MANAGER OF PATIENT FINANCIAL SERVICES

Primary Care Associates of Appleton•Appleton, WI

About The Position

The Manager of Patient Financial Services is responsible for activities performed by Patient Accounts and Coding staff. This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for the job. Duties, responsibilities, and activities may change at any time with or without notice.

Requirements

Bachelor's Degree (BA) from four-year college or university, or one to two years of related experience and/or training, or equivalent combination of education and experience preferred
Computer skills required: Human Resource Information Systems; Microsoft Office Suite; EPIC Preferred with Resolute and Cadence Experience: reporting software
10+ years of supervisory and revenue cycle experience
Strong accounts receivable and clearing house experience
Advanced understanding of billing, accounts receivable, and financial reporting
Strong organization skills
Demonstrates self-starter behavior
Possess a high degree of confidence
Possess a high degree of independent judgement
Acts independently and will deal with a certain level of ambiguity
Ability to work well with all customers of Primary Care Associates
Ability to function as a part of a team with cooperative attitude
Ability to work under pressure and in a fast-paced environment
Ability to prioritize and work efficiently
Continually required to stand, walk, sit, bend, stoop, talk or hear.
Continually required to utilize hand and finger dexterity
While performing the duties of this job, the noise level in the work environment is usually moderate.
The employee must occasionally lift and/or move up to 20 pounds.
Specific vision abilities required by this job include: close vision; distance vision; color vision; peripheral vision; depth perception and ability to adjust focus.

Nice To Haves

Previous management experience preferred

Responsibilities

Provide leadership and direction for the Patient Accounts department, ensuring alignment with the organization’s vision and values.
Maintains positive relationships with all customers, employees, providers and patients.
Establish employee relationships and maintain a high level of visibility and accessibility.
Lead change initiatives, supporting the organizational changes for staff and providers and developing strategies for successful implementation.
Ensure departments are completing their charge reconciliation process timely.
Work with coding and Patient Accounts staff to reduce claim denials through root cause analysis and process improvement.
Implement effective denial management procedures and monitor the financial impact.
Achieve goal of reducing bill hold days below established target by participating in revenue cycle committee meetings with members of finance, coding and providers.
Coordinate discussions with coding team to optimize documentation and coding practices that impact revenue capture.
Lead the implementation of new coding changes and provide education to providers and departments to maintain compliance and improve efficiency.
Utilize data to track performance indicators such as denial rates and collection rates.
Serve as the primary point of contact for Patient Accounts inquiries for the clinic.
Lead efforts to improve operational processes within Patient Accounts and Coding areas.
Maintain staff schedules to assure adequate staffing within department.
Ensure compliance with all regulatory requirements within the department.
Utilize Epic system to review dashboards, reports, and work queue monitoring to improve accuracy and overall metrics.
Interdepartmental collaboration with all Leadership Team members.
Responsible for the education of all staff and must assure all staff is competent.
Delegates and prioritizes work assignments in relation to organizational needs.
Provides clear communication and expectations for staff.
Complete performance evaluations timely based on organizations policy.
Oversee end-to-end medical billing operations including charge entry, claim submission and follow-up, payment posting, denials and appeals, patient billing.
Run, analyze, and explain billing and A/R reports including aging, payments, adjustments, write-offs, and denial trends.
Performs other related duties as assigned by leadership.
Directly supervises 10 employees within the listed department(s).
Carries out manager responsibilities in accordance with the organization's policies and applicable laws.
Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.