Supv-Patient Fin Svcs Self Pay

EvergreenHealth•Kirkland, WA

4d•Onsite

About The Position

Responsible for the day-to-day supervision and effective operation of the Patient Financial Services self-pay patient accounting functions for both EvergreenHealth Medical Center and EvergreenHealth Monroe. Oversees departmental operations to ensure efficient, compliant, and patient-centered service delivery. Resolves complex account issues and addresses concerns from patients, guarantors, and insurance carriers related to outstanding balances and billing. Serves as a liaison and resource to internal departments, physicians, and external partners regarding Patient Accounting policies, procedures, and operational processes.

Requirements

Associate’s degree or equivalent combination of education and experience
3 years related hospital or Accounting/Finance experience
Supervisory or leadership experience in hospital related fields
Experience leading centralized call center teams
Understanding of payment methodologies (MSDRG, APDRG, OPPS, APG, APCs etc.)
Knowledge of UB04 and HCFA 1500 billing
Knowledge of state and federal regulations relating to Patient Accounting and collections

Nice To Haves

Bachelor’s degree in business or equivalent combination of education and experience
Experience in a financial healthcare setting, Patient Accounting or Admitting
Lean, Six Sigma or process improvement certification

Responsibilities

Partners with leadership to support strategic direction for call center operations, ensuring overall effectiveness and a high-quality patient experience for EvergreenHealth patients and community.
Partners closely with Patient Financial Services staff to resolve accounts and provide accurate and timely support.
Provides day-to-day staff supervision and operational support for self-pay patient accounting functions including collection activities, payment processing, payment plans, and account management.
Establishes and communicates staff productivity and behavioral standards. Monitors team performance to ensure service excellence and timely resolution of self-pay accounts.
Coordinates staff scheduling, including approving time-off requests and coverage for illness and leaves, to ensure sufficient staffing levels that meet departmental needs. Reviews and approves staff payroll.
Plans and facilitates staff meetings. Develops and leads training sessions for Self-Pay and Financial Assistance teams regarding new programs and processes.
Participates in recruitment, interviewing, hiring, performance evaluation, and corrective action processes in partnership with the PFS Manager.
Resolves billing, charging, and patient accounting inquiries by collaborating with cross-functional departments and serving as a liaison when necessary.
Follows established escalation procedures to ensure timely resolution of patient complaints received via phone or in writing.
Oversee charity care operations to ensure compliance with policies and regulatory requirements, including: Coordinating Medicaid application processes with authorized vendors, Ensuring timely processing of applications in accordance with 14-day compliance standards, Reviewing and seeking resolution of application discrepancies, Updating state-approved poverty guidelines annually, Resolving any discrepancies to ensure adherence to the charity policy, Acting as an escalation for the charity unit, Delegating approval authority as assigned by PFS manager.
Administers accounts assigned to collection agencies in compliance with applicable laws and regulations, including: Oversight of bad debt accounts and agency performance, Coordination of insurance rebilling and resolution of patient disputes and complaints, Monitoring of bad debt hold reports for timely follow-up, Application of Fair Credit Reporting Act (FCRA) guidelines, Representation in legal proceedings related to billing when required.
Oversees monthly processing of collection agency payment vouchers and conducts regular performance reviews with agency partners.
Facilitates charge validation, coding review, and billing corrections in collaboration with departments such as Revenue Integrity, Care Management, and Health Information Management.
Maintains current knowledge of billing, compliance, and collection regulations. Ensures adherence to regulatory standards, including Joint Commission requirements, while safeguarding data integrity and patient confidentiality.
Ensures an efficient, accurate, and timely billing process for all self-pay accounts.
Identifies opportunities for workflow improvement and implements solutions to increase productivity and effectiveness.
Ensures that the SEIU requirements are met by department such as posting of monthly schedules, posting of SEIU communications, etc.
Performs other duties as assigned.