Job Description

Essential Responsibilities: This description of job responsibilities is intended to reflect the major responsibilities and duties of the job, but is not intended to describe minor duties or other responsibilities as may be assigned from time to time.

• Responsible for the supervision of Patient Financial Services personnel. Directs the inpatient/outpatient billing/collection operation staff on interpretation of policy and implementation of procedures to ensure regulatory requirements are met.
• Ensures that accurate and timely billing is being done by staff members in accordance with established procedures and third party requirements.
• Prepares the annual budget for PFS & Clinic Billing as well as reports requested by the Chief Financial Officer while maintaining the required records, reports files, etc.
• Maintains appropriate internal controls over accounts receivable and cash receipt functions as well as implementing appropriate billing and collection procedures, ensuring that the inpatient/outpatient accounts receivable records are kept in accordance with established procedures. Ensures refund policy & procedures are followed by staff in accordance sound financial standards.
• Supervises the procurement of insurance, employment, salary and financial obligation information related to the patient’s ability to pay for treatments performed. Confers with the patient or patient’s representative, including welfare agencies regarding financial assistance for patients and attempts to collect delinquent accounts.
• Demonstrates an active attempt to be aware of current developments and changes pertaining to patient accounting /credit & collection procedures as well as reimbursement billing procedures of third party and private insurance payers.
• Establishes and implements controls and procedures for appropriate claim submission, billing and payment cycles including the collection of overdue accounts while monitoring all activities of insurance companies, collection agencies, Information Systems, Medical Records and patients.

Minimum Qualifications:

Education

• BA or BS college degree in related field.

Experience

• Five years patient accounting, business office experience as Director or Manager in healthcare field.

Licensure

• Professional certification (CMPA) or equivalent experience/competency.

Knowledge/Skills/Abilities

• Supervisory, customer relations, management, budgetary.