PFS Director - Home Care

January 31

🐊 Florida – Remote

Although this job is listed in Florida, this company may be open to hiring remote in other states.

⏰ Full Time

🔴 Lead

👔 Director

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AdventHealth

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AdventHealth is a comprehensive health care network dedicated to providing whole-person care, focusing on the physical, mental, and spiritual health of patients. With over 100,000 team members across the United States, AdventHealth operates more than 50 hospitals and 1,200 care sites, offering services that range from primary and specialty care to urgent care and rehabilitation. Their approach encourages patients to actively participate in their health management through various innovative services, including an intuitive health app that allows for appointment scheduling and access to health records.

501 - 1000 employees

Founded 1973

⚕️ Healthcare Insurance

🧘 Wellness

📋 Description

Directing and coordinating the patient accounting functions in order to consistently produce accurate bills paid in a timely manner achieving corporate standards; • Managing the A/R prudently so that the service units receive the resources they deserve. • Working with Corporate Compliance for appropriate filings and action steps related to claims. • Providing assistance/coaching to the business units regarding steps needed for audit recovery and improved performance in patient financial services areas; • Communicating and conducting monthly Financial Review meetings that include program administrators, chief financial roles in the hospital along with team members from the agency. • Monitoring activities with insurance companies for appropriate payment and intervening to direct a resolution when inaccuracies are found; • Owning the regulatory knowledge base on third-party payers in use with the programs and interpreting those regulations for AHS Home Care, AHS-IS, Clearinghouse, Agencies, Hospices, Hospitals and system Contract teams; • Organizing the department in a manner that is consistently responsible to patient/customer service needs; • Consistently demonstrating good organizational skills in the accumulation of statistical information in a timely manner according to the schedule and communicating it to the CBO Leadership, agencies/hospices, hospitals; • Effectively coordinating the patient accounts functions with agencies, clearinghouse • Demonstrating the ability to devise more efficient methods and systems for getting the work done in the department reducing the use of time and effort to an effective minimum by instituting changes in techniques and procedures as necessary; • Continually working toward establishing a paperless environment through increased use of technology and more effective methods of activity consolidation and improved work flow; • Maintaining all required records, especially protected health information records, in an appropriate secure manner; • Utilizing and understanding the computer system in order to realize its optimal potential and to evaluate and answer staff member questions regarding the mechanics of the system; • Setting up and maintaining all payer contracts in the electronic system; • Providing a close working relationship with the clearinghouse assuring that changes are appropriately implemented;

🎯 Requirements

5-7 years of experience in Healthcare Administration specific to Revenue cycle and A/R management with a preference for Home Health or Hospice experience • Advanced level of computer experience including Microsoft products • Experienced presenter to groups in an electronic presentation method that can include remote sites. • Supervisory experience

🏖️ Benefits

Benefits from Day One • Career Development • Whole Person Wellbeing Resources • Mental Health Resources and Support