What are the responsibilities and job description for the PATIENT FINANCE MANAGER position at GASTRO CARE PARTNERS MANAGEMENT COMPANY LLC?
Job Details
Job Location: denver, CO
Position Type: Full Time
Salary Range: $60,000.00 - $75,000.00 Salary/year
Job Category: Health Care
Description
The Patient Finance Manager is responsible for overseeing the Prior Authorization and Financial Counseling functions and strategizing ways to increase company profitability. They will lead the Prior Authorization and Financial Counseling Teams, working closely with them to ensure all payor authorizations and patient out of pocket expenses are handled correctly, further maximizing collected revenue.
Essential Duties and Responsibilities:
- Manage the prior authorization and financial counseling teams’ productivity, and pertinent quality/reporting metrics for the department.
- Oversee staff to ensure all patient finance management functions are worked successfully and within established timeframes.
- With the Revenue Cycle Director, develop key performance indicators and departmental goals for all employees to measure performance and productivity rates within department.
- Ensure staff is gathering valid and appropriate information from patients to maximize revenue management, working with the team to resolve discrepancies and improve accuracy on an on-going basis.
- Improve processes within the department, emphasizing quality and efficiency, while identifying roadblocks and establishing corrective measures.
- Manage escalated accounts that cannot be effectively resolved by team members.
- Communicate authorization issues and trends as appropriate and develop solutions to increase account resolution and decrease insurance denial percentages.
- Recruit and hire new team members.
- Support the development of new hires as well as seasoned staff through coaching and training.
- Ensure month end reporting and processes are complete prior to month end close.
- Maintain patient confidentiality and ensure the department functions within HIPAA guidelines.
- Complete assigned compliance training and other educational programs as required.
Qualifications
- Bachelor’s Degree in business, business administration, finance, or accounting preferred.
- Minimum of 3 years of management experience in medical billing environment preferred
- Proficiency in MS Office
- Thorough understanding of CPT and ICD-10 coding protocols and procedures
- Experience and strong understanding of medical coding, billing, appealing denials, and collection of physician accounts receivable
- Working knowledge of AMA coding guidelines, government and commercial payer regulations, insurance contract analysis, and denial resolution is required
- Experience with Epic software, SSI Group/Clearinghouse preferred
Salary : $60,000 - $75,000
