Note: The job is a remote job and is open to candidates in USA. AdventHealth Colorado is a community-focused organization dedicated to the well-being of individuals. The Manager of Finance Reconciliation Services is responsible for overseeing reconciliation and research activities, managing personnel, and ensuring timely resolution of payment posting exceptions.

Responsibilities

• Oversees reconciliation and research activities to ensure timely resolution of payment posting exceptions
• Provides direction and support to staff, promoting their development and collaboration with other managers and administrative staff
• Analyzes and resolves problems related to payment posting activities
• Manages personnel activities including hiring, training, development, and termination of staff
• Monitors payment and adjustment trends, interpreting reports and dashboards
• Ensures the timeliness and appropriateness of posting payments
• Works closely with IT resources, insurance payers, and bank vendors to utilize technology and automation in payment posting functions
• Develops, implements, and monitors key performance indicators and productivity goals
• Identifies root causes for variances and applicable process improvements
• Reports key findings to appropriate leadership
• Establishes and ensures the effectiveness of internal controls
• Reviews and approves write-offs and adjustments on accounts as defined in policies

Skills

• Bachelor's
• 2+ years of experience working as a manager, supervisor or lead with direct reports
• 4+ years of experience in healthcare revenue cycle or payment posting operations
• General knowledge of insurance billing practices, including Provider Level Balance (PLB) adjustments
• Understanding of file formatting and interpretation of insurance Explanation of Benefits (EOB)
• Clear understanding of payer adjudication and file flow that may include clearinghouses and other third party intermediaries
• Ability to demonstrate solid knowledge and application of generally accepted accounting principles
• Ability to communicate effectively both orally and in writing
• Technical Skills
• Extensive Knowledge on use of email, search engine, Internet
• Ability to effectively navigate payer websites
• Knowledge and use of Microsoft Products
• Outlook
• Word
• Excel
• Teams
• OneNote
• Experience with ERP systems (e.g. PeopleSoft)
• Experience with various patient accounting systems
• NextGen
• AthenaHealth
• Cerner
• HomeCare Homebase
• Working knowledge of Epic Practice Management System
• Epic Resolute Hospital Billing Charging (EPIC RHBC)

Benefits

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
• Paid Time Off from Day One
• 403-B Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Career Development
• Whole Person Well-being Resources
• Mental Health Resources and Support
• Pet Benefits

Company Overview