Legal Collections Director in Orange Park, FL at Parallon

Date Posted: 9/13/2018

Job Snapshot

Job Description

Supervisor – Shared Service Center (SSC) Senior Counsel
 
Supervises not applicable
 
Job Summary – The Legal Collections Director is responsible for daily operations of the legal department, provides legal support to SSC Senior Counsel, Director Group and Executive Management.  Works at the direction of the SSC Senior Counsel to develop legal work plans to organize, oversee and manage the legal activities of the SSC, focusing on the collection of healthcare receivables. 
 

 
Duties (included but not limited to):  
• Consults with SSC Senior Counsel to coordinate and implement policies and procedures, perform special projects, and track and identify trends and results of legal activities.

• Reviews contracts and drafts demand letters under direction of SSC Senior Counsel.

• Works closely with HCA Payer Contracting and Analytics under direction of SSC Senior Counsel regarding legal disputes, participates in payer calls and meetings

• Contacts insurance companies or their designated third party administrator (in writing, telephonically and/or electronically) to escalate and resolve claim payments for unpaid, underpaid and denied accounts that are escalated by other SSC departments. Escalates dispute issues to the Parallon Dispute Resolution Team in a timely manner.

• Utilizes the Legal Review Tool to track legal collection activities and prepare reports as requested by SSC Senior Counsel.

• Assists with the tracking and reporting of monthly legal collections to SSC Executives and Parallon Business Performance Group (BPG)  leadership.

• Works assigned pools and updates notes in various SSC computer systems.

• Oversees the hospital lien process for court recording and satisfaction, as requested by SSC Senior Counsel.

• Works on special projects related to re-pricers, silent PPOs and other third party issues, as well as Worker's Compensation issues, as requested by SSC Senior Counsel.

• Conducts legal research under the direction of SSC Senior Counsel.

• Manages auto/tort unit representatives to ensure proper adherence to state law and the SSC's policies and procedures for handling auto/tort claims.

• Consults with Workers Compensation representatives to ensure proper adherence to applicable state law and our policies and procedures, as requested by SSC Senior Counsel.

• Manages/assigns all interpleaders and petitions for equitable for distribution served at facilities and SSC, as requested by SSC Senior Counsel; Manage billing record subpoenas for deposition and trial

• Reviews objections to estate claims

• Provide litigation support to HCA corporate legal and outside counsel as requested by SSC Senior Counsel.

• Consolidates claims and prepares information relative to insurance carriers in receivership, judicial liquidation or bankruptcy as requested by Parallon Business Performance Group under direction of SSC Senior Counsel.

• Under direction of SSC Senior Counsel, prepares training materials and assist with legal training for SSC staff on relevant legal issues.

• Handles patient complaints escalated to the Legal Department for possible risk management review, as requested by SSC Senior Counsel.

• Acts as a team player, accepting job responsibilities willingly and proactively initiates assistance to other legal team members.

• Adheres to SSC policies relating to attendance, tardiness, compliance and confidentiality.

• Attends department meetings and provides insight on legal issues.

• Demonstrates current knowledge of legal issues and federal regulations related to financial operations.

• Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”

• Other duties as assigned



 

Job Requirements

KNOWLEDGE, SKILLS & ABILITIES

• Communication – strong oral and written communication skills

• Customer/Payer orientation - establishes and maintains long-term customer/payer relationships, building trust and respect by consistently meeting and exceeding expectations

• Interpersonal skills - able to work effectively with other employees, patients and external parties

• PC skills - demonstrates proficiency in Microsoft Office applications

• Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems

• Technical skills - professional presentation skills needed to represent facilities in legal issues.

• Basic skills – high level organizational and analytical skills

 

EDUCATION

• Juris Doctorate from a law school accredited by the American Bar Association



EXPERIENCE

• Minimum three (3) years litigation, and/or healthcare legal experience

Litigation/Dispute resolution background preferred, including experience in collections law, insurance claims, lien law, workers compensation, auto and third party negotiations and healthcare law.

 

CERTIFICATE/LICENSE –Admitted to practice in Florida and member of the Florida Bar