Patient Finance Manager

Job Summary:

The Patient Finance Manager is responsible for overseeing the Payment Posting, Financial Counseling, and Customer Service functions and strategizing ways to increase company profitability. They will lead the Payment Posting, Financial Counseling, and Customer Service Teams, working closely with them to ensure all payments are reconciled and posted and patient out of pocket expenses are handled correctly, and all customer calls are answered timely, further maximizing collected revenue.

Essential Duties and Responsibilities:

• Manage the payment posting, financial counseling, and customer service teams’ productivity, and pertinent quality/reporting metrics for the department
• Oversee staff to ensure all RCM 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
• Post all payments and adjustments: ensures all payments and adjustments are balanced/ reconciled on a daily basis to the system and bank
• Resolves any deposits that are unable to be posted
• Resolves patient complaints timely
• Review manual and electronic explanation of benefits to assure proper posting
• Works closely with front office in regard to their deposits and reconciliation
• 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
• 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
  
  

Required Skills and Abilities:

• Ability to organize workload and manage time effectively
• Ability to establish and maintain effective working relationships with management, employees, and the public
• Ability to collaborate and develop partnerships across departments and with other organizations
• Ability to analyze situations quickly with a strong attention to detail
• Strong computer skills
• Strong problem-solving skills
• Ability to handle sensitive information ethically and responsibly and to protect the confidentiality of patient, employee and business information
  
  

Education and Experience:

• 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
  
  

Gastro Care Partners is the national partner for successful regional gastroenterology practices. We believe in the mantra “medicine is local.” Gastro Care Partners provides high-performing regional practices with the resources necessary to thrive in today’s dynamic healthcare landscape while maintaining their practices’ identities.

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