Patient Financial Services Manager

Work and live where others vacation! Here at Lake Regional, you will work in a busy, progressive state-of-the-art hospital utilizing new technologies and procedures every day! Lake Regional is looking for a candidate with proven, successful, director level experience; excellent leadership and communication skills; strong organizational skills and the ability to prioritize and delegate; strong analytical and problem solving skills; knowledge of and experience with appropriate software; skilled in mentoring and able to work well with the organizational team, and the ability to manage successfully in a fast-paced, high volume, and changing environment.

Job Description

• This position is responsible for overseeing the day-to-day activities of billing and collections for a 116-bed acute care hospital and 70-provider medical group
• Has overall responsibility for all third party and self-pay billing and collections for hospital and employed physician services
• Oversees the maintenance of the CDM by incorporating new charges/services identified by hospital departments, third party payer changes, Centers for Medicare and Medicaid Services (CMS) special requirements, and coding updates
• Coordinates regularly scheduled denial meetings with department and clinic managers to identify process improvement opportunities
• Researches and resolves CPT code, revenue code, and other billing issues referred by the Patient Financial Services (PFS) Department
• Utilizes strategic pricing applications to maximize payments within the health system
• Ensures compliance with all Federal, State, and local regulations.
• Conducts billing audits to assure the capture of all chargeable services. Evaluates and monitors accuracy and completeness of billed services versus documented services Notates discrepancies in over-under- and incorrectly billed items; correctly calculates the dollar total amounts for each discrepancy and submits necessary documents for patient account adjustments
• Represents PFS at cross-functional meetings to assure Medicare National Coverage Determination (NCD) and Local Coverage Determination (LCD) policies are followed
• Provides leadership and strong communication skills when acting as a liaison between PFS and ancillary departments
• Resolves external customer concerns and complaints ensuring an excellent patient experience
• Develop and mentor operational talent to deliver excellent and consistent AR resolution
• Assist with the development and monitoring of KPIs as it relates to operational processes that meet or exceeds revenue and collections goals
• Provides regular reporting to the PFS Director and other relevant stakeholders
  
  

Qualifications

• Bachelor's degree required
• 5-10 years related work experience with a least 5 years management experience required
• Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access, and other web-based applications
• May produce complex documents, perform analysis and maintain databases
• Annual influenza vaccine required.
  
  

PI262496146