Description

Position Description

Job Title: Patient Services Manager

Department: Finance and Administration

Reports To: Director of Finance and Administration

Type: Full Time

Salary: Negotiable

Summary of Duties

Patient Services Manager ensuring that productivity and MCHC quality standards for registration team and call center are met by providing leadership and direct supervisory support to team members. The Patient Services Manager ensures that patients and 3rd party payors are serviced efficiently and effectively. Manages relationships with specifically supported entity/entities and serves as initial point of contact for issues and escalations. This position requires a high degree of responsibility. The Manager is expected to collaborate with other managers to oversee team member workflow as well as interact with staff within and outside of the department in identifying system, process, or procedural problems and/or enhancements. This position is responsible for all the capitation payments plans. The Manager conducts all duties in a manner that complies with MCHC customer satisfaction standards. The Managed Care Division is part of the Department of Finance, and the coordinator reports directly to the Chief Financial Officer.

RESPONSIBILITIES:

10% Managed Care Systems: Reviews clinical records to authenticate all documentation for claims reimbursement. Provides education to MCHC staff, prepares reports and analysis to management as appropriate.

25% Patient Financial Services: Oversees the Patient Financial Services of the Health Center, which includes patient accounting and registration. In-depth knowledge of patient Access services and Revenue Cycle Operations in healthcare organizations throughout knowledge and experience with insurance plans/ verification, managing registration and call center staff. 

20% Administration: Promotes teamwork in daily activities, exercises diplomacy and consistently uses effective communication skills. Identifies system and operational problems through analysis of current processes. Recommends solutions and improvements, applying knowledge of registration requirements. Facilitates communications with patients, providers, staff and health plans and communicates with 3rd party biller and patient registration staff. Manages and tracks performance of staff.

20% Coordination/Collaborate: Collaborates with clinical staff to ensure that systems for assessing client documentation and tracking referrals are operating effectively. Collaborates with IS Department on the development of managed care information systems coordinates across departments for outreach activities. Collaborates with external agencies on program related issues. Represents the Health Center at external meetings as appropriate. 

10% Strategic Planning and Program Evaluation: Evaluates existing systems and establishes benchmarks to measure or ensure that the best practices are used. Assists with the development of surveys that assess client satisfaction. Ensures that existing and future programs are customer service driven. Incorporates managed care standards for all programs.

15% Policies and Procedures/Reporting: Develop policies and procedures pertaining to managed care systems. Develops and maintains systems to ensure accurate tracking and documentation procedures. Creates and maintains workflows for registration and call center. Prepares and submits internal and external reports, as appropriate. 

Perform other duties as assigned by the CFO.

Requirements

Bachelor's degree in health care management, health education or a related field is preferred. A minimum of four years' work experience as a healthcare supervisor or administrator is required. Knowledge of managed care systems and healthcare regulations and working knowledge of computer technology is also required (EPIC knowledge is a plus). Proficient with insurance plans, products, benefits, payor portals, and office software packages such as word processing, spreadsheets, and database management. Ability to communicate effectively and organize workload is a high expectation of this position.