Patient Services Manager

Oklahoma State Government•Claremore, OK

1d•$23

About The Position

Basic Purpose Positions in this job family are involved in the coordination of admissions of patients and patient related services. Incumbents serve as advocates between the center/veteran and U.S. Department of Veterans Affairs to maximize services and benefits to the veteran/patient, their families and the agency. The positions in this job family are located at state veterans centers. They provide advocacy services, serve in a liaison role between the patient and federal and state agencies and play a key role in federal fund reimbursement and patient collections. Typical Functions The functions performed in this job family will vary by level, unit and organization, but may include the following: Coordinates patient admissions and services for veteran clients, to include final determination of qualifications for benefits, patient relations, patient benefit programs and/or transaction records; advises departmental officers and employees on change of status, inter and intradepartmental transfers, readmissions, discharges, maintenance charges, financial information and other patient matters; assesses maintenance charges upon admission based on all sources of income and any non-reimbursed medical expenses. Completes required actions for reimbursement of funds; coordinates and plans all U.S. Department of Veterans Affairs reports for per diem reimbursement. Prepares and files claims for VA pension and compensation and other entitlements for veterans to include Social Security benefits, Railroad Retirement, Civil Service, Military retirement, etc, ensuring compliance with federal and state laws, rules and regulations. Counsels with patients and families; interviews veteran applicants, refers applicants to appropriate department heads; conducts background investigations verifying financial status, military retirement and military eligibility; schedules appointments with licensed medical professionals; analyzes financial data to access maintenance charges in accordance with agency policy and advises veteran/family and other departmental officers of final computation; acts as agency liaison with other state agencies, public facilities and other organizations in matters pertaining to veteran clients. May act on behalf of the institution as Veterans Administration and Social Security appointed payee to include responsibility for maintenance of accounts and records for incompetent veterans; prepares annual accountings as required by federal agencies. Develops and implements policies and procedures relating to patient services. Gathers information and prepares daily patient census reports for management and other statistical reports as necessary. Level Descriptor Levels are distinguished based on the complexity of assigned duties, the level of expertise required for completion of work assignments, and the responsibility assigned for the supervision of others. This is the specialist level where employees are assigned responsibilities for performing duties with high degree of freedom and independence involving advanced level of technical expertise in providing benefits and services to veterans or other activities involving greater responsibility or accountability than is normally associated with positions at the career level. Responsibility may include supervision of support personnel or may provide guidance and training to others.

Requirements

Knowledge of federal and state statutes, rules and regulations pertaining to veterans benefits and programs, Social Security payment; billing of patient care charges; of admitting and benefit counseling and interviewing techniques.
Ability is required to communicate effectively, both orally and in writing; to follow written and oral instructions; and to use various software and agency specific programs; to establish and maintain effective working relationships with others; to organize and conduct several activities simultaneously; to maintain a full range of resident accounts; to perform highly independent work; and to exercise sound judgment in analyzing complex situations and adopting appropriate courses of action.
three years of health benefits, insurance claims, admissions, bookkeeping, technical accounting or closely related work plus four additional years of experience in admissions and/or claims and benefits administration in a long term care or medical institution; or an equivalent combination of education and experience, plus four additional years of experience in admissions and/or claims and benefits administration in a long term care or medical institution

Responsibilities

Coordinates patient admissions and services for veteran clients, to include final determination of qualifications for benefits, patient relations, patient benefit programs and/or transaction records
Advises departmental officers and employees on change of status, inter and intradepartmental transfers, readmissions, discharges, maintenance charges, financial information and other patient matters
Assesses maintenance charges upon admission based on all sources of income and any non-reimbursed medical expenses.
Completes required actions for reimbursement of funds
Coordinates and plans all U.S. Department of Veterans Affairs reports for per diem reimbursement.
Prepares and files claims for VA pension and compensation and other entitlements for veterans to include Social Security benefits, Railroad Retirement, Civil Service, Military retirement, etc, ensuring compliance with federal and state laws, rules and regulations.
Counsels with patients and families
Interviews veteran applicants, refers applicants to appropriate department heads
Conducts background investigations verifying financial status, military retirement and military eligibility
Schedules appointments with licensed medical professionals
Analyzes financial data to access maintenance charges in accordance with agency policy and advises veteran/family and other departmental officers of final computation
Acts as agency liaison with other state agencies, public facilities and other organizations in matters pertaining to veteran clients.
May act on behalf of the institution as Veterans Administration and Social Security appointed payee to include responsibility for maintenance of accounts and records for incompetent veterans
Prepares annual accountings as required by federal agencies.
Develops and implements policies and procedures relating to patient services.
Gathers information and prepares daily patient census reports for management and other statistical reports as necessary.