Job Summary: The Patient Financial Services Professional Manager position focuses on process improvement in the PFS department and the identification and resolution of professional billing inconsistencies that may result in denials and rebilling. Responsible for directing and coordinating the overall functions of the professional billing team to ensure maximization of cash flow while improving patient, physician, and other customer relations.

Essential Functions:

• Reviews aged trial balance reports for all payers to ensure they are correct.
• Assists with problem solving complicated patient accounts.
• Supervises professional billing staff, maintains schedules, timekeeping, and annual evaluations.
• Provides all staff training and is the subject matter expert for professional billing.
• Works with PFS Director to develop new standard work processes.
• Monitors rejections and denials and works with PFS Director to identify opportunities for process improvement.
• Understands and remains updated with current billing regulations and compliance requirements.
• Monitors and resolves suspended charges

Minimum Qualifications: High school diploma or equivalent. Five (5) years’ experience in related field or commensurate combination of education and experience as determined by administration.

Knowledge, Skills & Abilities. Bachelor's degree preferred. Two (2) years’ supervisory or management experience preferred. Working knowledge of CPT and ICD9-10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits and appeal processes, third-party billing and claims processing, and computer experience. Need excellent verbal communication, interpersonal, and critical thinking skills. Must be able to respond to questions in a tactful and professional manner. Good problem solving and analytical skills are a must. Proficient in Microsoft Office, including Word, and Excel.

Working Conditions: Work is generally performed within an office environment, with standard office equipment available. Car travel to various off-site locations is required and in all types of weather.

Physical Requirements: Constantly see/visual acuity, handle/grasp/feel, talk/hear, taste/smell. Frequently stand, sit, walk. Occasionally lift/carry 1 to 25 lbs.