Manager-Patient Financial Services-Patient Financial Services

Job Objective:

Responsible for overseeing the financial aspects of patient care, including billing, collections, and patient financial assistance. Ensures accurate billing and reimbursement, manages patient financial assistance programs, and works to improve the overall patient financial experience.

Essential Responsibilities:

• Demonstrates compliance with Code of Conduct and compliance policies and takes action to resolve compliance questions or concerns and report suspected violations.
• Ensures procedures are followed to promote accurate and timely account resolution of all
• Demonstrates that communication empowers people and should be distributed widely and appropriately; knows that listening is essential to understanding; gives and receives constructive feedback; chooses the appropriate medium for the message; relates to a broad range of people; understands the power of information and possession of it; uses strong interpersonal and communication skills to clearly and effectively interact with diverse groups and individuals, secure and/or provide information to clarify situations, resolve problems and negotiates services with other departments.
• Provides overall management and supervision to the department’s staff and guides the workflows of the department.
• Manages and mentors direct reports with objective feedback and guidance to encourage development and growth.
• Recruits, screens new hire applicants and participates in selection and hiring process to ensure adequate staffing.
• Assists in ongoing training for all staff to ensure optimal skill levels and current knowledge base for all employees.
• Completes performance evaluation process for staff; counsels staff regarding performance deficiencies and gives verbal and written disciplinary warnings under the direction of leadership.
• Maintains staff time and attendance records as required.
• Performs quality assurance audits and follows up on a daily basis; provides feedback to each representative regarding the audits.
• Receives escalated telephone calls and responds to customer billing questions. 
• Maintains daily productivity logs for each member of the staff, providing data on successes and identifying areas of needed improvement.
• Provides regular production reports to leadership for both auditing and collections.
• Directs the resolution of account variances.
• Serves as Managed Care and Government Payors Liaison. 
• Reviews and approves all manual adjustments and forwards to leadership if adjustment is greater than amount agreed upon by leadership. 
• Maintains production statistics and implements corrective measures when production standards are not met.
• Arranges for desk coverage to ensure consistent, efficient operations.
• Conducts regular staff meetings to provide feedback on unit operations, discuss problematic issues and introduce new procedures and/or regulations.
• Identifies problems and recommends procedural changes when appropriate.
• Assists in the development of departmental policies and procedures.
• Works with finance department to respond to any questions or concerns regarding revenue.
• Analyzes service line profitability for departments.
• Attends staff meeting, in-house training and attend classes pertaining to Federal and State billing regulations as well as compliance issues and Guidelines as directed. 
• Performs special projects and attends meetings as requested by leadership.
• Perform other duties as assigned.   

Essential Skils:

• Understanding of medical terminology, CPT/ICD9 coding Excellent verbal and written communication skills and ability to make executive presentations
• Experience with Internet applications, MS Work, Excel and databases applications
• Strong Microsoft Windows knowledge, keyboarding skills, and knowledge of hospital billing and databases systems
• Must possess understanding of commercial and managed care patient accounting principles