Manager of Patient Financial Services

Description

InterCare is a Federally Qualified Health Center which MAY qualify employees for National Student Loan Forgiveness program.

Become part of a Migrant and Community Health Center, where you will:

• Have a passionate purpose.
• Do worthwhile work.
• Make a difference in people’s lives.
  
  

InterCare is searching for a full-time Manager of Patient Financial Services to join our team at our Bangor Administration location! At InterCare, you’ll find a rewarding and challenging work environment and a competitive compensation with competitive pay and benefits package which includes: vacation/personal paid time off, sick time, 10 paid holidays, tuition reimbursement program, medical, prescription, dental, vision, life insurance, and short term and long term disability insurance.

At InterCare Community Health Network, we believe all people have the right to equal access to quality health care.

InterCare NO LONGER requires employees to have the COVID vaccine, however, you may receive a vaccine at no cost at any of our clinic locations.

Work Schedule

Hours are Monday through Friday from 8:00 a.m. to 5:00 p.m. with occasional late evenings.

Minimum Qualifications

• Possesses a thorough understanding of theory and practices of health care financing and accounting, typically acquired through completion of a bachelor’s degree with extensive practical experience in a professional environment.
  
  

Primary Accountability

Responsible for the leadership, oversight, and management of InterCare’s Patient Financial Services (PFS) Department, ensuring that InterCare’s goals and expectations relative to all aspects of the patient revenue cycle are consistently met and/or continuously improved upon.

Description Of Primary Responsibilities

Maintains a high performing PFS team and effectively supervises assigned employees.

• Hires, directs, coordinates, and coaches assigned employees.
• Clearly sets and communicates performance expectations.
• Regularly provides constructive feedback to assigned employees and conducts timely and accurate performance evaluations.
• Identifies and addresses department’s training and development needs.
• Aligns PFS employees with organizational priorities and maintains a strong focus on their engagement and accountability.
• Facilitates excellent employee communication pathways.
  
  

Assumes a leadership role in the planning, design, implementation, oversight and evaluation of InterCare’s revenue cycle processes and systems.

• Oversees the development and implementation of department-specific policies and procedures that are complete and compliant with all applicable state and federal rules and regulations, including HRSA expectations and grants management requirements.
• Designs and monitors efficient and effective systems and processes in areas of responsibility.
• Coordinates cross-functional process improvement activities to optimize revenues.
• Oversees the development, submission, implementation, and evaluation of the PFS department’s annual work plan.
• Monitors performance of assigned areas and effectively addresses poor results.
• Facilitates information-sharing and coordinated efforts at all times and helps channel problem-solving efforts as needed.
• Participates effectively as a member of the financial management team particularly in regards to matters related to regulatory compliance, analysis, and reporting functions.
  
  

Assumes ultimate responsibility for compliance and accounts receivable management, monitoring all A/R related functions and indicators and ensuring that low performance and negative trends are addressed.

• Leads the organization’s reconciliation process between MDHHS and Medicaid MCO data to ensure accurate settlements and provides finance with interim settlement estimates
• Prepares the annual billing compliance audit plan and conducts or oversees periodic compliance audits and corrective action as needed.
• Works closely with MIS Department in deploying and maintaining the Enterprise Practice Management system.
• Monitors fee schedules to ensure proper billing and adjustment activity.
• Leads all denial management activities and coordinates implementation of processes to minimize denials
• Participates in annual financial audit.
• Ensures provider coding audits and training are performed by qualified staff on a timely basis.
• Oversees sliding fee scale program.
• Oversees A/R reporting functions ensuring accurate and timely analysis of InterCare’s PFS activity, including publishing key performance metrics for revenue cycle activities.
  
  

Requirements

Description of Primary Attributes

General Development

• Delegates appropriately and uses others’ talents well.
• Consistently strives to develop the leadership attributes identified by InterCare’s Management Success Profile.
• Functions effectively as a member of InterCare’s management team. Participates constructively in meetings and can conduct effective meetings.
• Develops professional working relationships with site staff and other InterCare departments, community members, professional associations and health care networks.
• Consistently demonstrates ability to think critically and strategically, juggle multiple priorities, adjust to changing circumstances, organize time efficiently, remain attentive to details and exert a positive influence on those around him/her.
  
  

Professional And Technical Knowledge

• Maintains a working knowledge of FQHC, CMS, HRSA, Medicare PPS, Medicaid, and other applicable billing and compliance rules and regulations.
• Remains abreast of regulatory requirements and financial implications related to Michigan’s MOA, Medicare PPS, credentialing, and sliding fee.
• Understands and consistently supports the uniform implementation of InterCare’s organizational and administrative policies and procedures in assigned areas.
  
  

Technical Skills

• Proficient in Microsoft Office Suite.
• Ability to use clerical and numerical skills in preparing final drafts and documents from raw data.
• Ability to create letters, forms, documents, spreadsheets, and presentations.
• Ability to run reports, analyze and interpret data, and assist in implementation and maintenance of EPM and electronic claim submission and posting systems.
  
  

Communication Skills

• Possesses a professional level of written and verbal communication skills.
• Ability to communicate complex concepts in a clear, effective manner.
• Possesses excellent cross-cultural communication skills and the ability to communicate professionally to clients, perspective employees, vendors, business associates and staff members at all levels.
  
  

Physical Demands

Job duties are performed in the typical office environment of the organization, which requires ordinary ambulatory skills sufficient to visit other locations. The environmental factors and/or physical requirements of this position include the following:

• Ability to stand, walk, stoop, kneel, crouch, frequently sit, and lift up to 25 lbs.
• Requires good hand-eye coordination, reach with arms & hands, and finger dexterity, including ability to grasp, and manipulate (using keyboard, office equipment).
• Visual acuity to use keyboard, operate office equipment, and read printed material and regularly required to talk and hear.