Healthcare Financial Operations - Salus University

Posted on March 31, 2021
Philadelphia, PA

Introduction

Salus University has the oldest and the largest optometry program in the country.  The optometry school's clinical practice, The Eye Institute, located at 1200 West Godfrey Avenue, Philadelphia, PA 19141, sees over 40,000 patients a year and has over $6M in gross revenues per year.  Salus University has excellent benefits, including paid vacation, several paid holidays, health and dental benefits, and a competitive retirement program.

Position Overview

The Healthcare Financial Operations Analyst is responsible for the coordination and monitoring of the clinic’s revenue cycle, the financial reporting for The Eye Institute (TEI), monitoring and supporting the outsourced billing vendor, and preparing the monthly operational and financial reports for the clinic.  The position requires independent judgment to identify issues, provide solutions, think creatively and proactively, and apply University and Eye Institute policies.

Principal Duties and Responsibilities:

1. Develop long- and short-term objectives to manage the financial aspects of the clinical operations through each accounting cycle in alignment with established policies and strategic plans.
2. Prepare monthly financial data for the financial statement preparation and statistical reports (e.g., trend analysis, financial analysis, utilization patterns).
3. Monitor the activity of the patient accounts, billing functions and the activity of the front-line staff involved in the revenue cycle.  Implement updated procedures, as necessary.
4. Review factors affecting revenues, billing service, front office procedures, coding and charge capture.  Make recommendations for continuous improvement.  Meet on a scheduled basis to review processes, collections, and denials and implement improvements.
5. Ensure compliance with any relevant operational requirements of insurance and managed care contracts.
6. Monitor claim edit and denial trends.  Initiate and implement corrective actions or improvements indicated as a result of internal or external reviews or communications.
7. Verify billing, coding, charges, and collections of the third-party vendor, and report accordingly with appropriate solutions if/when needed.
8. Maintain financial and Revenue Cycle Management (RCM) files, monitor Holding Tank for erroneous charges, update fee schedules and contracts, coordinate with NextGen (electronic health record) for system issues.
9. Evaluate collections and investigate instances of low reimbursement or other significant issues (e.g., inappropriate A/R, chronic missing charges, high rates of denial, etc.).
10. Resolve patient billing and/or statement issues on site.

Work Requirements:

Education/Experience:

• Bachelor's Degree in Business, Healthcare Administration, Finance, Economics, Information Systems or related field.  In lieu of degree, ten or more years’ experience in healthcare finance may be accepted.
• Knowledge of revenue cycle business processes, accounting principles, and billing and collection practices.
• Minimum five (5) years’ experience in ambulatory clinical finance.
• Proficiency with Microsoft Office Suite, with advanced Excel skills.

Skills and Other Requirements:

• Ability to communicate both verbally and in writing with clinicians, staff, other departments, and internal and external customers with a high degree of accuracy and attention to detail.
• Demonstrated analytical and financial skills.
• Experience with health insurance provider networks.
• Self-motivated, highly organized, able to prioritize and manage multiple tasks and deliverables.
• Experience working in provider relations is strongly preferred.
• Ability to communicate effectively at all levels of the organization.

Other Preferred Knowledge, Skills and Abilities:

• Masters' Degree in Finance, Economics, Math, Computer Science, Information Systems or related field.
• Active membership/certification in healthcare and/or clinical practice leadership professional organization.
• Proven knowledge of EHR system functionality.

Apply at http://www.salus.edu/About/Employment-Opportunities.aspx

Director, Patient Care Services - Salus University

Posted on March 30, 2021
Philadelphia, PA

Introduction

Salus University has the oldest and the largest optometry program in the country.  The optometry school's clinical practice, The Eye Institute, located at 1200 West Godfrey Avenue, Philadelphia, PA 19141, sees over 40,000 patients a year and has over $6M in gross revenues per year.  Salus University has excellent benefits, including paid vacation, several paid holidays, health and dental benefits, and a competitive retirement program.

Position Overview

The Director, Patient Care Services oversees 25-30 staff, including 2 supervisors and front line administrative support staff, for the clinic's Patient Services, Medical Records, and small satellite clinic.  The director manages the staff in order to support students, faculty, providers, and residents to assist with the treatment of patients and the education of students.  As a member of the management team, the director ensures patient satisfaction and good public relations.  The position requires independent judgment to identify issues, provide solutions, think creatively and proactively, and apply University and Eye Institute policies.

Principal Duties and Responsibilities

1. Establish goals and oversees implementation of current and new processes for the Patient Services department.
2. Hire, lead, direct, coach, train, develop, and discipline patient services team members.
3. Work in conjunction with clinical Chiefs of Service, other clinicians, faculty, students and administration to ensure patient services is providing effective and efficient support.
4. Optimize, maintain and provide flexibility for staff assignments in all areas.
5. Ensure insurance company requirements are kept current and disseminated to staff.
6. Monitor, supervise and coordinate patient check in, check out, and collection of patient pay portions of bill.
7. Monitor and provide real-time feedback to staff regarding all appointment scheduling, including pre-registration, day of registration, check-in, follow-up, cancellations and rescheduling.
8. Assist with the preparation and review of applicable budgets, including a review of revenue and expense reports.

Work Requirements:

Education/Experience

• Minimum five (5) years supervisory experience in a clinical facility, preferably a high volume optometric or ophthalmic practice.
• Master’s degree in business administration, health care or other related field required.

Skills and Other Requirements

• Excellent verbal and written communication and customer service skills a must.
• Knowledge of third party insurance and billing, including familiarity of CPT and ICD coding.
• Experience with Microsoft Office Suite.
• Experience with an electronic health record.

Apply at http://www.salus.edu/About/Employment-Opportunities.aspx