Job Description

 Summary

The Manager Patient Financial Services provides overall leadership in planning, organizing and directing the revenue cycle activities for insurance billing/collection, denial management, cash posting/reconciliation, self-pay credit collection and financial assistance/bad debt processes for all acute care (inpatient, outpatient) and ambulatory (physician) services provided by Yuma Regional Medical Center. Monitors staff productivity, quality, and efficiencies to ensure financial and collection metrics are achieved. Identifies and reports opportunities to enhance the revenue cycle to improve cash flow, reduce days in accounts receivable, minimizes write offs and decrease denials. Establishes collaborative relationships with other departments/ambulatory clinics necessary for effective revenue cycle performance. Ensures excellent customer service and achievement of fiscal responsibility outlined in the budget. Creates billing and collection policies and educational materials as appropriate. Uses continuous process improvement through lean management. Must have strong working knowledge of Provider Based billing and compliance regulations. Is responsible for managing and developing service contracts with agency/vendors

 

Responsibilities

Manages Supervisor to ensure that interviews of all prospective employees are scheduled timely; orients new hires; manages Supervisors to ensure training is timely and appropriate; ensures that orientation of new hires is scheduled, conducted and completed; ensures that staff is mentored effectively to prioritize, manage time, make good decisions and provide excellent customer care; ensures that cross training of existing staff is completed timely, so that each staff can perform their primary and secondary roles; conducts 30-60-90 day reviews with new employee and their Supervisor; reports any inefficiency to Director; approves the timekeeping system to ensure accurate and timely completion of payroll; ensures tardies and absences are maintained in employee files and initiates progressive counseling per department policies; ensures that quarterly updates on absences and tardies to staff are completed. Fosters an environment that empowers employees to implement innovative solutions, processes, and practices; maintains a work environment which stimulates and motivates the morale, engagement and growth of subordinates; establishes clear goals and objectives for team; works in conjunction with Supervisor to diagnose and solve problems which adversely impact the processes; develops, recommends and presents training needs and solutions for performance problems; mentors Supervisors and staff in their established career path; escalates interdepartmental performance issues to the Director as needed; completes Document of Corrective Action form for Director and/or Human Resource approval, Schedules and conducts meetings with employee to review; works in conjunction with Supervisor and is responsible for completing Employee Performance Appraisals for areas of responsibility; reviews with Director prior to final submission, Schedules and conducts meetings with employee to review performance appraisal. Maintains effective professional relationships with other department leadership, share ideas, and implement actions related to revenue cycle functions and assist the Director in planning and operations of the department; provides Director with regular updates of key performance indicators and productivity/utilization of staff; identifies and reports to Director problems with staff performance/quality of work, morale, customer/complaints, backlog in work or training deficiencies; analyzes, plans, evaluates and implements processes designed to maintain A/R levels at or below determined benchmarks; evaluates billing and collection processes as needed to ensure compliance with payer guidelines; analyzes payment and/or denials from third party payer in accordance with payer guidelines when required; conducts monitoring of priority and high-risk cases to minimize lost opportunities for reimbursement, resulting in reduction of bad debt/uncompensated care expense; prepares statistical reports according to schedule with minimal assistance; maintains a detailed understanding of the current regulations for Center for Medicare & Medicaid Services (CMS) or other government programs, Blue Cross, and third party payers in a rapidly changing environment; maintains operational knowledge of ICD10, CPT, HCPC and DRG systems; Expert understanding of various reimbursement methodologies. Ensures that patient, management and physician concerns regarding area of responsibility are addressed; acknowledges concerns and resolutions with specified guidelines as evidenced by documentation; coordinates all customer complaints with Patient Experience (or appropriate department head) and documents in the Midas system; follows up with patient as needed to ensure resolution. Works in conjunction with the Director to develop departmental budget within designated deadlines according to budgetary procedures. Participates in department continuous process improvement projects through lean management. Develops and reviews policies, procedures, department goals, and objectives; organizes data into useful information and strategic and operational decision-making purposes, directs and implements system-wide projects as directed. Other duties as assigned.


Other Information

REQUIRED: 5+ years related experience


Education

Bachelors Degree- Health Care Admin

Work Schedule: 8-hours, Days, Monday through Friday

 

Physical Requirements and working conditions for this position will be provided to you upon interview.

 

Application Instructions

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