Location: Wenatchee, WA
Facility: Confluence Health
Department:
Schedule: Full Time
Shift: Day Shift
Hours:

Job Description

Position Summary:

Operationally responsible for the billing and collection activities of Confluence Health. Oversees the Insurance Follow-Up Teams, Patient Services and Collection activities.

Essential Functions:

  1. Provides leadership for the billing and collection activities within Confluence Health.

  2. Prepares, reviews, revises and approves Policies and Guidelines for department work flows, regulatory requirements, industry standards and financial stability.

  3. Mentors and develops staff through 1:1 meetings, goal setting, annual performance reviews and development of leadership skills.

  4. Reviews and approves annual department budgets and goals. Monitors monthly and reports any variances.

  5. Prepares analysis of claim or payer activities, initiates discussions with payers on reimbursement activities for claim resolution. Prepares recommendations for Payor Contracting.

  6. Directs coordination of revenue cycle activities with outside departments, leads interdisciplinary team meetings and champions change management.

  7. Responsible for hiring, progressive guidance and works with HR on termination decisions.

  8. Determines with IT system enhancements, solutions and upgrades. Responsible for securing education and training for department staff.

  9. Must be fluent in reimbursement methodologies, CMS regulations, state regulations related to the claim submission process and appeal process.

  10. Understands Charity Care and Bad Debt regulations at the state and federal level.

  11. Responsible to ensure all Financial and Medicare audit papers are completed as required.

  12. Works with department managers to ensure adequate staffing of daily activities, review overtime and work load balance.

  13. Attends industry training and education as requested.

  14. Other duties as assigned.

Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times.

Qualifications:

  • Bachelors Degree

  • Masters Degree Preferred

  • CPT, HCPCS, ICD10 experience

  • 7 or more years experience in Health Care, Revenue Cycle, Payer or similar field

  • For CH employees, completion of CHVS for Leaders plus 3 years of relevant leadership experience

Desired:

  • Epic Experience, proficiency or above in Prelude, Cadence, Resolute applications

  • Industry Certification from AAHAM, HFMA, AHIMA

  • Demonstrated multi-department leadership as well as a team player

Additional Information

Who We Are: Confluence Health is an integrated healthcare delivery system that includes two hospitals and more than 40 medical specialties, to provide comprehensive medical care in North Central Washington. With over 270 physicians and 150 advanced practice clinicians, Confluence Health is the major medical provider between Seattle and Spokane. Our goal is to deliver high-quality, safe, compassionate, and cost-effective care close to home. Staying on the leading edge of healthcare innovation is important, so we invest in technology--to provide better care for our patients and allow our providers to operate at the highest level. Our Mission: We are dedicated to improving our patients' health by providing safe, high-quality care in a compassionate and cost-effective manner. Our Vision: To become the highest value rural healthcare system in the nation that improves health, quality of life, and is a source of pride to those who work here.

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