Navigant Consulting Inc Manager, Patient Financial Services ( Hospital PFS) - Navigant BPM - Birmingham, AL in Lewisville, Texas

Navigant Consulting, Inc. (NYSE: NCI) is a specialized, global professional services firm that helps clients take control of their future. Navigant’s professionals apply deep industry knowledge, substantive technical expertise, and an enterprising approach to help clients build, manage and/or protect their business interests. With a focus on markets and clients facing transformational change and significant regulatory or legal pressures, the Firm primarily serves clients in the healthcare, energy and financial services industries. Across a range of advisory, consulting, outsourcing, and technology/analytics services, Navigant’s practitioners bring sharp insight that pinpoints opportunities and delivers powerful results. More information about Navigant can be found at navigant.com.

Navigant Cymetrix unites the strengths of four category-leading companies to address the complexities of today’s healthcare system. We design, develop and implement integrated, patient-centered solutions for sustained improvements in performance and profitability, working collaboratively across a spectrum of customers that encompasses hospitals, health systems, physician practice groups and payers.

The Patient Financial Service Manager – COS is responsible for supervising the PFS staff in a fair and consistent manner on daily operations of billing, cash posting, and collections. Also performs any and all related job duties as assigned.

If you have a PFS Management background and would like to go over this position, please contact Chris Rivera (Manager, Talent Acquisition) at (714) 361-6836 .

Essential Job Functions

  • Leadership / Training

  • Billing / Cash Posting / Collections

  • Compliance

  • Reporting

Duties and Responsibilities

Leadership and Training:

  • Acts and leads in a manner that will instill trust and foster team play.

  • Ensures that all employees know and understand all State and Federal Rules and Regulations.

  • Provide a working environment which allows employees to communicate ideas for improvement to department. Whenever possible request employee input on policies and procedures that may affect or impact the way their job is performed.

  • Maintain open communications and provide appropriate feed back to PBA staff and management.

  • Allow employees to attend seminars which will enhance productivity and knowledge.

  • Ensures employees have all the tools necessary to achieve the goals set.

Billing/Cash Posting/Collections:

  • Works with all departments to ensure accuracy of CPT4, HCPCS and Revenue Codes.

  • Provide departments with Medicare and other payer updates, notices and coverage changes which effect both billing and reimbursement.

  • Reviews process and systems to ensure the most effective methods are maintained to meet all departmental and facility goals.

  • Works with IT to ensure that all changes are completed to ensure accuracy of billing is maintained.

  • Ensures bill hold in electronic systems meets established goal.

  • Works with both electronic billing vendor and payers to resolve billing/cash posting issues.

Compliance:

  • Communicates all compliance issues to Manager.

  • Educates and ensures that all employees understand Compliance and appropriate procedure for reporting compliance issues for State, Federal and HIPAA.

  • Attends pertinent seminars, internal and external and shares obtained information with staff and other appropriate departments.

  • Reviews and maintain JACHO requirements for billing, cash posting and collections.

Reporting:

  • Responsible for the weekly Key Indictor Reports and Accomplishments Reports which are due every Monday by 12:00pm.

  • NDC/Epremis billing error report to departments daily.

  • Maintain logs by department for claims in Epremis hold status.

  • Daily electronic and paper claim report.

  • Other reports as requested by management.

  • Weekly report of Late Charge to Departments.

  • Bachelor’s Degree or equivalent experience.

  • Three years of healthcare financial management experience.

  • Must have a solid understanding of the healthcare revenue cycle.

  • Demonstrated competency in working in teams and ability to effectively communicate with all levels.

If you have a PFS Management background and would like to go over this position, please contact Chris Rivera (Manager, Talent Acquisition) at (714) 361-6836 .

  • Strong conceptual, as well as quantitative and qualitative analytical skills

  • Work as a member of a team as well as be a self-motivator with ability to work independently

  • Constantly operates a computer and other office equipment to coordinate work

  • Frequently travels by airplane, train or car as necessary to perform work at another location

  • Regularly uses close visual acuity and operates computer equipment to prepare and analyze and transmit data

  • Generally works in an office environment

Navigant Cymetrix is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information or any other basis protected by law, ordinance, or regulation.

Navigant will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.