Supv-Patient Fin Svcs Self Pay

Primary Duties

• 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.
• Pairs 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.
• Maintains monitoring of 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.
• Solves 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.
• Oversees 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
• Acts as an administrator for 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.

Qualifications

• 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
• 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

Benefits

• Medical, vision and dental insurance
• On-demand virtual health care
• Health Savings Account
• Flexible Spending Account
• Life and disability insurance
• Retail plans 457(b) and 401(a) with employer contribution)
• Tuition assistance for undergraduate and graduate degrees
• Federal Public Service Loan Forgiveness program
• Paid Time Off/Vacation
• Extended Illness Bank/Sick Leave
• Paid holidays
• Voluntary hospital indemnity insurance
• Voluntary identity theft protection
• Voluntary legal insurance
• Pay in lieu of benefits premium program
• Free parking
• Commuter benefits
• Cafeteria & Gift Shop Discount