Summit Medical Center is looking for a Benefits Manager to join our Quality Care Team. The Benefits Manager will lead the oversight, directing, management and review of activities for the Benefits and Authorization activities of the facilities.
Requirements
- Maintains established departmental policies and procedures, objectives, quality assurance program, safety, environmental and infection control standards.
- Assist in direction and training of the activities and oversight of the Benefits, Insurance Verification and Authorization activities necessary to ensure coverage for all services provided at our facilities.
- Leads the determination and enforcement of corrections required for identified problem resolution.
- Support Revenue Team members in answering a variety of correspondence from respective facility staff members, insurance companies and other concerned parties regarding Business Office related inquiries, processes and issues.
- Oversee and ensure timeliness and accuracy of daily/monthly routines of the entire accounts receivable process.
- Lead preparation and review of financial reports and business office performance analysis, setting forth progress, adverse trends and appropriate recommendations or conclusions.
- Monitor, analyze and report metrics in place for each facility.
- Perform review and analyzation of weekly/monthly reporting procedures, as well as the month-end close process.
- Analyze and evaluate the viability of procedures/services performed within our facilities.
- Perform annual review, development and recommendations and implementation of policies and procedures for related Business Office functions and monitor compliance of such.
- Maintain expert knowledge of A/R system and A/R system reporting.
- Ensure each facility’s fee schedule is accurately loaded into the billing software.
- Ensure proper maintenance and completion of all forms for documentation in the patient’s medical records.
- Assist with compilation of statistics for running required state reports each quarter.
- Participate in loss prevention by protecting company assets and maintaining a safe environment.
- Maintain compliance requirements without reminder or follow-up, including annual compliance training; license/certification renewal; specialized training requirements; etc.
- Demonstrate the safe operation of equipment and machinery and follows procedures for reporting and correcting an unsafe situation.
- Integrate knowledge, attitudes, and skills and behaviors to maintain consistent standards of care and competency-based practice following standards of care and center policy.
- Explain procedures in terms others understand; shares resources with other (ex: computers, knowledge); provides information in a timely manner; informs patients or coworkers of any delays; tries to find a solution to patient or coworker issues.
- Look for ways to continually improve work methods that will benefit patients, physicians, and coworkers; respects coworkers and works cooperatively as a team to improve patient care/services excellence;
- Maintains department records, reports, and files as required.
- Maintains and cares for department equipment and supplies.
- Participates in educational programs and in-service meetings.
- Performs other duties as assigned or requested.
- Maintains confidentiality of patient and center related business.
- Develops and maintains an effective working relationship with patients, families, visitors, and other center employees.
- Documents concisely, precisely, and accurately on all records or documents as indicated by policy.
- Participates in Quality Assessment activities as directed for the continuous improvement of patient care and center business.
Benefits
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Referral program
- Vision insurance
- Bonus opportunities
