Supv-Patient Financial Svcs

EvergreenHealth•Kirkland, WA

6d•Onsite

About The Position

Responsible for the day-to-day supervision and the effective functioning of all Patient Financial Services department units within EvergreenHealth Medical Center, Hospice Care and Home Care. Primary areas of responsibility include the Insurance Claim submission unit, Insurance Follow up unit, Cash Application unit, Refund unit, Customer Service unit, Self-pay Collections unit and Charity Care unit. Responsible for researching and resolving issues and concerns raised by patients, guarantors and insurance carriers regarding outstanding accounts. Serves as a recognized liaison and resource to other departments, physicians and their offices as well as our satellite clinics regarding Patient Accounting functions.

Requirements

Understanding of payment methodologies (MSDRG, APDRG, OPPS, APG, APCs etc)
Knowledge of UB92 and HCFA 1500 billing
Knowledge of state and federal regulations relating to Patient Accounting and collections.
3 years related hospital or Accounting/Finance experience
Supervisory or leadership experience in hospital related fields

Nice To Haves

Bachelor’s degree in business or equivalent work experience
Experience in a financial healthcare setting, Patient Accounting or Admitting

Responsibilities

Functions as a liaison in resolving issues, responding to inquiries as it pertains to billing, charging and other patient accounting related functions by working with other departments as required
Provides supervision and assistance in the day-to-day operations of the patient accounting functions under the direction of the department manager.
Ensures the completion of all daily cash application which includes application to individual accounts, data entry, balancing, reconciling and depositing of hospital and EHCS dollars.
Ensures that credit balances are resolved based on coordination of benefit rules and the completion of the Medicare Quarterly Credit Balance Reports submission.
Provides escalation of all bad debt accounts assigned with collection agencies which may include pursuing insurance rebilling, resolution of patient billing disputes and resolve patient complaints.
Provides oversight of the operations of the department in the absence of the Patient Financial Services Manager and is accountable to the decisions made in this capacity.
Reviews and validates staff payroll daily and any activities required to manage vacations and sick time requests.
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.