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Job Summary:

Evaluates and monitors statistical and financial data generated by Collections, Insurance, and Billing sections. Manages collection of revenue from patients for services rendered. Supervises assigned staff.

Essential Responsibilities:

• Establishes and collaborates with others to enforce all credit and collection policies at all clinics and business offices. Analyzes charge and total revenues. Develops improved collection methods and procedures; conducts in-service programs on department policies for all employees involved in information/collection process to maximize collection of revenue.

• Analyzes history of delinquent accounts to determine collection potential. Reviews and authorizes write-offs to collection agencies, attorneys; bad debt allowances for non-plan and health plan accounts and uncollectible write-offs on third party accounts. Reviews and approves collection refund requests as appropriate.

• Optimizes system functionality to automate follow-up and collection processes.

• Analyzes allowance for doubtful accounts; generates reports.

• Compiles monthly financial reports to monitor Accounts Receivable.

• Participates in negotiation and administration of contacts with collection agencies to protect organizations interest in monies due, and amounts paid to collection agencies. Represents organization in counter suits arising from assignment of accounts.

• Analyzes Revenue Cycle opportunities within collection area.

• Participates with outside attorneys in negotiations, compromise settlements and collection of accounts subject to litigation and subrogation.

• Optimizes customer satisfaction by providing excellent Customer Relations support, managing incoming phone inquiries, emails, patient correspondence, and other inquiries regarding patient billing issues.

• Maintains current knowledge of all federal, state, and local regulations relating to extension of credit, billing and allowable follow-up procedures, and all reimbursement procedures of third party and private insurance payers.

• Liaisons to assigned clinics regarding financial issues.

• Participates in national and local work groups related to billing and collection.

• Hires, trains, supervises, counsels, disciplines, and terminates assigned staff as appropriate.

• Communicates goals, objectives, accountabilities, priorities, and authority parameters to assigned staff.

  Basic Qualifications:

  Experience

• Minimum five (5) years collections experience in healthcare organization or related field.

• Minimum two (2) years management experience.

  Education

• Bachelors degree in business administration, accounting, finance, or related field or four (4) years of experience in a directly related field.

  License, Certification, Registration

• N/A

  Additional Requirements:

• Demonstrated knowledge of related federal and state regulations.

  Preferred Qualifications:

• One year credit analysis experience.

• Formal credit/collection training.

• Knowledge of Kaiser Permanente health plans and systems.

• Medical claims experience.

COMPANY: KAISER

TITLE: Collections & Customer Relations Manager - Maui Health

LOCATION: Wailuku, Hawaii

REQNUMBER: 1298306

External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.