Manager of Patient Accounts

Position Description: Manager of Patient Accounts

Position Description:

We are seeking a dynamic and experienced Manager of Patient Accounts to oversee our pre-certification processes and ensure exceptional financial coordination for our fertility services. This role will involve leading a team dedicated to managing insurance pre-authorizations, financial counseling, and patient communication.

Key Responsibilities:

Pre-Certification Management:

• Oversee the pre-certification process for fertility treatments, medications, and procedures including IUI, IVF, TESE, MESA, FET, embryo biopsy, donor embryo cases, and gestational carriers.
• Verify insurance benefits and effectively communicate coverage and self-pay options to patients.
• Obtain necessary authorizations for diagnostic tests such as HSG, sonohysterograms, semen analysis, ultrasounds, and endometrial biopsies.

Financial Coordination & Patient Communication:

• Lead financial counseling initiatives, discussing treatment costs with patients to ensure understanding and transparency.
• Relay financial clearance details to staff using Athena and ReSource systems.
• Monitor patient accounts to ensure timely charge entry and billing accuracy.
• Conduct follow-ups with patients regarding outstanding balances, co-pays, and payment plans.

Scheduling & Coordination:

• Manage scheduling, authorizations, and pre-certification of surgical procedures, ensuring all pre- and post-operative visits are organized.
• Coordinate with surgical centers and insurance providers to secure pre-approvals.

Administration & Compliance:

• Ensure that patient consents and financial documentation are accurate and current.
• Maintain compliance with HIPAA regulations and uphold confidentiality standards.
• Support and train new team members in the Financial Services Representative (FSR) team as needed.

Qualifications:

• 3 – 5 years of experience in healthcare insurance, medical billing, or financial services within a provider setting.
• Strong understanding of medical insurance, pre-authorization processes, and patient financial counseling.
• Proficiency in CPT and ICD-10 coding.
• Experience with electronic medical records (EMR) and medical billing software.
• Excellent customer service skills with the ability to clearly explain financial obligations.
• Strong organizational skills with keen attention to detail.

Management Skills:

1. Leadership: Ability to inspire and guide the team towards common goals.
2. Communication: Strong verbal and written communication skills for effective interaction with patients, staff, and external partners.
3. Problem-Solving: Capability to identify issues, analyze situations, and implement solutions efficiently.
4. Organizational Skills: Proficiency in managing multiple tasks and prioritizing responsibilities.
5. Financial Acumen: Understanding of financial principles, budgeting, and billing processes related to healthcare.
6. Negotiation Skills: Ability to negotiate with insurance providers and resolve conflicts effectively.
7. Attention to Detail: Ensuring accuracy in documentation, coding, and compliance with regulations.
8. Team Development: Skills in training, mentoring, and fostering professional growth among team members.
9. Customer Service Orientation: Commitment to providing exceptional service and support to patients and staff.
10. Compliance Knowledge: Familiarity with healthcare regulations and standards, including HIPAA.
11. Analytical Skills: Ability to analyze data and metrics to make informed decisions and improve processes.
12. Adaptability: Flexibility to adjust to changing circumstances and evolving industry standards.

Why Join Us?

• Opportunity to make a meaningful impact in patients' lives.
• Collaborative and supportive team environment.
• Competitive compensation and benefits package.

If you are passionate about making a difference in the lives of patients and possess the skills to lead a team effectively, we encourage you to apply!