Northeast Ohio HFMA

Anyone wishing to post a job opening, please send job description and contact information to:

Deborah.slogar@uhhospitals.org

216-844-1856
or
rachelle.simmers@uhhospitals.org
440-735-3622
LOCAL JOBS
• Posted: 10/29/2019 - Various job opportunities in the area!
 
• Posted: 11/8/2019 - Director of Financial Planning and Analytics


Job Title: Director of Financial Planning and Analytics

Location: Akron, Ohio

Apply link: https://careers.akronchildrens.org/jobs/193612?lang=en-us&src=JB-10204

Job Description:


About Us

Akron Children’s Hospital is one of the largest independent pediatric hospitals in the U.S., and ranked among the best children’s hospitals by U.S. News and World Report. Our dedicated staff serves nearly 900,000 patient visits per year through our 2 hospital campuses and a large network of locations offering primary and specialty care.

We are leading the way to healthier futures for children and communities through expert medical care, research, and prevention and wellness programs. As a teaching affiliate of Northeast Ohio Medical University and other universities, we train new generations of pediatricians, specialists, nurses and pharmacists every year.

OUR PROMISES

  1. To treat every child as we would our own
  2. To treat others as they would like to be treated
  3. To turn no child away for any reason

We are seeking people who are committed to fostering a diverse environment in which patients, family and staff from a variety of backgrounds, cultures, and personal experiences are welcomed, included and can thrive.

Shift Information: Day Job

Position Summary:

The Director of Financial Planning and Analytics is responsible for advancing and promoting the overall financial performance and stewardship of Akron Children’s Hospital (ACH). The position is accountable for financial planning functions which include enterprise-wide operating budgeting, financial performance process, enterprise-wide business plans, capital budgeting, enterprise long range financial planning, and financial planning customer service. A team of professional staff report to the Director of Financial Planning and Analytics who are responsible for the day-to-day support of these functions.

The Director will work closely with the executive team, clinical and operational leaders, divisional finance leadership, and colleagues throughout Finance to achieve these goals. The Director of Financial Planning and Analytics reports to the VP of Analytics & Performance Measurement.

The Director must be customer-oriented, self-directed, and work collaboratively with internal and external peers to support enterprise financial, operational, and strategic goals. The Director is a key resource to the VP of Analytics & Performance Measurement, the Chief Financial Officer and the Executive Leadership Team (ELT) in making strategic financial decisions for the organization.

Qualifications:

MBA, MHA or other graduate level statistical or business course degree required with a minimum of six years of healthcare financial experience required. A minimum of 4 year of supervisory experience required. CPA preferred. Strong analytical skills required. Knowledge of healthcare financial planning required. Demonstrated skill in leadership, business, professional accountability, advocacy, relationship management and networking. Demonstrated knowledge of healthcare environment and healthcare technologies. Strong communication (verbal and written), interpersonal, and organizational skills required.

Akron Children's Hospital is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individual with Disabilities.

EEO is the law, please click/copy paste the link below to learn more:

http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf

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• Posted: 12/20/2019 - Payroll Manager, MetroHealth System

The MetroHealth System is an essential health system committed to providing health care to everyone in Cuyahoga County, Ohio, and improving the health of the community overall. Its 7,500 employees deliver care to everyone at its main campus, just west of downtown Cleveland, and at more than 25 other MetroHealth locations. It also provides health care at more than 40 additional sites in Cuyahoga County through community partnerships such as the School Health Program.

Summary:
Manages payroll operations for the MetroHealth System and maintains quality and timeliness of employee payroll process. Upholds the mission, vision, values, and customer service standards of The MetroHealth System.

Responsibilities:

1. Contributes to patient safety by supporting the System-wide programs and policies addressing a safe environment for patients and the reporting of safety concerns to the appropriate individuals.

2. Complies with all payroll regulations, governmental (IRS, OPERS, etc) reporting requirements, MHS pay policies, and funding obligations.

3. Ensures appropriate review of all payroll transactions prior to issuance of pay to employees.

4. Carries out all responsibilities associated with Kronos Workforce Timekeeper application administration.

5. Makes recommendations to revise policies and procedures related to the payroll function.

6. Assists in developing, implementing, and maintaining financial systems to meet informational and operational needs.

7. Thinks critically and forwardly regarding payroll information, data, trends, patterns, processes, systems, exceptions, etc. Makes strong cases and prepares compelling reports to advance objective and demonstrate need for change to senior management.

8. Ensures smooth payroll system implementations and upgrades through working closely and collaboratively with IT. Thinks creatively about implementation options to optimize system functionality with knowledge of organizational structure, policies, and procedures.

