Mgr, Hospital Rev Mgmt

Position Summary

At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we serve. By daily embodying our over 100-year legacy, we reinforce our reputation as a trusted and respected healthcare organization that delivers professional and compassionate care to our patients, families and communities. Through our award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities, our 27,000+ team members serve communities that span Florida’s east to west coasts and beyond.

Orlando Health is committed to providing you with benefits that go beyond the expected, with career‑growing FREE education programs and well‑being services to support you and your family through every stage of life. We begin benefits on day one and offer flexibility wherever possible so that you can be present for your passions. “Orlando Health Is Your Best Place to Work” is not just something we say, it’s our promise to you.

Position Summary: The Manager, Hospital Revenue Management is responsible for the resolution of hospital accounts receivable. This includes daily oversight of insurance collections, cash posting, denial and appeals management, and variance review.

Essential Functions:

• Develops goals and objectives for the department and team members
• Responsible for the orientation and training of new Assistant Managers
• Ensures Assistant Managers are compliant with productivity standards, performance evaluations, team member development, core competencies, and the daily motivation and coaching of team members.
• Responsible for monthly review of the accounts receivable for all assigned payers, as well as, optimizing reimbursement and achieving pre-set cash to net collection goals.
• Reviews and validates over payment requests as necessary.
• Develops and maintains tracking of all payer‑related issues impacting the accounts receivable for assigned payers.
• Facilitates and presents at task force meetings the status of payer issues, outstanding accounts receivable, action plans underway to attain goals for cash collections and accounts receivable days.
• Provides feedback to the Managed Care team regarding issues and trends that cause the accounts receivable to age.
• Ensures that state and federal legislative changes are communicated to the appropriate team members throughout the Patient Accounting Department.
• Develops and maintains standard process workflows for account review to be followed by the Assistant Managers and team members within the Patient Accounting Department.
• Works closely with all departments within Revenue Management to increase the clean claims percentage, first pass denial rate, and to root cause problems that hinder timely account resolution.
• Establishes and implements policies and procedures for department operations.
• Responsible for the management of all team members in Human Resource related functions.
• Reviews departmental performance and implements changes as necessary to improve services and simplify workflows.
• Develops and implements appropriate new business relative to new insurance contracts and/or new facilities.
• Maintains good payor relationships
• Works closely with the contract managers and the revenue integrity team in maintaining good payor relationships and ensuring compliance with regulatory requirements, fraud and abuse laws.
• Develops and implements rules within the electronic health record to facilitate cleaner claims.
• Completes special projects as assigned.
• Establishes and maintains intra/interdepartmental communication. Participates in management meetings and attends other meetings as necessary.
• Meets with team members on a regular cadence.
• Establishes and maintains safety, policies, procedures, objectives, and infection control in the department.
• Ensures implementation of process improvements.
• Manages various personnel functions including hiring, work assignments, coaching plans, and disciplinary actions.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
• Maintains…