Manager, Patient Financial Services- SLH
Applies professional administrative knowledge and skill to oversee accountable operation of financial systems, processes, procedures, and projects in the Patient Financial Services department. Coordination of billing, collections, and cash operations. Under the direct supervision of the Assistant Director of PFS.
STATUS: Full Time
LOCATION: SeaComm Plaza
DEPARTMENT: Revenue Cycle
SCHEDULE: 8 Hour, Days
One year of supervisory experience required
Minimum of 3 years working in a healthcare business office field required
Working knowledge of medical billing, collections, charge capture, third-party reimbursements, and cash handling/management.
Knowledge of Care Connect EPIC, Meditech, ECW, Trizetto preferred
Knowledge / Skills / Abilities/ Essential Job Functions:
Knowledge of hospital and physician billing, both professional and technical
Demonstrates medical billing and coding knowledge
Strong Attention to Detail
Time Management and problem solving skills
Excellent Oral and Written Communication and Interpersonal skills
Knowledge of Microsoft Office Applications
Associates Degree in Health Care or Business Administration Field, Bachelor’s Degree preferred
Oversee Day to Day Operations: Create and continuously improve highly effective systems, processes and procedures for delivery of Third Party operations by analyzing current processes and outcomes against industry standards and practices, proactively anticipating future organizational needs and industry developments and effectively leading work teams in the accountable accomplishment of team goals, objectives and outcomes. Monitor and support daily staff functions in all areas related to medical billing, denial management, and access management workflows. Assists in employment decisions, makes recommendations for employee recognition, performance development or corrective action based on objective criteria, builds team effectiveness, competence and engagement, and serves as change agent when work processes, procedures or outcomes are adjusted. Create written processes and train others in implementing a cross functional PFS team.
Project Management: Manage multiple concurrent projects, processes and assignments, ensuring quality outcomes delivered on time; assist with project planning, prioritization and organization to ensure successful project focus and outcomes; follows up with others on AR project deliverables to ensure goal accomplishment within the established timeframes. Maintain appropriate internal control safeguard over AR records for SLH. Maintain compliance standards for providing accurate information on all health billing systems. Oversight will take place across the St. Health System for all Patient Financial Services departments to include billing, collecting, self-pay collections, and cash posting/reconciliation.
Information Administration: Manage patient and third party information, including knowledge of hard copy and electronic files and data, ensuring appropriate confidentiality of information access and retrieval; utilizes office information systems for on-demand information retrieval, preparation of communications and reports, audits and administrative reporting. Works to train and coach staff on problem areas. Ensures compliance with relevant regulations, standards, and directives from regulatory agencies and Third Party payors.
Customer Service: Personally provides, and leads the assigned work team to provide, service excellence to internal and external patients through reception practices, communication management practices, professionally managing patient needs and concerns, anticipating and responding to assigned requests or actively referring this to the decision-makers who can fulfill the request.
Communication: Ensures essential open communication with the PFS leadership team to ensure proper workflows for an effective and complaint operation. Manages electronic and hard copy mail, preparation of reports, and correspondence to internal and external recipients. Attends meetings as assigned and report events based on the Event Reporting Policy by responding to telephonic, electronic and hard copy communication. Presents team productivity measurements and suggests areas of improvement.
This does not represent a complete or all-encompassing view – other duties may be assigned / required / or change to meet the business needs. An incumbent and the organization both share ownership of bringing forward & documenting any duties that become significant or substantial to be included in the MJO’s.
PHYSICAL REQUIREMENTS S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.