Job Description

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

Coordinates and supervises the admitting, patient billing, cashiering, credit and collection, data entry and PBX functions of the hospital. Reconciles accounts receivable balances to general ledger control accounts as directed.

Essential Functions

• Supervises business office functions and personnel that may include, but is not limited to, admitting, patient billing, cashiering, credit and collections, data entry, and PBX.
• Establishes and implements controls to ensure appropriate submission, billing and credit and collections are kept in accordance with established procedures.
• Establishes appropriate procedures for follow-up on third party approvals, billing, and collection of overdue accounts.
• Ensures that accurate and timely billing is being done by staff members in accordance with established procedures and third-party requirements.
• Coordinates the evaluation of patients’ insurance coverage and determines whether the patients’ benefits are exhausted.
• Tracks pre-certifications and continuous stay authorizations to ensure compliance with insurance and third-party requirements.
• Keeps current regarding all reimbursement billing procedures of third party and private insurance payers.
• Implements appropriate billing and collection procedures, ensuring that the accounts receivable and records are kept in accordance with established procedures.
• Maintains appropriate internal controls over accounts receivable and cash receipt functions.
• Monitors activities with collection agencies, insurance companies, admitting, medical records, patient, and physicians. Supervises charge posting, billing, and collections ensuring compliance with policies and procedures.
• Maintains required records, reports, and files.
• Attends meetings and participates on committees as directed.
• Schedules and evaluates the work of assigned staff members. Evaluates performance and competency of assigned staff and makes recommendations for personnel actions such as merit increases, promotions, and disciplinary actions. Plans and coordinates programs for ongoing staff education.
• Supervises the procurement of insurance and financial obligation information related to the patient’s ability to pay for treatment performed.
• Consults with other departments concerning services rendered which affect the ability of the hospital to collect charges and/or the willingness of patients to pay.
• Assists in the care and maintenance of department equipment and supplies.

Knowledge/Skills/Abilities/Expectations

• Excellent oral and written communication and interpersonal skills.
• Knowledge of government and non-government payor practices, regulations, standards and reimbursement.
• Knowledge of general patient billing practices, managed care and third-party billing requirements, and fair credit and collection practices.
• Computer skills with working knowledge of Microsoft Office, word-processing and spreadsheet software, healthcare admitting and patient accounting systems.
• Ability to perform multiple tasks, strong verbal and written skills, and sound decision-making abilities.
• Approximate percent of time required to travel: 0%
• Must read, write and speak fluent English.
• Must have good and regular attendance.
• Performs other related duties as assigned.

Qualifications

Education

• High school diploma or GED required.
• Bachelor’s degree in business administration or accounting preferred. Equivalent combination of education, training, and experience may substitute for education requirements

Experience

• Minimum 3 years’ experience in business office management and accounts receivable with supervisory responsibilities in an acute healthcare setting.