Manager - Patient Accounts

Beloit Health System•Beloit, WI

2d•Onsite

About The Position

Beloit Health System is looking to add a Patient Accounts Manager to our Revenue Cycle Team! This role is responsible for managing billing, accounts receivable and payment posting to ensure accurate and timely reimbursement while maintaining exceptional customer service. The Manager of Patient Accounts will collaborate with clinical, operational, and financial leaders to optimize revenue cycle performance while ensuring an exceptional patient financial experience. The ideal candidate is a strategic leader with strong knowledge of healthcare reimbursement, revenue cycle management, regulatory compliance, and team development.

Requirements

Experience with hospital billing, insurance reimbursement, accounts receivable management, and collections.
Strong understanding of healthcare reimbursement methodologies, payer contracts, and revenue cycle best practices.
Knowledge of Medicare, Medicaid, managed care, and commercial insurance regulations.
Demonstrated ability to analyze financial and operational data and drive performance improvement.
Excellent leadership, employee development, and change management skills.
Strong problem-solving and decision-making abilities.
Exceptional communication and interpersonal skills.
Proficiency in revenue cycle reporting tools and Microsoft Office applications.
Ability to manage multiple priorities in a fast-paced healthcare environment.

Nice To Haves

Bachelor's Degree in Healthcare Administration, Business Administration, Finance, Accounting, or related field is preferred
A minimum of 6 years' progressive experience in hospital and provider billing may be considered in lieu of degree.
Certification as Health Care Financial Professional (CHFP) within one year of hire
At least 6 years' experience in healthcare or insurance environment
At least 6 years' supervisor or managerial experience over hospital and physician billing and accounts receivable management

Responsibilities

Lead and manage the daily operations of Patient Accounts, including billing, collections, cash posting oversight, customer service, and accounts receivable management.
Develop, implement, and monitor departmental goals, key performance indicators (KPIs), and productivity standards.
Analyze accounts receivable trends and implement strategies to improve cash collections, reduce denials, and minimize aging balances.
Ensure timely and accurate billing for hospital and professional services in compliance with payer requirements and regulatory guidelines.
Oversee denial prevention and appeal processes to maximize reimbursement opportunities.
Monitor patient account activity and ensure appropriate follow-up on outstanding balances.
Collaborate with Revenue Cycle, Finance, Compliance, HIM, Registration, and Clinical departments to improve operational performance and patient satisfaction.
Ensure adherence to federal, state, and payer regulations, including Medicare, Medicaid, HIPAA, and commercial insurance requirements.
Develop and maintain policies, procedures, and internal controls related to patient account operations.
Prepare and present reports on financial performance, accounts receivable metrics, collection effectiveness, and department initiatives.
Manage vendor relationships related to collections, outsourcing, and revenue cycle technology solutions.
Recruit, coach, develop, and evaluate staff while fostering a culture of accountability, engagement, and continuous improvement.
Participate in system-wide revenue cycle projects, technology implementations, and process improvement initiatives.