Manager, Patient Accounting

Essential Duties And Responsibilities

• Manage the activities of employees and vendors to ensure adherence to CRMC standards
• Consistently monitor and track staff productivity and quality to collect cash and bring Accounts Receivables to full resolution
• Provide continued education to staff with regards to healthcare reform, payer updates, and system upgrades
• Work collaboratively with Revenue Cycle peers such as Care Management, Executive Leadership, HIM, Finance, Patient Access, or others within CRMC to meet departmental goals and objectives
• Review, monitor, and validate staff or vendor-initiated adjustments for certain dollar thresholds
• Collaborate with Patient Accounting leadership to assign goals for Patient Accounting
• Conduct frequent quality reviews of staff output and overall workflow to ensure optimal work processes are in place to maximize revenue and reduce denials
• Month End Reporting to capture and consolidate issues and trends recording for Finance
• Maintain professionalism in all interactions with both internal and external customers
• Resolve patient complaints, vendor relations, charging issues, and interdepartmental concerns in a timely and professional manner
• Oversee the training and orientation of all new employees and vendors within the department
• Maintain current knowledge and awareness of changes with regulatory and payor processes, trends, and updates

Supervisory Responsibilities

• Reports to: Director, Patient Financial Services — may also be assigned work from the Chief Financial Officer (CFO)
• Supervises An estimated 20 employees, including team leads, patient account representatives, senior patient account representatives, customer service representatives, and credit balance representatives
• Responsibilities: Manage the daily activity of Insurance Account follow-up, denials, and customer service

Qualifications

• Minimum Required Education: Bachelor’s degree in Business, Healthcare Administration, or related field
• Professional certification required within 1 year of start date in position
• Experience: Three years of Revenue Cycle Management experience in a Health Care Setting required. Five years of revenue experience required in lieu of Bachelor's degree.