NH PATIENT FINANCIAL SERVICES MANAGER

The Hospital Authority of Miller County•Colquitt, GA

22h

About The Position

JOB SUMMARY: Responsible for the calculation, posting, and verifying duties to obtain and record financial data for use in maintaining accounting and statistical records. Compiles composite reports required by management of government agencies. Determines work procedures, coordinates work schedules, and expedites work flow. Completes duties and examines work for exactness, neatness, and conformance to policies and procedures.

Requirements

Bachelor’s degree in business or accounting related field preferred.
In absence of a degree at least (5) years of experience in a healthcare business office required.
Computer knowledge to include Microsoft Office products.
Thorough understanding of Medicare, Medicaid, HMOs, PPOs, and private insurance.
Ability to communicate in English, both verbally and in writing.
Strong written and verbal skills.
Basic Computer Skills
Follows Code of Conduct policy.
Adheres to dress code; appearance is neat and clean.
Completes annual educational requirements.
Maintains regulatory requirements.
Maintains patient confidentiality at all times.
Reports to work on time and as scheduled; completes work within designated time.
Wears identification when on duty; uses computerized time clock system correctly.
Completes in-services and returns in a timely fashion.
Attends annual review and/or skills fair and department in-services, as scheduled.
Attempts to end conversations and other interactions in a positive manner; leaves others with a good impression of the Hospital Authority of Miller County and its employees.
Complies with all organizational policies regarding ethical business practices.
Communicates the mission statement of the organization.

Nice To Haves

Additional languages preferred.

Responsibilities

Manages accounts receivable, accounts payable and general ledger.
Oversees resident trust funds in compliance with regulations.
Prepares and reconciles monthly financial reports.
Assists with budget development and monitoring.
MEC (Month End Process).
Triple Check Process.
Knowledge and experience of Medicaid pending process including disability and Medicaid pending applications.
Working experience with MatrixCare, DDE, Availity, Experion, Medicaid Gammis, and other financial applications used to assist business office functions.
Responsible for the calculation, posting, and verifying duties to obtain and record financial data for use in maintaining accounting and statistical records.
Processes Medicare, Medicaid, Managed care, and private pay billing.
Ensures accurate claim submission and follow-up.
Manages denials and appeals.
Maintains compliance with CMS, state, and federal regulations.
Prepares for audits and surveys.
Maintains organized financial records.
Compiles composite reports required by management of government agencies.
Verifies insurance authorizations.
Monitors payer mix and census changes.
Ensures correct patient liability and charges.
Supervises and trains business office staff
Collaborate with Administrator, DON, MDS and Admissions.
Determines work procedures, coordinates work schedules, and expedites work flow.
Completes duties and examines work for exactness, neatness, and conformance to policies and procedures.
Uses LTC financial billing software.
Maintains HIPAA compliance.
Maintains confidentiality and integrity.
Adheres to ethical standards.
Participates in QAPI initiatives
Implements process improvements.