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Manager Of Patient Accounts - Finance - FT Days
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Overview
Job Description
Overseeing various revenue cycle functions and analysts.
Essential Responsibilities:
Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position.
- Oversees the Patient Accounts/Business Office team.
- Maintains the team's work schedules, completes timekeeping and sets priorities and expectations for team members
- Monitors productivity, accuracy and quality of work for both team members and vendors
- Provides input and helps develop policies and procedures for the department
- Reviews and provides input on daily, weekly, and monthly reports
- Addresses department issues, e.g. disciplinary, hiring, and evaluations
- Collaborates with departments where necessary
- Meet productivity expectations/department performance goals
- Process various insurance claims and denials from follow up to final reimbursement; take corrective action on repetitive denials
- Maintains a working knowledge of payer contracts, copays/coinsurance/deductibles, and eligibility requirements to accurately process remittance advices
- Notify leadership of any trends or changes in payer requirements
- Resolves account discrepancies, to include but not limited to, credit balances, merge/audit requests, corrected claims, and insurance over/under payments; Documents all action taken on the patient account in the Revenue Cycle module
- Act in accordance with the established mission, vision, and values.
- Abide by the Health Insurance Portability and Accountability privacy and security regulations regarding all aspects of Protected Health Information (PHI).
- Maintain effective communication and professional working relationships with patients/clients and their representatives, team members, contractors, physicians, peers, outside agencies, and the public.
General Responsibilities:
- Perform other duties as assigned.
People Management Responsibilities:
Does this position have people management responsibilities?:
x Yes No
"Yes" indicates that this position entails overseeing and guiding team members, encompassing employment decisions and/or suggestions, as well as conducting formal performance assessments.
"No" indicates that this position does not involve managing team members.
Minimum Qualifications:
Required Education and Experience
- Bachelor's degree in Accounting, Finance, or Information Technology.
Required License/Certifications/Registrations
- None
Preferred Qualifications:
Preferred Education and Experience
- Advanced expertise in Excel, BI, EHR/EMR, and Report Writing
- Six years' healthcare industry experience (finance, IT, revenue cycle, billing, coding, etc.)
Preferred License/Certifications/Registrations
- None
Knowledge, Skills, and Abilities:
- Demonstrated leadership and project management ability.
- Basic computer skills, including Excel
- Successful practices in customer service and problem resolution
- Display critical thinking skills
- Payer specific knowledge regarding rules and regulations - at least 1 payer
- Knowledge of insurance verbiage, claims processing and explanation of benefits
- Must display a high degree of independent judgment and professional skepticism to enhance the work performed in order to achieve success in the Multi-payer Billing Specialist position
- Recent hospital-based 1 year patient accounting experience
- Recent hospital-based 1 year medical insurance appeals and preauthorization experience
- Recent government payer insurance billing experience, including insurance follow-up on DDE/C-SNAP
- Working knowledge and understanding of where to locate/how to read payer policies
- Extensive knowledge of the Medicare website and the Learning Network
- Working knowledge of medical necessity, LCD/NCD
- Working knowledge of CPT, HCPCS, ICD-10 CM, DRG and Modifiers
- Knowledge and experience with appeals, RAC's and/or ADR's
- Possess the ability to lead, teach and guide others effectively when presented with a challenging government or commercial payer task and/or situation
Physical Requirements:
With or without accommodation.
- Light Work: Occasionally exerting up to 25 lbs - frequently exerting up to 10 lbs. 11-25% of the day may be standing or walking.
We offer competitive pay, a generous benefit package and a reason to be proud of what you do, every day.
Automate your job search with Sonara.
Submit 10x as many applications with less effort than one manual application.
