Manager, Patient Financial Services
Company: MemorialCare
Location: Fountain Valley
Posted on: May 16, 2022
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Job Description:
Position Summary:
Plans, organizes, staffs and is otherwise responsible for
operations and activities of the Medicare Unit and Commercial
Collections Billing Unit of Patient Financial Services in support
of the organization's goal of obtaining appropriate and timely
reimbursement of Medicare accounts receivable while meeting all
related regulatory and compliance standards. Identifies and
provides appropriate solutions regarding the Medicare and
commercial billing. Identifies and provides appropriate solutions
regarding the Medicare follow-up practices of the unit. Ensures
applicable regulations and requirements are met as set forth by
outside governing agencies and contractual obligations. Provides an
exceptional level of customer service. Uses exceptional
interpersonal skills with both internal and external customers and
staff often using conflict management expertise. Serves as role
model in promoting respect for others, while assisting staff to
understand the purpose and importance of ethics and policy
standards consistent with MHS mission and core values. Develops
departmental policies/procedures and revisions. Continually works
to improve workflow processes maximizing resources to achieve Best
Practices and Work Standardization.
Monitors activities of unit to ensure all aspects of areas of
responsibility operate efficiently and effectively including Budget
and productivity standards. Manages daily operations with minimal
guidance. Responsible for hiring, training, performance review. Can
recommend disciplinary actions, of staff to retain high-quality
personnel. Works independently under the management of
Director.
Principal Duties and Responsibilities:
This position works independently under the guidance of a Director
and is responsible for MHS Medicare and commercial billing account
receivable as follows:
Manages daily operations with minimal guidance. Works effectively
with both internal and external executive directors, directors,
managers, and staff to ensure timely Medicare and commercial claim
billing and Medicare collection.
Ensures compliance with federal, state, local and other payer legal
requirements governing Medicare and commercial billing and Medicare
collection activities.
Recruits, hires, trains and retains high quality personnel.
Participates in multi-disciplinary teams to resolve issues relating
to billing and reimbursement.
Demonstrates initiative through performance improvement projects to
increase staff productivity through streamlining activities and the
appropriate use of systems and automation, employing Best Practice
and Work Standardization principles.
Ensures that an exceptional level of customer service for patients,
physicians, and employees and other stakeholders is provided
promptly and appropriately.
Responsible for effective leadership within the Unit, either
personally or through delegation as evidenced by:
Developing and implementing policies and procedures that guide and
support the department.
Continuously assessing and improving performance.
Maintaining quality control programs
Orienting and providing training and continuing education of all
persons in the Unit
Serves as role model in promoting respect for others by exhibiting
courtesy and cooperation to patients, visitors, physicians and
other customers, Responsible for staff understanding the purpose
and importance of ethics and policy standards consistent with the
MHS mission and core values
Participates in developing and adheres to the PFS budget.
Keeps current on the latest business and technical developments
through continuing education and educates staff accordingly.
Conducts employee performance appraisals according to MHS
guidelines.
Provides both positive and disciplinary counseling in a manner
consistent with MHS guidelines, and Gallup guiding principles
Reviews and responds to employee grievances in a timely manner per
MHS guidelines.
Updates procedure manuals and job descriptions as operations and
requirements change.
Demonstrates effective and appropriate oral and written
communications.
Accepts special assignments from upper management and completes
projects in a timely manner.
Prepares staff for promotions.
Education
Bachelor's degree from an accredited college/university is
preferred, preferably in Business Administration.
Experience
Must have a minimum of 5 years of recent experience in related
healthcare services.
Minimum 2 years supervisory experience in related healthcare
services
Experience with hospital patient accounting systems, preferred.
Ability to interpret an extensive variety of concepts such
billing/collection regulations and requirements.
Knowledge of medical terminology, ICD9 and CPT procedure
coding.
Ability to effectively and appropriately communicate ensuring
exceptional customer service.
Computer experience - Microsoft Word and Excel proficient
Ability to perform multiple tasks, strong verbal and written skills
and sound decision-making abilities.
Knowledge of HIPAA compliance requirements
Keywords: MemorialCare, Fountain Valley , Manager, Patient Financial Services, Accounting, Auditing , Fountain Valley, California
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