Patient Financial Services Manager - Patient Financial Services - FT - Day

Schedule:

Shift:

Weekly Work Schedule:

Job Information
Exemption Status: Exempt

A Brief Overview
The individual in this role is a key member of the management team responsible for planning, organizing, evaluating, directing and staffing of the third-party payer billing, customer service, payment posting and denial management areas to complete the activities involved in the post service portion of the revenue cycle. The incumbent manages the billing, customer service and collection functions, through a group of employees who perform fairly complex tasks which are completed to ensure: (1) accurate claims to third-party payers which are in compliance with federal/state laws and contractual obligations; (2) maximum customer satisfaction; (3) maximized cash flow; and (4) minimized payment denials. The incumbent is responsible for the financial, quality, productivity and resource management and is expected to utilize methods and systems which are cost effective and in compliance with required standards, rules and regulations.

Education Qualifications

• Bachelor's Degree Required

Experience Qualifications

• 3 years Patient accounting experience Required
• 1 year Supervisory experience Required

What you will do

• Has detailed understanding of third-party payer regulations, policies and procedures. Ensures that staff complies with all Medicare, Medicaid and other federal health insurance programs rules and regulations. In addition, informs management of any known or suspected violations by other employees or suppliers.
• Completes analysis of changes in regulations, policies and procedures in a timely manner and effectively communicates changes to all appropriate staff. Reviews and maintains appropriate policies and procedures; quality improvement plans; safety, infection control, disaster and security programs according to established licensing and accrediting body standards.
• Ensures that third-party payers are notified of disputed issues in a timely manner and follow-up is made until issue of resolved or appealed.
• Develops performance targets for the departments in conjunction with the Director, Clinic Revenue Cycle. Ensures the implementation of monitors and evaluations of progress toward achievement of these targets. Actively pursues the identification, development and implementation of improved processes within the revenue cycle.
• Takes an active role in customer services issues as necessary and acts as a role model in resolving patient, visitor, doctor and employee issues in a professional manner. Works with Director and Trainer/Auditor to identify education needs in customer service for the staff and facilitates staff participation in educational activities.
• Ensures customer concerns are processed in compliance with Stormont Vail Health policies while maintaining the highest level of patient and employee rights, including confidentiality of patient information and personnel issues.
• Collects data and prepares timely reports to facilitate staff monitoring and maintenance of departmental compliance and productivity standards.
• Develops and maintains departmental records, reports and statistical data in order to meet both administrative and regulatory requirements.
• Ensures the coordination of ongoing staff training and educational development programs through staff needs identifications and assessment.
• Manages service posting, patient insurance billing and collections and data processing to ensure accurate patient billing and efficient account collection in conjunction with department supervisors.
• Encourages staff to function as a team with free exchange of problem identification and solution ideas within the group. Assist staff to enhance leadership skills, resolve conflict and promote problem solving. Serves as liaison between Patient Financial Services and other departments and/or hospital personnel and promotes cooperative relations.
• Meets regularly with staff to skillfully and professionally communicate department activities, department and organizational performance and changes within the department and organization. Ensures necessary data, identified processing issues and related information is provided to the appropriate departments and individuals within the organization in a timely manner.

Required for All Jobs

• Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health
• Performs other duties as assigned

Patient Facing Options

• Position is Not Patient Facing

Remote Work Guidelines

• Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.
• Stable access to electricity and a minimum of 25mb upload and internet speed.
• Dedicate full attention to the job duties and communication with others during working hours.
• Adhere to break and attendance schedules agreed upon with supervisor.
• Abide by Stormont Vail’s Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.

Remote Work Capability

• Hybrid

Scope

• Has Supervisory Responsibility


• No Budget Responsibility No Budget Responsibility
• Has Budget Responsibility

Physical Demands

• Carrying: Rarely less than 1 hour
• Climbing (Stairs): Rarely less than 1 hour
• Eye/Hand/Foot Coordination: Rarely less than 1 hour
• Feeling: Occasionally 1-3 Hours
• Grasping (Fine Motor): Occasionally 1-3 Hours
• Grasping (Gross Hand): Occasionally 1-3 Hours
• Handling: Occasionally 1-3 Hours
• Hearing: Continuously greater than 5 hours
• Repetitive Motions: Rarely less than 1 hour
• Sitting: Continuously greater than 5 hours
• Standing: Occasionally 1-3 Hours
• Talking: Continuously greater than 5 hours
• Walking: Occasionally 1-3 Hours

Working Conditions

• Other Atmospheric Conditions: Rarely less than 1 hour

Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment.

Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.