PURPOSE OF THIS POSITION
The purpose of this job is to monitor denials and to develop training and education programs to address organizational needs. Will have oversight of organization of classes, implementation of and refining processes, evaluating competency, and training internal and external staff in the various processes and software used within Patient Financial Services in accordance with Federal, State, and local guidelines as well as BVHS and Patient Financial Services established policies and procedures.
JOB DUTIES/RESPONSIBILITIES
Duty 1: Supervises the A/R processes and account balances; maintenance of open accounts, posting of payments, preparation of monthly statements, issuance of refunds, and the closing of accounts. Tracks and identifies trends to decrease any occurrence of lost dollars.
Duty 2: Supervises the proper flow of encounters and cash in an effort to meet the service needs of our patients, employees, and the organization. Establishes with the Managers of Patient Accounting and Finance, adequate internal control procedures to assure the proper route of encounters & cash flow. Supervises the appropriate supporting documents to assure the proper tracking and balancing of encounters through the patient account reconciliation process.
Duty 3: Assists with pulling data, updating metrics, productivity tracking, reporting, and KPI monitoring. Participates in daily huddles and staff meetings for managing daily improvements.
Duty 4: Performs supervisory administrative support functions including but not limited to: assists in the recruiting and hiring process, training & education of associates, coordinate staff schedules, payroll, and completion of associate performance evaluations, recognition and reward, disciplinary follow up as appropriate. Monitors adherence to established quality/productivity standards and department metrics, assist in the development and monitor completion of competencies and organization mandatory requirements, etc.
Duty 5: Acts as a liaison between revenue cycle departments, managed care and clinical departments. Assists with education as needed. Promotes positivity, service oriented and team approach within department staff to effectively reach initiatives.
Duty 6: Knowledgeable in departmental functions and can provide end user support in day-to-day operations and job functions as necessary.
Duty 7: Coordinates with other PFS leaders regarding daily operations, consistent communication and workflow improvement. Has the ability to research issues and remain complaint in all aspects of payer guidelines and regulations that creates a compliant claim form and the collection of outstanding balances. Has the ability to incorporate these standards into the daily education and training of the staff.
Duty 8: Creation and/or implementation of PFS projects as assigned by PFS Manager or Director. Maintains leadership of those projects until finalization occurs. Presents, implements and educates changes as a result of those projects.
Duty 9: Implements, supervises and educates approved departmental policies, procedures, and staffing. Keeps abreast of federal, state, and local rules and regulations and general economic conditions. Works with PFS management team to modify the operations appropriately.
Duty 10: Communicates using various methods. Solicits feedback from end users in order to assist with planning future training, coordination of upgrades, and prioritizing the need for system enhancements. Supports associate engagement efforts.
Duty 11: Assures confidentiality of patient information. Adheres to all aspects of billing and Credit & Collections including but not limited to HIPAA related privacy, security and transaction & code set regulations and HCAP and Charity Care functions related to patient accounts within Patient Financial Services.
REQUIRED QUALIFICATIONS
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