Director Patient Financial Services

SGHS • Brunswick, GA

1d

About The Position

Responsible for the supervision of Patient Financial Services personnel. Directs the inpatient/outpatient billing/collection operation staff on interpretation of policy and implementation of procedures to ensure regulatory requirements are met. Ensures that accurate and timely billing is being done by staff members in accordance with established procedures and third party requirements. Prepares the annual budget for PFS & Clinic Billing as well as reports requested by the Chief Financial Officer while maintaining the required records, reports files, etc. Maintains appropriate internal controls over accounts receivable and cash receipt functions as well as implementing appropriate billing and collection procedures, ensuring that the inpatient/outpatient accounts receivable records are kept in accordance with established procedures. Ensures refund policy & procedures are followed by staff in accordance sound financial standards. Supervises the procurement of insurance, employment, salary and financial obligation information related to the patient’s ability to pay for treatments performed. Confers with the patient or patient’s representative, including welfare agencies regarding financial assistance for patients and attempts to collect delinquent accounts. Demonstrates an active attempt to be aware of current developments and changes pertaining to patient accounting /credit & collection procedures as well as reimbursement billing procedures of third party and private insurance payers. Establishes and implements controls and procedures for appropriate claim submission, billing and payment cycles including the collection of overdue accounts while monitoring all activities of insurance companies, collection agencies, Information Systems, Medical Records and patients.

Requirements

• BA or BS college degree in a related field.
• Five years of patient accounting or business office experience.
• Experience as a Director or Manager in the healthcare field.
• Professional certification (CMPA) or equivalent experience/competency.
• Knowledge of supervisory skills.
• Knowledge of customer relations.
• Knowledge of management skills.
• Knowledge of budgetary skills.

Responsibilities

• Supervises Patient Financial Services personnel.
• Directs inpatient/outpatient billing/collection operation staff on policy interpretation and procedure implementation to ensure regulatory requirements are met.
• Ensures accurate and timely billing in accordance with established procedures and third-party requirements.
• Prepares the annual budget for PFS & Clinic Billing and reports requested by the Chief Financial Officer.
• Maintains required records, reports, and files.
• Maintains appropriate internal controls over accounts receivable and cash receipt functions.
• Implements appropriate billing and collection procedures.
• Ensures inpatient/outpatient accounts receivable records are kept in accordance with established procedures.
• Ensures refund policy and procedures are followed in accordance with sound financial standards.
• Supervises the procurement of insurance, employment, salary, and financial obligation information related to a patient's ability to pay.
• Confers with patients or their representatives, including welfare agencies, regarding financial assistance and attempts to collect delinquent accounts.
• Stays aware of current developments and changes pertaining to patient accounting, credit & collection procedures, and reimbursement billing procedures of third-party and private insurance payers.
• Establishes and implements controls and procedures for claim submission, billing, and payment cycles, including the collection of overdue accounts.
• Monitors activities of insurance companies, collection agencies, Information Systems, Medical Records, and patients.

What This Job Offers

• Job Type: Full-time
• Career Level: Director