Manager of Patient Accounts-IL- Clinic Finance

Midwestern University•Downers Grove, IL

2d•Onsite

About The Position

The Manager of Patient Accounts is responsible for the revenue cycle for the Multi-Specialty Clinics located in Downers Grove, Illinois. This position reports to the Assistant Director of Patient Accounts. The role involves organizing, directing, coordinating, and evaluating clinic patient scheduling, registration, cashiering, refunds, billing/collection activities, cash application, and provider insurance credentialing. The Manager will collaborate with University Administration, Clinic Administration, and academic programs to achieve financial and accounts receivable goals, establish policies, monitor compliance (HIPAA, HiTech), and foster excellent customer service. This includes hiring, training, managing, developing, and evaluating patient account staff, ensuring compliance with all Federal, State, and third-party billing and collection regulations. The position also involves managing accounts receivable functions, analyzing processes to identify and resolve payer issues, minimizing bad debt, participating in audits and clinic committees, and overseeing the MWU clinic assistance program. Budget preparation, implementation, and monitoring for patient accounts are key responsibilities, as is assisting in the development of new services and programs and ensuring compliance with payer contracting agreements. Communication and education with clinical staff regarding billing, coding, and documentation changes, as well as assisting patients with scheduling/billing concerns, are also part of the role. The Manager will also direct credentialing activities for MWU clinic providers and build relationships with vendors and partners. Reviewing month-end reporting, developing metrics, and revising policies and procedures are essential, along with implementing changes directed by regulatory agencies. Other duties may be assigned.

Requirements

A bachelor’s degree in finance or related field is required.
5-7 years of revenue cycle experience working in an integrated clinic environment is required, preferably with an academic institution.
5-7 years of previous management experience.
Knowledge of Federal and State guidelines, managed care contracting, payer filing and appeal limits, and credit and collection policies is also required.
A high level of interpersonal skills, problem-solving, and strong analytic abilities are necessary to be successful in this position.
Thorough knowledge of Current Procedure Terminology (CPT), ICD9/ICD10, HCPCS codes, and the CMS 1500 claim form.
Computer proficiency in MS Office (Word, Excel, Outlook).
Experience with Medical Practice Management systems, EHR, payer websites, clearinghouses.
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
Ability to write reports, business correspondence, and procedure manuals.
Ability to effectively present information to top management and boards of directors.
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Ability to calculate figures and amounts such as discounts, interest, commissions, and proportions, percentages, area, circumference, and volume.
Ability to apply concepts of basic algebra and geometry.

Nice To Haves

preferably with an academic institution

Responsibilities

Organize, direct, coordinate, and evaluate clinic patient scheduling, registration, cashiering, refunds to patients and third parties, billing/collection activities, cash application, and provider insurance credentialing.
Work in conjunction with University Administration, Clinic Administration and various academic programs to reach and maintain financial and accounts receivable goals, establish policies and procedures, monitor HIPAA and HiTech compliance, and develop and maintain excellent customer service.
Interview, hire, train, manage, develop, and evaluate patient account staff members.
Ensure that all Federal, State, and other third-party billing, collecting, and follow-up requirements and regulations are met.
Manage and coordinate accounts receivable functions/reporting to ensure efficiency and maximize reimbursement.
Analyze processes to identify payer issues, monitor results and progress, implement plans for improvement, and keep bad debt to a minimum.
Participate in various University and clinic audits as it relates to finance, billing, and coding.
Participate as a member on various clinic committees.
Participate as a member of HFMA and MGMA.
Oversee the application, approval, and administration of the MWU clinic assistance program.
Prepare, implement, and monitor patient account budgets for MWU clinics.
Assist in research, development, and implementation of new services and programs.
Ensure compliance with payer contracting agreements.
Communicate and educate clinical care staff on billing, coding, and documentation changes.
Assist patients with concerns and complaints regarding scheduling/billing.
Promote, develop, and maintain excellent customer service with patients.
Manage and direct credentialing activities for MWU clinic providers in conjunction with the credentialing agency.
Develop strong and effective relationships with vendors and contracted partnerships in order to exchange information and resolve issues of financial impact.
Review month-end reporting to develop, implement, and monitor benchmarking/metrics for patient accounts.
Develop/revise policies and procedures for the finance department, as needed.
Implement changes directed by regulatory agencies.
Other duties may be assigned.

Benefits

medical, dental, and vision insurance plans
life insurance
short/long-term disability
pet insurance
flexible spending accounts, including healthcare reimbursement and a child/dependent care account
competitive time off package including paid holidays, sick/flex days, personal days, and vacation days
403(b) retirement plan
tuition reimbursement
a child care subsidy reimbursement program
identity theft protection
an employee assistance program
a wellness facility on-site with a fully equipped fitness facility