Manager Patient Financial Services

Job Description:

Job Description

The Manager Patient Financial Services manages a defined section of the Business Office as assigned: Billing (government or commercial) or Support Services (cash posting, customer service, vendor management, refund analysis, document retrieval and scanning).  Manages daily operations to ensure efficiency and accuracy in all areas of responsibility.  Provides Quality Improvement monitoring to ensure employee compliance with departmental standards and procedures.  Identifies process opportunities and seeks out and implements solutions.  Hires, trains and develops employees within area of responsibility.

Responsibilities

1. Manages daily operations
   1. Ensures that staff meet productivity targets set by department leadership as appropriate for assigned area of responsibility, may include but are not limited to: AR > 90 days kept to
   2. Ensures that applicable tasks are performed within established timeframes, which may include but are not limited to: Biller queues are worked daily and billing is current Receipts, control log and bank deposits are balanced daily
   3. Promotes a customer service orientation in the performance of duties and responsibilities and in interactions with patients, hospital staff, visitors, and external organizations/agencies/vendors, etc.
   4. Maintains current and extensive knowledge of regulations, laws, best practices and/or contractual stipulations affecting area of responsibility. Trains staff thoroughly on applicable requirements and procedures.
   5. Reviews, analyzes, researches and reconciles/adjusts applicable reports, logs and/or accounts, which may include: electronic remits from third party payers, batch postings, account postings, billing edits, patient payments, or others. Works with other departments or personnel to create and implement reporting tools and edits and needed.
   6. Ensures departmental and hospital policies are followed for applicable areas, which may include approval of refunds/write-offs/adjustments to accounts within established signature levels, administration of the Hospital Financial Assistance Program, collection procedures, etc.
2. Collaboration, partnership and communication
   1. Provides leadership in identifying recurring problems and developing resolutions; works with PFS Dir, Managed Care and other internal departments as necessary to prioritize and resolve issues. Processes "special handling" requests, payor issues, complaints and/or inquiries regarding patient accounts to ensure correct and satisfactory resolution.
   2. Promotes and establishes an atmosphere of continued improvement throughout the department by motivating, coaching and staff development, and through evaluation, development and/or revision of department policies and procedures. Works with PFS Director to suggest/implement procedure and policy changes.
   3. Educates and ensures that all employees understand Compliance and appropriate procedures for reporting compliance issues for State, Federal and HIPAA. Maintains requirements for Joint Commission for scope of department.
   4. Conducts regular team and departmental meetings for purposes of education, goal monitoring, and feedback inquiries. Submits timely minutes of meetings in accordance with facility requirements. Ensures employees have the tools necessary to achieve goals.
   5. Develops staff appraisals in accordance with FMOLHS policies and productivity metrics. Counsels staff and handles disciplinary action as necessary. Interviews potential candidates for departmental vacancies.
   6. Assists in development of department budgets. Analyzes costs, develops programs to assure compliance with budgetary constraints and provides justifications for budget variances.
3. Other Duties As Assigned
   1. Serves on committees as appropriate.
   2. Performs other duties as assigned or requested.

Qualifications

• 3 years supervisory experience; 3 years revenue cycle experience including any combination of patient financial services, billing/collections or managed care in an acute-care or multi-specialty physician environment
• Bachelor's Degree OR 4 years professional-level experience or 6 years paraprofessional experience accepted in lieu of degree