RN / Director of Nursing Job in Nashville, Tennessee / Hospital
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Description
Standard Qualifications: Parallon believes that organizations that continuously learn and improve will thrive. That's why, after more than a decade, Parallon remains dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future. As one of the healthcare industry's leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized revenue cycle services. The Vendor Collections Management Director is responsible for daily operations of agency and charity functions. The Director interprets policies and procedures, recommends changes as appropriate, and provides relevant feedback to SSC leadership. In this leadership role, this person also serves as a key promoter of the SSC as a service organization which strives to meet and exceed the needs of its customers. Duties (included but not limited to): Oversee SSC operations and functions as they pertain to the Uninsured/Under Insured such as monitoring agency placements and recoveries, reviewing and approving charity applications, bad debt reporting (including bad debt, charity and uninsured discount projections Pending Medicaid Reconciliation process and reporting, eRequest, eTran, pool completion and settlement campaign management, etc. Manage Medicaid Conversion, Early Out, Primary, and Secondary collection agency vendors to ensure goals are met Approve settlements of motor vehicle accidents Oversee management of SSC charity process ensuring compliance with state specific guidelines Oversee management of Estate and Bankruptcy process Monitor self-pay inventory to ensure placements to the agency are occurring timely and appropriately Monitor aged agency inventory to ensure accounts are moving through the collection cycle timely Reviews vendors invoices and resolves reconciliation issues with vendor Provide relevant guidance for the VCM Manager and other SSC Directors to resolve internal and external issues Approve charity write-offs based on threshold by reviewing account notes for appropriateness Inform SSC Back Office COO of any significant issues in the Agency area (e.g., vendor issues, etc.) Stay abreast of regulatory requirements and company compliance policies, ensuring timely staff education Inform VCM and staff regarding payer requirements, significant changes and developments Review Agency performance to ensure timeliness, accuracy, compliance ad standards fulfillment as defined in SSC Service Level AgreementsDevelop and monitor trends and communicate significant shifts in Medicaid Vendor performance to SSC Back Office COO and the Medicaid Vendor Follow overall market trends and communicate significant shifts to SSC Leadership and others as appropriate Oversee management of VCM personnel, providing recommendations for hiring, promotion,salary adjustment and personnel action where appropriate Oversee the management of vendor's onboarding and terminating, ensuring access is created and suspended in a timely manner. Ensure all VCM policies and procedures are adhered to by VCM staff Develop reporting tools to track and review Uninsured / Under Insured accounts Establish controls and review mechanisms for SSC policies and procedures Actively participate in the annual Internal and External Audits of SOX, Bad Debt and other processes to submit all required documentation in a timely manner Collaborate with the Collections Director to perform Agency Sweeps Develop specific objectives, budgets, and performance standards for each area of responsibility Identify and implement process improvements to lower costs and improve service to facility customersAssume a lead role for innovation, knowledge sharing and leading practices identification within the SSC and among peer group Perform staff reviews and prepare performance documents for director reports Practice and adhere to the "Code of Conduct" philosophy and "mission and Value Statement" Other duties as assigned #ParallonBCOM
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