Openings >> Patient Accounts Manager- Full Time
Patient Accounts Manager- Full Time
Summary
Title:Patient Accounts Manager- Full Time
ID:1079
Department:Patient Accounts - 906
Location:Columbus, GA
Description

Jack Hughston Memorial Hospital is looking for a Patient Accounts Manager for a Full Time position.

Shift: Full Time

Position Goal: The Manager role is to assist the department in the day-to-day processes of departmental operations.  The Manager must be knowledgeable of and ensure compliance with all regulatory and accreditation standards.  The Manager is responsible for resolving all outstanding patient and/or insurance account balances over 30 days old.  This involves coordinating with the Patient Account Representatives to provide training as needed and reporting on quality assurance and production.  The Manager is instrumental in facilitating process and procedure improvements.

Position Responsibilities:

  • Serve and/or coordinate the back up to the Patient Accounts staff as needed to ensure continuity of service.
  • Supervise the Patient Accounts Representatives, Patient Accounts Analyst, Patient Accounts Improvement Specialist, and the Patient Accounts Specialist.
  • Provide direction, support, training and continuing education to section personnel on proper claims submission, collection follow-up, credit balances, appeal processes, posting and balancing.
  • Responsible for ensuring claims are brought in daily and all claims are billed timely.
  • Assists with the timely processing of Charity applications and assisting self-pay patients with Presumptive Medicaid.
  • Serves as the direct support to the Patient Accounts staff by answering questions, concerns, and payer issues along with providing training/continuing education to the team.
  • Coordinates the back up to the Patient Accounts staff in their absence or during times of increased volume in order to ensure continuity of service.
  • Be efficient in the use of multiple computer systems and electronic payer systems.
  • Reports registration, billing, posting and other errors/issues to the Executive Director.
  • Responsible for ensuring all payments and denials are posted correctly.
  • Monitor payment status on patient accounts using a system work file or aged trial balance.
  • Work closely with case management in order to communicate and assist with any denial issues while maintaining the Case Management spreadsheet.
  • Work with HIM and revenue departments to ensure the DNFB (Discharged Not Final Billed) is within established parameters.
  • Create claim edits within Medhost and/or Emdeon to optimize clean claim rate.
  • Run and assess productivity reports by collector/biller.
  • Manage department’s budget.
  • Take and resolve any complaint call not able to be handled by a staff member or as first point of contact.
  • Identify errors resulting in claim payment delays and assembles error examples with solutions to the Executive Director.  Forwards any error examples out to the appropriate departments.
  • Responsible for supervision of the maintenance and updates to the contract management product and the Patient Accounts billing and collections system.
  • Responsible for ensuring the variance reports are reviewed and completed accordingly.
  • Monitors, reviews and/or responds within 48 hours to incoming correspondence.
  • Responsible for ensuring the Medicare Credit Balance Report is accurate and filed by the quarterly deadline as well as the Medicare Bad Debt Cost Report.
  • Ensures bad debt files are keyed and transferred maintaining accuracy of inventory placed/returned for in-house bad debt reporting.
  • Review and complete refund request form on all outstanding credits while maintaining the Credit Balance Report on a weekly basis ensuring all credit balances are in the appropriate financial class before month end.
  • Assists with training new employees and continuing education of employees.
  • Monitors, tracts and evaluates staff productivity, quality assurance and performance while providing monthly one-on-one reviews with each staff member.
  • Monitors compliance with all contracts, ensures variance reports are worked appropriately and notifies Executive Director of any discrepancies.
  • Reviews and approves adjustments, posting corrections, and balance transfer forms in a timely manner according to policy.
  • Ensures competency assessments are adequate for employee related training along with individual development to include coaching.
  • Assist Executive Director with monitoring and trending departmental metrics.
  • Actively assist and engage in other areas of the Patient Financial Services department as needed in order to achieve departmental goals.
  • Serves as a technical or functional resource and performs similar duties with staff.
  • Meets assigned productivity and quality assurance goals as established by department leadership.
  • Demonstrate superior prioritization, organizational, leadership and time management skills.
  • Other duties as assigned

Experience: 5 years Medical Billing, Hospital Patient Access or Hospital Business Office experience required.  1-3 years of leadership experience preferred. 1-3 years of demonstrated strong analytical skills required.  Must have working knowledge of tests, procedures, terminology in addition to insurance knowledge.  Must have exceptional customer service skills as well as verbal and non-verbal communication skills.  Must be proficient in Microsoft Applications to include word, excel and PowerPoint.
Education: High school diploma or equivalent required. Associate Degree in Business Administration, Health Administration, or equivalent preferred.  CPAR, CRCR, CHAA, CHAM, CHFP, CMA or CPA certification required within 180 days of employment.
Special Qualifications: Ability to use Microsoft Office and other software packages.  Excellent typing skills and phone etiquette.  Excellent Customer Service and Communication skills.  Ability to effectively lead and supervise people.

 

The Hughston Clinic, The Hughston Foundation, The Hughston Surgical Center, Hughston Clinic Orthopaedics, and Jack Hughston Memorial Hospital participate in E-Verify. This company is an equal opportunity employer that recruits and hires qualified candidates without regard to race, religion, color, sex, sexual orientation, gender identity, age, national origin, ancestry, citizenship, disability, or protected veteran status. This company is a VEVRAA Federal Contractor.

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