Hospital Patient Accounting/Billing Manager (Santa Rosa)

Northern California Behavioral Health System•Santa Rosa, CA

20d•$85,000 - $110,000•Onsite

About The Position

Santa Rosa Behavioral Healthcare Hospital (SRBHH) is an integral part of the greater Santa Rosa and Northern California mental health system of care. Conveniently located in the North Bay, SRBHH serves adolescents and adults, treating both mental health and co-occurring psychiatric and substance abuse conditions. The function of this position is to manage the business office functions including admitting activities for patients, financial counseling, data analysis and eligibility determination. Specific duties include overseeing communication of patient payments options, facilitating financial collections and preparing analytical reports of department activity. The Hospital Patient Accounting/Billing Business Office Manager maintains knowledge of, participates in further training provided, and understands the potential risks regarding occupational health hazards (e.g. bloodborne pathogen exposures).

Requirements

Two years of experience in healthcare billing/collection supervision.
Knowledge of insurance billing.
Knowledge of Medi-Cal Treatment Authorization Request (TAR) process.
Knowledge of collections.
Prior Healthcare Billing Supervision.
Associate degree or equivalent experience.
Demonstrated knowledge of collections, data analysis, medical terminology and insurance billing.
Maintains confidentiality of patients at all times
Sensitivity to and willingness to interact with persons of various social, cultural, economic and educational backgrounds.
Proficiency with software and/or equipment (Microsoft Office applications including Outlook, Word, Excel and PowerPoint.)
Strong organizational skills with ability to prioritize projects, work relatively independently, manage multiple tasks, and meet deadlines.
Strong written and verbal communication skills.
Ability to work independently and as part of a team.
Good judgment, problem solving and decision-making skills.
Ability to work in a fast-paced, expanding organization.

Nice To Haves

Supervisory experience strongly desired.
Knowledge of CPT/ICD-9 coding helpful.

Responsibilities

Monitor Exposure of Account Risk
Prepare and distribute reports on eligible days/visits and related information.
Maintain accuracy of program codes, patient diagnosis and authorized level of care.
Provide timely and clear communication of patient eligibility for payment and at-risk obligations to patient and patient guarantor.
Monitor treatment authorization request from state and county agencies (e.g. Medicare, Medicaid.) This includes providing required information within required lime parameters, recording details of requests in hospital records and reporting acceptance and denials to appropriate clinical and administrative staff.
Monitor patient accounts by providing rates for services, balances due, and contacting patient to obtain payments.
Design and facilitate payment arrangement plans, collection policies and procedures.
Track and record patient contact information.
Review all patient balances with credit balances; processes refunds (both by check and credit card) in a timely manner.
Establish and monitor workflows with Admissions and Records for efficiency in patient pre-admission processes.
Collaborate with Utilization Review staff to minimize denials of patient care services.
Work closely with Central Business Office to maximize hospital collection records.
Coordinate requests for patient records with Health Information Management staff.
Train staff and monitor work progress to ensure time and quality standards are met.
Directs and coordinates data collection and recordkeeping for data managed within the business office. This includes data analysis and management.
Participate in Financial Chart Audit Committee activities. Ensures all documentation of the Business Office is retained in accordance with the hospital's record retention policy.