9. Ensures accuracy and quality of payroll reports and information disseminated to management. Works closely with Accounting to validate payroll transactions and interfaces.

10. Develops and maintains educational program for management to train on Payroll policies, procedures, deadlines, required approvals, documentation requirements, etc.

11. Acts as primary liaison to Human Resources as it relates to compliance with pay policies and practices, employee benefit issues, time accrual programs, etc.

12. Develops staff by evaluating performance on a timely basis and in conjunction with HR policy; providing timely feedback and constructive guidance; training and cross-training; and encouraging on-going education and professional certification.

13. Makes recommendations regarding employment, performance appraisals, promotions, transfers and terminations.

14. Keeps abreast of current developments and practices in the payroll field by participating in continuing education courses, professional organizations and seminars, staying current on industry literature and maintaining professional contacts in the region.

15. Coordinates effective communication of new or revised payroll policies to clinical and administrative departmental leadership and timekeepers.

16. Challenges payroll transactions for appropriateness and required authorizations and escalates issues when necessary.

17. Ensures the department operates within established budgetary standards.

18. Performs other functionally related duties as assigned.

Other information:
Required:
Bachelor's Degree in Accounting, Business Administration or related field and 5 years of progressive payroll experience.
In lieu of degree, 7 years of progressive payroll experience.
Payroll management experience in a large ERP environment.
Demonstrated knowledge of payroll regulations and industry standards
Kronos Workforce Timekeeper experience
Proficient in Microsoft Office, especially Word and Excel.
Excellent interpersonal, written, and verbal communication skills.
Excellent analytical and problem-solving skills.

Preferred:
CPP certification.
Payroll experience in Healthcare Industry.
Lawson Payroll system experience

Physical Demands:
May need to move around intermittently during the day, including sitting, standing, stooping, bending, and ambulating.
May need to remain still for extended periods, including sitting and standing.
Ability to communicate in face-to-face, phone, email, and other communications.
Ability to read job related documents.
Dexterity to use computer.

 
• Posted: 2/4/2020 - Reimbursement Recovery Analyst

https://pm.healthcaresource.com/cs/southwestgeneral#/job/10279

 

 
Southwest General Health Ctr · Managed Care Contracting

Middleburg Heights, OH

FULL-TIME, Days

POSITION INFORMATION:

Position Summary:

The incumbent will manage the inventory of hospital claim denials. He/she will manage the various sources of denials, including, but not limited to, Recovery Audit Contractors, Commercial payer denials and underpayments, Medicare Target, Probe and Educate. Management includes monitoring of inventory, addressing all new denials and routing them to appropriate party for appeal, initiating level three (3) appeals, and educating appropriate hospital staff on denial avoidance. Incumbent has a high level of understanding in reimbursement guidelines specifically an understanding of DRG payment systems.

MINIMUM QUALIFICATIONS:

Education:

Bachelor’s degree required.

Required Length and Type of Experience:

At least two years of experience in a hospital setting or third party audit/recovery company

Required Licensure, Certification or Registry:

None specifically required, RN and/or coding experience preferred

 
• Posted: 2/6/2020 - Senior Contractor, Managed Care Contracting

https://pm.healthcaresource.com/cs/southwestgeneral/#/job/10447


SENIOR CONTRACTOR, MANAGED CARE CONTRACTING

Southwest General Health Ctr · Managed Care Contracting

Middleburg Heights, OH

FULL-TIME, Days, Days

POSITION INFORMATION:

Position Summary:

Working collaboratively with the Director, this position will be responsible for the health center’s managed care relationships and optimizing revenue realization as part of the Managed Care strategy and the organization’s strategic plan as a whole. Under the direction of the Director, incumbent will provide a key leadership role in all phases of the negotiation process for all hospital, physician provider, and ancillary contracts with a wide variety of managed care organizations and third party payers. Coordinates the administrative, legal, operational and financial issues related to contract negotiations. In addition, individual shall function as the single point-of-contact for all on-going contractual and service issues as needed by other hospital personnel including patient accounting, denial management, service line leaders, and case management.

Possesses strong computer and analytical skills, excellent interpersonal, communication and presentation skills. Knowledge of hospital and managed care finance, third party payer contract terms and legal issues, claims payment methodologies and utilization management procedures.

