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This is a Stanford Health Care job.

A Brief Overview
Under the general direction, provides overall direction to ensure timely collection of all payors. Identifies issues, monitors performance, and assists in problem resolution. PFS Manager acts as a liaison between vendors and hospital departments. This position manages staff to meet department's overall achievement of cash target, accounts receivables goals and quality and productivity measures.

Locations
Stanford Health Care

What you will do

• Ensures that all staff follow appropriate billing requirements and receives necessary compliance training.

• Ensures timely updates to the billing system (Caramedic/Cirius) for appropriate billing edits.

• Participates in development, implementation and maintenance of policies, objectives, short-and long-range planning; develops and implements projects and programs to assist in accomplishment of established goals.

• Performs all related Stockamp (revenue cycle management system) duties; KPI, HDDL, PHDDL, quality reviews, weekly TRAC meetings and Worklists/QUIC lists.

• Performs supervisors functions by interviewing, selecting and providing training for new staff; by approving or disapproving recommendations from subordinate staff on personnel actions; by evaluating subordinates' performance; by hearing and resolving employee grievances; and by determining the need for and initiating disciplinary action in order to ensure adequate and competent staffing for the department, division or institution.

• Provides overall direction and supervision to the billing, follow-up, collection, and resolution of all payor accounts.

• Serves as a contact to other departments for information on government guidelines; updates staff and outside departments on Medi-Cal/Medicare regulations.

Education Qualifications

• Bachelor's degree from an accredited college or university or equivalent combination of education/experience.

Experience Qualifications

• Five (5) years of progressively responsible and directly related work experience

Required Knowledge, Skills and Abilities

• Ability to develop long-range business plans and strategies

• Ability to foster effective working relationships and build consensus

• Ability to mediate and resolve complex problems and issues

• Ability to provide leadership and influence others

• Ability to recognize and analyze the impact of regulatory changes on the financial performance of professional revenue

• Knowledge of accounts receivables and reimbursement management

• Knowledge of CPT, ICD9 coding and medical terminology

• Knowledge of government program regulations and requirements as they relate to billing and collections of accounts receivable

• Knowledge of information system and software relating to accounts receivables management and billing

• Knowledge of local, state and federal regulatory requirement related to the functional area

• Knowledge of principles and practices of organization, administration, fiscal and personnel management

Licenses and Certifications

• None

These principles apply to ALL employees:

SHC Commitment to Providing an Exceptional Patient & Family Experience

Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

You will do this by executing against our three experience pillars, from the patient and family’s perspective:

• Know Me: Anticipate my needs and status to deliver effective care

• Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health

• Coordinate for Me: Own the complexity of my care through coordination

#LI-RL1

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.