Medicaid Revenue Cycle Manager | Patient Financial Services

Insight Health Systems; Chicago (IL); Vor Ort; USD 90.000 - 120.000; Vollzeit

Benefits dieser Stelle

Paid Sick Time

Paid Vacation Time

Health, vision & dental benefits

Disability & life insurance

Zusammenfassung

Insight Hospital and Medical Center Chicago is seeking a Patient Financial Services Manager to oversee our revenue cycle, billing, and Medicaid operations. You will lead staff, ensure compliance, and drive financial counseling and charity care programs with a patient-centered approach.

In this role you will manage eligibility, enrollment, and billing processes while coordinating with clinical and compliance teams to improve efficiency and outcomes in a community hospital setting.

Qualifikationen

• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field.
• Master’s degree preferred.
• 2+ years of patient financial services or revenue cycle experience.
• Strong background in Medicaid eligibility and billing.
• Experience in managing charity care or financial assistance programs.
• Supervisory or management experience required.

Aufgaben

• Oversee billing, collections, cash posting, credit balances, and account resolution.
• Monitor accounts receivable, denial trends, and collection performance.
• Develop and implement workflows to improve efficiency and turnaround time.
• Manage Medicaid eligibility, enrollment, redeterminations, and billing processes.
• Ensure timely submission of Medicaid claims, adjustments, and appeals.
• Monitor Medicaid denials and reimbursement trends; take corrective actions.
• Stay current on Medicaid policy changes and ensure compliance.
• Lead, train, and evaluate PFS staff, including supervisors and team leads.
• Set performance goals and maintain productivity and quality metrics.
• Oversee financial assistance, charity care, and presumptive eligibility programs.
• Ensure charity care policies align with laws and organizational requirements.
• Review charity care determinations and complex cases.
• Ensure compassionate communication with patients about financial options.
• Coordinate with registration, case management, clinical, and compliance teams.

Kenntnisse

Staff supervision

Regulatory compliance

Financial counseling

Medicaid knowledge

Revenue cycle management

Ausbildung

Bachelor’s degree in Healthcare Administration or Finance

Master’s degree preferred

Jobbeschreibung

Insight Hospital and Medical Center Chicago is seeking a Patient Financial Services Manager to oversee our revenue cycle, billing, and Medicaid operations. You will lead staff, ensure compliance, and drive financial counseling and charity care programs with a patient-centered approach.

In this role you will manage eligibility, enrollment, and billing processes while coordinating with clinical and compliance teams to improve efficiency and outcomes in a community hospital setting.