All the benefits and perks you need for you and your family: Benefits from Day One
- Paid Days Off from Day One
- Career Development
- Whole Person Wellbeing Resources
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Schedule: Full Time
Shift: Day Shift, Monday-Friday
Location: AdventHealth Daytona Beach: 301 Memorial Medical Parkway, Daytona Beach, FL 32117
The community you’ll be caring for: Approved TA Facility details
The role you’ll contribute:
The Senior Manager of PFS provides direction for third party payers in the managed care/commercial realm, actively plans, develops, organizes, and manages multiple areas of responsibility as assigned by senior leadership. Designs processes to meet or exceed key performance indicators related to both financial metrics and regulatory compliance requirements. Leads discussions with managed care payers to mitigate risks. Meets goals as outlined by both the Regional Executive Director of PFS and/or the corporate Revenue Cycle department. Is responsible for the primary contact with our AHS Managed Care department. Identify key opportunities for performance improvement within areas of responsibility and beyond. Cultivate staff development by providing frequent feedback. Mentors staff, manages labor, and meets departmental goals. Analyzes processes and coordinates with leadership and other service partners to develop policies and procedures mutually beneficial to all respective areas while maintaining the integrity of the PFS Departments. Responsible for managing payer meetings (JOC – Joint Operating Council), AHS Managed Care, and Revenue Cycle. Provides appropriate planning to address payer payment issues and creates new ways to mitigate risks. Responsible for providing staff with resources and training in order to aid them in meeting or exceeding all performance goals including but not limited to accuracy, collections, regulatory and forms completion. Actively participates in exemplary customer service and accepts responsibility in maintaining relationships that are equally respectful to all. Adheres to Corporate Compliance Plan and to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies.
The value you’ll bring to the team:
- Actively manages, plans, develops, and organizes multiple areas of responsibility as assigned by Senior Leadership. Practice excellent time management in order to be available to attend meetings for Leadership of all responsibilities.
- Assist in the annual review and updating of all policies, SOP’s and reference materials pertinent to areas of responsibility.
- Manage the budgets for areas of responsibility, while looking for areas of potential improvement.
- Identify opportunities for performance improvement within areas of responsibility.
- Provides ongoing education to minimize errors and avoid denials and rejections to direct reports.
The expertise and experiences you’ll need to succeed:
- Bachelor’s Degree
- 7-10 years of progressive PFS Management experience may be considered in lieu of a degree.
- More than three years’ minimum experience in employee management or training, insurance billing, Medicare billing, Managed billing, follow up, or Patient Access
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
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