Sr. Manager - Professional Billing Organization (PBO) (Remote)

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Day - 08 Hour (United States of America)

This is a Stanford Health Care job.

A Brief Overview
Under the general direction of Revenue Cycle leadership, provides organization direction for Professional Billing to ensure timely billing, collection and cash posting of all physician charges from all payors. The Senior Manager assists the Director in establishing the organizational priorities and operational strategies to drive optimal performance of the Professional Revenue Cycle. The PBO Senior Manager acts as a liaison between clinic operations leadership and other departments in the organization. This position provides assistance to the Director to ensure that the organization is performing and delivering against the agreed upon service levels in the organization. The Senior Manager is responsible for the department's overall cash, accounts receivables and write-offs performance.

The Senior Manager must have a clear understanding of the overall organization and the "clients" that the PBO Revenue Cycle serves. To effectively lead the department, the senior manager must have a strong working knowledge of the operational details, process issues, barriers and opportunities and must possess the creativity motivation to drive change, realizing maximized reimbursement and minimized financial risk to Stanford Health Care. Successful oversight will result in increased net revenue and lower cost to collect. Interactions will primarily be conducted with both clinics and payors and results of efforts will drive actions to secure payment for all claims sent to payors. The Senior Manager serves as a resource to faculty, managers, department and clinic staff in all professional revenue cycle related issues.

Locations
Stanford Health Care

What you will do

• Provide leadership, direction and guidance; Set departmental goals and priorities and assign management oversight for the daily office operations.

• Monitor daily operating activity of department; conduct daily huddles with staff to review department performance and goals and make necessary adjustments in work assignments

• Manage the performance and work products/services of staff.

• Direct managers in developing and implementing short- and long-term work assignments and objectives for staff. Develop guidelines for prioritizing work activities, evaluating effectiveness, and modifying activities as necessary.

• Review and drive improvements in Revenue Cycle ensuring financial obligations are met in accordance with SHC policies and procedures.

• Utilize feedback and needs assessment tools to understand internal customer expectations.

• Strive to provide service that exceed expectations and work to eliminate barriers to good service. Maintain relationships with all internal applicable parties, third party payers, and other agencies, as appropriate.

• Serve as a liaison to key department and clinic contacts to ensure that the PBO is meeting service levels and to address issues that may cause challenges to meet service levels and KPIs.

• Work collaboratively with clinic operations and other departments to drive organizational efficiencies and alignment and to ensure processes and systems are standardized and optimized for efficient and effective flow of accounts within the department and the organization.

• Maintain a complete record of current policies and procedures followed by staff in department; Responsible for maintaining complete knowledge of the revenue cycle and patient flow including steps taken by staff to complete these procedures; assists supervisors in understanding/implementing and adhering to department and organization policies and procedures

• Identify areas of opportunity to apply process changes and/or technology implementation/updates to optimize PBO performance.

• Manage implementation of standards and systems to enhance quality, consistency, efficiency, and timeliness of responsibilities for the enterprise; designing, develop, and monitor performance improvement processes (e.g. quality, accuracy, productivity and timeliness); identify continuous improvement opportunities and manage productivity metrics and efficiencies

• Represent the department on various committees and attend administrative meetings committees as requested.

• Participate in professional development activities and maintain professional affiliations.

• Identify revenue cycle issues and provide leadership for root cause analysis and