leadership.
Specifically takes responsibility for patient satisfaction and employee engagement scores, meeting goals set by Florida Hospital and PA/PFS department. Promotes an atmosphere of open communication for staff at all times. Assists Customer Service with Patient concerns/questions to ensure prompt and accurate resolution is achieved.
Presents written and verbal directions to employees to ensure well-informed status in performance of their job requirements as indicated, and provides feedback for employee performance evaluations while adhering to Florida Hospital and regulatory evaluation guidelines. Identifies problems proactively to expedite resolution, offering training whenever needed.
Provides continuing education of all team members on process and A/R requirements. Provides team members with tools and training needed to assist in meeting productivity and accuracy goals. Conducts interviews for open positions. Oversees new hire training to successfully meeting 90 day standards.
Required to constantly ensure a high level of team productivity by proactively assigning and directing workload distribution amongst all team members. Enables staff to meet goals and deadlines by monitoring time management of staff. Limits use of overtime. Documents employee performance and attendance.
Adheres to HIPAA regulations by verifying pertinent information to determine caller authorization level receiving information on account.
If you want to be a part of a team that is dedicated to delivering the highest quality in patient care, we invite you to explore the Insurance Reimbursement Assistant Manager opportunity with Maitland and apply online today.
Florida Hospital is dedicated to improving lives not only in Central Florida, but also around the world. As a destination hospital, we are committed to serving the health care needs of our patients with a holistic approach to heal the mind, body and spirit. We strive to be the hospital of choice for patients, physicians and employees. Over the last 100 years, Florida Hospital’s mission remains unchanged: to extend the healing ministry of Christ.