MINIMUM QUALIFICATIONS:

Education:

4-year bachelor degree

Required Length and Type of Experience:
Minimum 5 Years Related Experience in Healthcare Revenue Cycle or Managed Care Contracting Previous payer or provider contracting experience strongly preferred

Required Licensure, Certification or Registry:

None specifically required, RN and/or coding experience will be preferred


 

 
REGIONAL POSITIONS
• Posted: 11/11/2019 - Professional Coding and Receivable Manager

Avita Health System

Office location: Crestline, OH

Reports To: Revenue Cycle Director

Resumes and cover letters to: Rhonda Ridenour - rridenour@avitahs.org - No phone calls, please.

Professional Coding and Receivable Manager

Manages the professional coding, billing, and denial recoupment staff. Responsible for all aspects of professional service, rural health clinic (RHC), provider-based, and Method 2 billing. Acts as a coding and billing subject matter expert for Avita physicians, providers, office managers, and information technology staff and vendors. Initiates and oversees billing compliance audits and applicable corrective action plans. Tracks claim denials to identify and resolve core issues. Oversees the provider enrollment process.

Job requirements:

  • Certified professional coder

  • In-depth knowledge of ICD-10 and CPT procedure codes

  • Experience coding and billing government and private payers

  • Previous management or supervisory experience

  • Excellent oral, written, presentation, and conflict and problem resolution skills

Preferred:

  • Associates or Bachelor’s degree in related field

  • EPIC experience

  • Certified auditor

Primary Duties and Responsibilities

  1. Provides guidance to physicians/providers and professional coding staff regarding correct CPT procedure and ICD-10 diagnosis coding.

  1. Performs routine coding audits to identify issues and trends; implements and documents education and/or process changes to resolve core issues; and monitors to ensure compliance with corrective action plans.
  2. Provides regular updates regarding coding and payer-specific rule changes to physicians/providers and office managers.
  3. Consults with physicians/providers concerning questionable charges and codes, including educating the providers on audit findings.
  4. Responds to questions from physicians/providers and office managers in a timely manner. Provides clear, concise, and comprehensive explanations and when appropriate, supporting regulatory or payer-specific documentation.
  5. Maintains oversight of professional billing to ensure accuracy and code integrity, following billing compliance regulations and guidelines.
  6. Manages the Quadax edits and reporting.
  7. Resolves issues preventing or delaying payment.
  8. Monitors denied claim work queues and reports to identify trends relating to rejected and denied claims and ensures denied claims are resolved in a timely manner.
  9. Effectively manages receivable to ensure receivable and adjustment amounts at the lowest possible level. Meets or exceeds established receivable goals.
  10. Provides information, guidance, and support to information technology staff and vendors.
  11. Maintains and support compliance standards

Thank you,

Rhonda Ridenour

Revenue Cycle Director

Avita Health System - Bucyrus, Galion, and Ontario Hospitals and Avita Providers

 
OUT OF STATE
• Posted: 1/17/2020 - Chief Financial Officer, St. Lawrence Health System

St. Lawrence Health System seeks a dynamic, distinguished executive to serve as its Chief Financial Officer (CFO). The CFO will report to the St. Lawrence Health System's Chief Executive Officer, Mr. David Acker.

The CFO is responsible for the strategic direction, financial oversight, financial leadership, and coordination of system staff and their development. As a member of the senior leadership team, the CFO participates in the planning and implementation of programs and services to ensure the provision of high-quality safe patient care, service excellence, fiscal responsibility, and employee engagement in accordance with the mission, vision, and values of the Health System.

The CFO works collaboratively with clinical, operational, and administrative leaders to create a high-reliability and just culture that leads to solid financial operations and service excellence. The CFO develops and directs an adequate plan for the control of financial operations of the organization, including financial planning and projections, banking relationships, budgeting, revenue cycle operations, health information technology and management (HIT/HIM), third-party contract management and evaluation, expenditure of funds, conservation of assets and risk management controls, IT planning, and security management.

St. Lawrence Health System was formed in 2013 to improve health, elevate the standard of care, enhance patient experience, and gain efficiencies through collaboration. St. Lawrence Health System is the parent organization for two not-for-profit hospitals, a captive medical practice, and a foundation: Canton-Potsdam Hospital - a 94-bed general, acute-care community hospital, Gouverneur Hospital - a 25-bed critical access hospital, Canton-Potsdam Medical Practice, and Canton-Potsdam Hospital Foundation.

Ten years of progressive healthcare financial leadership experience, including managing professional staff, and Bachelor's degree in accounting, finance, business administration, or a related field is required. Master's degree and/or CPA certification, and demonstrated progress toward FACHE, HFMA, or similar financial leadership certification is preferred.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Candidates wishing to apply must submit materials electronically. Application materials should be submitted via WittKieffer's candidate portal here or via email to lisad@wittkieffer.com.

 

 

 

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