Manager Financial Advocacy

Company :

Allegheny Health Network

Job Description :

GENERAL OVERVIEW:

This job responsibility is to provide leadership in achieving ongoing coaching, development, performance management, and efficiency of the Financial Advocacy department. The incumbent will oversee the daily functions of the department and implementation of strategies designed to minimize the finical risk to the organization by ensuring patients are assisted with alternative payment programs. Knowledge of federal and state regulations impacting patient finical requirements are essential elements to this role. Primary responsibilities include effectively planning, managing, and monitoring the Financial Advocacy department. The incumbent performs day-to-day management of the department's personnel, suggests modification to policies and processes, implements new initiatives within the department, and continually seeks mechanisms to streamline and automate processes to maximize the effectiveness of the department.

ESSENTIAL RESPONSIBILITIES

• Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority. (20%)
• Demonstrates knowledge of federal and state regulations related to AHN policies and departmental procedures that impact patient financial obligations. Oversees the communication and training of changes to staff regarding policies and departmental procedures. (20%)
• Liaison (verbal and written) with key partners such as Finance, Central Business Office, Compliance, HIM, Coding, Clinical Departments, Information Technology, Vendors, as well as others. (20%)
• Develop and maintain a training program and materials for the Financial Advocacy Department. This would include but not limited to policies, procedures, standards of work, changes to the accounts receivable system, and other programs. Oversee additional coaching to staff to maintain departmental standards. (20%)
• Monitor the day-to-day functions of the Financial Advocacy department by effective planning to overseeing daily activities, delegating tasks, mentoring, quality reviews, and guiding through demonstration of best practices. Suggest modification to policies and procedures, and implement new initiatives within the department to create a stream line approach to maximize effectiveness of the department. (20%)
• Other duties as assigned.

QUALIFICATIONS:

Minimum

• Bachelor's Degree or or relevant experience and/or education as determined by the company in lieu of bachelor's degree
• 5 years with a Healthcare revenue cycle
• 1 year in a management or supervisory role
• Proficient with Microsoft Office

Preferred

• None

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

About Us

Highmark Health is a national, blended health organization that includes one of America’s largest Blue Cross Blue Shield insurers and a growing regional hospital and physician network.

Based in Pittsburgh, Pa., Highmark Health’s 35,000 employees serve millions of customers nationwide through the nonprofit organization’s affiliated businesses, which include Highmark Inc., Allegheny Health Network, HM Insurance Group, United Concordia Dental, HM Health Solutions and HM Home & Community Services.

Highmark Health’s businesses proudly serve a broad spectrum of health-related needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative, technology solutions.