Michigan Great Lakes Job Bank

Director of Business Office
Henry Ford Behavioral Health (Henry Ford/Acadia JV)

Posted 7/25/2024

Introduction:

Are you ready to take your career to the next level? We are seeking a dynamic and motivated individual to join our team and lead our business office activities. This is a unique opportunity to make a significant impact by planning, developing, organizing, implementing, evaluating, and supervising all aspects of our financial counseling, billing, and collections functions across all service lines.

Job Description:

• ​Monitor and report on key metrics such as cash collections, days outstanding, unbilled, denials, daily census, etc. in conjunction with the CFO.
• Establish and maintain controls for all cash collected and posted in patient accounting system.
• Maintain effective communication with third party insurance carriers to resolve issues that impede cash flow and detract from patient/member satisfaction.
• ​Provide staff management to include hiring, development, training, performance management and communication to ensure effective and efficient department operation.
• Maintain effective communication with the leadership team to ensure that all third-party compliance guidelines are met. ​
• Select and monitor outside collection vendors engaged in the collection of facility receivables. Review and balance agency reports to system reports and approve agency invoices.
• Lead and provide operational directives for all Business office activities related to the claim’s management and collections of the facility receivables and ensure timely, efficient cash collections to support the overall financial goals of the facility.
• Define and provide the necessary support and leadership to achieve departmental goals and objectives.
• Review all statistical reports to monitor trends and determine operational deficiencies and implement corrective action plans as necessary.
• Work closely with Utilization Review and Admissions staff to ensure proper authorization of patient insurance coverage.
• Manage and direct subordinate staff to identify goals and objectives.

Required Qualifications:

• ​Five or more years’ job-related experience required. Preferably in behavioral health.
• Three or more years’ supervisory experience required.
• Strong revenue cycle technical skills required.

Education Qualifications:

• ​High school diploma or equivalent required. Bachelor’s degree in Business Administration or related field preferred.

Instructions for Resume Submission:

Apply online at:
https://www.acadiacareers.com/us/en/job/52648/Healthcare-Director-of-Business-Office

Provider Contracting Specialist
McLaren Integrated HMO Group (MIG), a division of McLaren Health Care Corporation
Remote

Posted 7/11/2024

Introduction:

We are looking for a Provider Contracting Specialist, to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren Health Care Corporation, is an organization with a culture of high performance and a mission to help people live healthier and more satisfying lives. McLaren Health Plan and MDwise, Inc., subsidiaries of MIG, value the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plans can thrive. As an employee MIG, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members. McLaren Health Plan is our Michigan-based health plan dedicated to meeting the health care needs of each of our Michigan members. Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org

Job Description:

Responsible for generating new provider contracting activities within assigned market segments for assigned Plan(s) with a statewide focus on facilities, PHO and PO. Initiates, negotiates, and executes Value Based physician and/or other provider contracts and agreements the Plans. Generates new contracting opportunities through telemarketing, written communications, and other distribution channels. Responsible for meeting established provider contracting targets.

Required Qualifications:

Three (3) years’ experience in provider servicing role with hospitals, large physician groups and ancillary providers, including contract negotiation and implementation.

Preferred Qualifications:

Five (5) years’ experience in provider contracting and servicing. Established relationships with providers in the Plan’s service areas.

Education Qualifications:

Bachelor’s Degree in business, health care or related field.

Compensation/Benefits:

A competitive benefits package.

Instructions for Resume Submission:

To apply, please go to www.mclaren.org/main/careers. The requisition number is 24003731.

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans. This position is fully remote.