To be the Health Care Safety Net for Palm Beach County The Health Care District of Palm Beach County is an integrated public health system established by the voters as a special taxing district. The safety-net system is an equal opportunity employer of approximately 1,300 employees. The Health Care District provides challenging and fulfilling employment opportunities through its health coverage programs for uninsured residents, a pharmacy operation, a nationally-recognized Trauma System that includes the Trauma Hawk Aeromedical Program, adult and pediatric services at the C. L. Brumback Primary Care Clinics throughout the county, a School Health program which staffs registered nurses in nearly 170 public schools, short-term or long-term inpatient care at the Edward J. Healey Rehabilitation and Nursing Center, and the county’s only public hospital, Lakeside Medical Center, which serves the rural, western Glades’ communities. For more information, visit www.hcdpbc.org
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General Statement of Job
Responsible for assisting the Chief Financial Officer in the oversight responsibility for accounts receivable management. Develops reporting packages, analyzes A/R trends, and investigates variances and fluctuations in A/R balances. Identifies factors that affect reimbursement and assists in implementing process changes to maximize net revenue. Meets with Revenue Cycle managers and staff to discuss A/R performance. Creates dashboard reports and performs rate/volume variance analysis and other analysis as requested. Analyzes reimbursement compared to contracted rates and terms.
REPORTING AND ANALYSIS – Development and monitoring of Accounts Receivable reports, including but not limited to A/R aging, credit balances, denials, transactional analysis, A/R analysis, revenue by location, adjustments by business line, financial class change unapplied cash, cash collections, visits by procedure code, late charges. Development of dashboard reports and key indicators.
DATA COLLECTION – Data entry and tracking of miscellaneous data related to billing for all service lines, including aeromedical, clinics, hospital, SNF and subrogation. Gathering of supporting documentation for the billing and collection functions. Maintains Medicare, Medicaid and managed care fee schedules.
MANAGED CARE – Perform analysis of actual payments to contracted terms and fee schedules. Perform analysis of denials and identification of internal issues impacting reimbursement. Work with revenue cycle team members to improve efficiencies and reimbursement. Monitor risk pools and incentives as defined by contracts. Project incremental reimbursement associated with performance.
RESEARCH – Performs research on Medicare and Medicaid rules, provider manuals, and managed care requirements. Communicates changes to government and non-government programs to RCM staff. Implements formal means of communicating regulatory and program changes.
Emergency duty may be required of the incumbent that includes working in Red Cross shelters or to perform other emergency duties including, but not limited to, responses to threats or disasters, man-made or natural. Additionally, incumbents are required to perform emergency response and management duties for Palm Beach County as required.
Bachelor’s degree in Business, Finance, Accounting or related field required.
Three (3) to five (5) years’ experience in accounts receivable management required. Strong understanding of accounts receivable cycle, Medicaid and Medicare payer information and other methodologies of reimbursement required.