Director of Patient Financial Accounts

Primary function. The Director of Patient Financial Services will manage all department functions and supervise billing, all admissions staff, and prior authorization staff. He or she will provide leadership by projecting a positive image to the office staff, hospital staff, patients, physicians, and visitors. The Director of Patient Accounts will maintain efficiency with a sense of financial responsibility to the department and the hospital. The director will also help with compliance specific to the department. Duties and responsibilities Overall responsibilities

• Maintains supervision of all personnel within the department and provides annual staff evaluations. Responsible for training and mentoring staff.
• Approve payroll hours for department personnel and submits to payroll. Approves schedules and PTO.
• Responsible for interviewing hiring and orientation of new personnel within the department.
• Responsible for department budget, projects, staffing, and equipment needs.
• Complies with established guidelines regarding Community Hospital Association's Personnel Manual.
• Maintains appropriate discipline controls with the department and handles employee grievances appropriately and timely. Patient Accounts
• Maintain in depth knowledge of Medicare, Medicaid and Commercial Insurance billing practices, guidelines, self-pay, laws, and regulations to ensure accurate billing.
• Provides for continuing education regarding Medicare/billing issues for staff.
• Meets weekly with CFO to explain accounts over 90 days and actions for collection.
• Administrates the Financial Assistance Program appropriately and with strict confidentiality, with the final approval by CFO of all Financial Assistance Applications.
• Assists with maintaining accuracy of the charge master regarding billing and guidelines by meeting regularly with department directors, regarding coding and charging issues.
• Ensures insurance companies are paying as they should, and assists staff in insurance company issues.
• Remains current with the Evident and RCM billing systems.
• Performs CAQH updated for hospital and clinic providers.
• Credentials hospital, clinics, and providers with insurance companies.
• Approves patient and insurance refunds and ensures they have been researched thoroughly.
• Supervises relationship with credit agencies regarding collections and bad debt accounts.
• If necessary, acts on behalf of the hospital in small claims court and legal processing of bad debt collections.
• Ensures all providers have mal-practice insurance.
• Acts as back-up for staff absences. Customer Services
• Staff members who encounter patients, family members, co-workers, and other customers at their work site will introduce themselves by name
• Staff members will be trained and coached on using the hospital's current customer service training guidelines. Other
• Attend Directors meetings as scheduled. Will be on time and participate.
• An active member of the Revenue Cycle Team.
• Holds quarterly meetings for staff with minutes.
• Is a member of the E H R governance committee.

Performs all other duties as assigned.

Qualifications Qualifications include:

• Bachelor's Degree in Business Administration, Accounting, or Health Administration.
• 3 t0 5 years of Progressive Leadership experience in hospital revenue cycle or patient financial services.
• Knowledge of hospital billing essential

Skills:

strong analytical capabilities, proficiency in hospital billing systems and expert knowledge of insurance programs.

• Ability to meet deadlines.

Working conditions Generally, works in an office environment. Position has a potential to be exposed to viruses, disease, and infections from patients/visitors. Physical requirements This position involves a lot sitting. It also requires a lot of visual activity which involves the use of the computer, extensive reading, and preparing and analyzing medical and payer information. Adaptability to perform a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure. Direct reports

Patient Accounts Admissions Prior Authorization Pay:

$70,000.00 - $90,000.00 per year

Benefits:

Dental insurance Employee assistance program Flexible spending account Health insurance Health savings account Life insurance Paid time off Retirement plan Vision insurance

Work Location:

In person