RN / Director of Nursing Job in Houston, Texas / Government
|
APPLY NOW
|
Description
Standard Qualifications: Job Summary - The Payer Analysis Director is responsible for overseeing the government logging and the discrepancy analysis functions. The logging and discrepancy function includes verifying the accuracy of the calculated contractual adjustments and analyzing payment discrepancies to determine root causes. This individual is responsible for consistent application of all standard A/R and Accounting processes, and for accurate and timely discount and allowance calculations, analyses and reconciliations. As part of this role, this individual must demonstrate strong commitment to stakeholder relationships by taking ownership of issues and facilitating effective outcomes in a timely manner. Supervisor - SSC CFO Supervises - Logging and Discrepancy Management and Staff Duties (included but not limited to): Oversee the logging and discrepancy analysis functions. Ensure consistent application of A/R adjustment and standard accrual tools to calculate appropriate discounts and allowances by payer class and insurance plan Oversee management of logs, including verification of log accuracy, daily reporting and analysis and resolution of discrepancies Understand and communicate contract specific issues related to discount and allowance calculations for a variety of payers such as Medicare, Medicaid, HMO's, PPO's, IPA's, employers, etc. Oversee management of personnel, providing recommendations for hiring, promotion, salary adjustment and personnel action where appropriate. Establish controls and review mechanisms for SSC policies and procedures. Monitor trends and communicate significant shifts in market or operating conditions to SSC and facility leadership Identify and implement process improvements to lower cost to collect and improve services to customers Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement" Other duties as assigned
* Some information such as the email and phone number are hidden unless you are registered and logged-in
|
|
