About This Role
This role involves overseeing the billing, collection, post-payment review, credit balances, and correspondence functions for all government, non-government, and patient accounts. It focuses on managing and coordinating team efforts to deliver specific financial services, ensuring adherence to standard processes and developing a high-performance work team through coaching and mentoring.
Responsibilities
- Supervise the work of PFS employees by empowering, coaching, answering questions, giving guidance, and leading by example
- Maintain detailed knowledge of state and federal laws and ensure current processes are reviewed and updated to meet regulatory requirements
- Maintain ongoing knowledge of all standard bill forms and other mandatory state billing forms and filing requirements, including 837, 835, 272, and 276 HIPAA transactions
- Identify possible trends or issues and provide possible solutions; communicate and escalate information to Leadership and internal/external Customers
- Exhibit an understanding of CPT, HCPCS, and ICD10 coding regulations and guidelines
- Monitor billing, collections, post-payment review, and correspondence activities to ensure timely completion and identify any improvement opportunities
- In coordination with the unit Manager, monitor and conduct performance reviews and provide feedback to team members; work with team members to improve, track, and develop in areas of poor performance
- Actively participate in PFS projects and system upgrades
- Proactively evaluate processes to identify progressive solutions
- Identify issues and determine appropriate levels of escalation
- Communicate issues effectively and professionally to all levels within the organization
- Evaluate key performance indicators to ensure they are meeting business needs
Requirements
- Associate Degree
- 5 years’ experience providing leadership related to billing, collection, and post-payment review of Government/Non-Government patient accounts, preferably within a multi-facility environment
- 5 years’ experience and excellent working knowledge of payer regulations including Medicaid, Medicare, Federal & State Funded programs, and thorough understanding of Managed Care contracted plans
- Demonstrated success with building and guiding a team to develop and monitor collection processes to meet organization goals and objectives
Nice to have:
- Experience and knowledge of Patient Accounting Systems in a multi-facility environment
- Experience with providing visible sponsorship and guidance of major change initiatives
Important Details
- Schedule: 8 AM - 5 PM Monday-Friday
