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Patient Financial Services
3 months ago
TITLE: Patient Financial Services
LOCATION: Menomonee Falls, WI (Remote)
SCHEDULE: Monday - Friday
PAY: $20.00 - $26.00 Hour DOE
This is the pay range that BAHAMA Consulting reasonably expects to pay someone for this position.
FLSA STATUS: Non-Exempt (Overtime paid at 1.5X regular rate of pay)
SUMMARY: Under the direction of the Patient Financial Services Manager and Director and according to established organizational and departmental policies and procedures, this individual will ensure efficient and effective daily operations of the Patient Financial Services Department. These efforts will be addressed through the supervision of processes and systems which will optimize reimbursement and cash flow with high sensitivity to our corporate compliance guidelines. These efforts will also be consistent with the mission and vision statements of Froedtert & Community Health.
RESPONSIBILITIES:
- Responsible for supervision and oversight of the daily operations of Patient Financial Services inhouse insurance follow-up functions and related staff.
- Assists staff in determining work priorities and ensures staff is successfully completing job functions.
- Maintains appropriate staffing levels in the department to ensure excellent customer service and meet departments goals.
- Assesses and justifies need for additional or replacement staff.
- Monitors work queues of respective areas and reassigns staff or redistributes workload as needed.
- Monitors quality and productivity metrics and holds staff accountable for stated goal targets.
- Responsible for providing guidance, training, support and solutions to Insurance Follow-Up staff.
- Works closely with management, staff and other areas to continuously provide and improve service.
- Responsible to ensure and maintain effective resource utilization for assigned area.
- Monitors and trends payer performance and presents findings at Provider Representative meetings.
- Implements action plans with staff to reverse negative accounts receivable trending.
- Monitors and understands denial patterns and provides training and feedback on appropriate denial resolution.
- Escalates denial patterns to Provider Representatives of respective payer.
- Monitors interactions with other departments and third party payors to improve productivity and efficiency and provide exceptional customer service.
- Works closely with clinical departments and other revenue cycle departments on cross functional issues affecting billing, coding, registration and reimbursement.
- Develops, reviews, updates, and implements department policies and procedures on a continual basis.
- Prepares and updates payer reference materials.
- Assists with training staff on policies and procedures.
- Researches and maintains knowledge of policy/procedures of all agencies/third party payers.
- Makes changes to established protocol consistent with agency/payer policies/procedures changes in order to maximize revenue.
- Maintains and initiates changes or additions to the department computer systems, including work listing functions.
- Shares in planning for and communicating change involving other departments and troubleshooting to minimize potential conflicts.
- Selects, motivates, directs, and develops staff to cooperatively achieve departmental goals.
- Hires, terminates, counsels staff and takes personnel action, when necessary, per Froedtert & Community Health personnel policies.
- Motivates employees to be productive, positive, contributive member of the team and encourages employees to think without limitations when problem solving.
EDUCATION & EXPERIENCE:
- Bachelors degree in Business, Healthcare Administration or related field required.
- 5 years experience in billing, customer service or collections in a healthcare environment is required.
- 3- 4 years leadership experience is required.
- Demonstrated skills in planning, directing organizing and implementing projects.
- Recent experience in healthcare reimbursement and knowledge of medical coding and billing.
Benefits: Medical, Dental, Vision, HSA, Employee Assistance Program (EAP), STD, LTD, Life and 401(K)
BAHAMA Consulting is an equal opportunity employer. If you need accommodation for any part of the application and hiring process or have any questions, please contact HR.
Monday - Friday
