Position Objective:

Under the limited supervision of the Director, the Cash Operations Manager ensures that cash operations – including posting, refunds, and credit balancing functions – are executed to the quality standards and in the timeframe established by the mission of the Professional Fee Central Billing Office (“CBO”). Reviews monthly cash summary reconciliation reports, reviews work of the cash posting specialists, and researches problems with payments, bank deposits, returned checks and refunds. Creates, implements and monitors internal processes to ensure productivity metrics are achieved. Drives strategic planning around revenue cycle process improvement initiatives, as driven by Senior Leadership. Assists Executive Director and Physician Reimbursement Managers in setting cash management strategy.

Essential Job Duties:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions:

  1. Responsible for managing cash operations and posting (cash, denials and refunds). Manages programs, policies, and strategies to ensure accurate cash management and balancing. Direct oversight of team conducting accurate and timely application of payments to outstanding receivables, performing deposit activities and reconciliations, resolution of patient accounts’ credit balances and issuing appropriate refunds for patient service revenue.
  2. Develop and implement electronic remittance posting rules in patient accounting system to improve automation and produce effective denial reporting processing. Monitor department performance to verify accuracy of and distribution of the bank deposits, batches, transmittals, un-posted batches, status of un-scanned materials, electronic media, denial information, refund generation, cash posting duties, reports, and other duties as assigned by senior leadership
  3. Monitor and approve refund requests in accordance with departmental policy. Escalate refund discrepancies, as deemed necessary.
  4. Ensures department controls are documented and practiced by all cash posting personnel.
  5. Regularly provide Senior Leadership with revenue cycle status including reports, metrics, and presentations. Develop, monitor, and assesses business metrics in order to refine processes and improve efficiencies. Establish internal goals and identify external benchmarks and ensure policies and procedures are updated regularly.
  6. Verify competency of all employees of the Cash Operations department. Attract, motivate and develop high caliber people, accurately assesses strengths and development needs of employees; give timely, specific feedback and helpful coaching; provide challenging assignments and opportunities for development. Responsible for interviewing, recommending hires, assessing performance, recommending salary changes, and progressive discipline. Enforces adherence to Luminis HCE CBO and AAHS policies.
  7. Serve as liaison with other departments and business partners (including Treasury, Finance, Information Technology, Physician Practices, etc.) in reference to cash operations scope. Ensure all monthly reconciliations are completed, reviewed and supplied to Finance within designated time frame. Periodic collaboration with business partners to review the department’s reporting and explain identified variances.
  8. Manage department resources and specific projects (e.g., audits) necessary to support financial and organizational goals.
  9. Actively and continuously develop, automate (where possible) and improve work processes. Uses continuous process and performance improvement tools and methods to improve individual, team and cross-departmental performance. Base improvements on customer requirements, data, root-cause analysis and outcomes
  10. Accountable for the management and monitoring of cash and credit balance work queues and/or reports to support timely posting of cash and credit balance resolution; addresses junior staff professional’s performance such as productivity, quality, adherence to processes, and use of tools and resources to assure that resources are appropriately utilized.

Educational/Experience Requirements:

  • Bachelor’s degree in Accounting, Finance, or a related field, or a combination of education and applicable experience is required.
  • Knowledge of the principles of accounting and financial analysis.
  • Working knowledge of full scope revenue cycle management process; patient registration, coding, billing, payment posting, revenue assurance, billing integrity, denial tracking/resolution, accounts receivable, medical terminology, payer contract familiarity
  • Experience with Epic, Epic Cash Management tools highly preferred.

Working Conditions, Equipment, Physical Demands:

There is a reasonable expectation that employees in this position will not be exposed to blood-borne pathogens.

Physical Demands –

Light Duty

The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.

The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.

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