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Patient Financial Services Billing Lead

2 months ago

Kingman, Arizona, United States Kingman Regional Medical Center Full time

Job Overview

Position Title: Patient Financial Services Billing Lead

Position Code:
 SupPFSBill-8115

Department: Patient Financial Services

Safety Sensitive:
 Yes

Reports to: Billing Manager

Exempt Status:
 Yes

Position Objective:


At Kingman Regional Medical Center, we are committed to delivering exceptional clinical care and patient service. Our team members are expected to uphold this vision by fostering a respectful and high-performance environment.

The Patient Financial Services Billing Lead plays a crucial role in assisting the Billing Manager with the planning, organization, coordination, and oversight of the systems that manage patient insurance billing information. This position ensures that these systems are designed to facilitate timely, courteous, and accurate service from the billing staff at all times. Additionally, the lead monitors and evaluates the performance of the billing team, implementing improvements as necessary.

Key Responsibilities

  • Oversees processes, systems, and personnel involved in Payer Enrollment with various insurance providers.
  • Conducts Quality Control across all billing and payer enrollment activities, ensuring that unbilled accounts are effectively managed to safeguard the organization's financial interests.
  • Guarantees that staff receive thorough training and resources to rectify any errors before billing occurs.
  • Maintains positive interactions with staff and departments to provide guidance and support for the Patient Financial Services Billing Team.
  • Develops and updates job descriptions for billing team positions as required; assists in the recruitment and selection of new or replacement staff for approved roles.
  • Engages professionally and courteously with reporting staff, peers, superiors, patients, and visitors.
  • Utilizes positive reinforcement techniques to motivate staff and build confidence.
  • Effectively manages employee performance improvement and corrective action processes when necessary.
  • Schedules work hours and assignments for billing team members to meet departmental customer needs.
  • Implements hospital and departmental policies and procedures.
  • Assists with employee evaluations and personnel action requests.
  • Facilitates opportunities for self and staff development through orientation, in-services, education, and necessary training; maintains professional qualifications and stays informed about current trends in billing and reimbursement processes.
  • Collaborates with the Billing Manager to conduct regular staff meetings for communication, direction, and education.
  • Coordinates community and educational programs as needed.
  • Responds to physician inquiries, monitors the effectiveness of the billing team's services, and maintains rapport with Medical Staff members and their office personnel.
  • Assists in the development and implementation of departmental policies and procedures.
  • Evaluates the billing team's performance according to industry standards to enhance service quality and patient outcomes.
  • Handles billing claims to payers during employee shortages or claims backlogs.
Required Qualifications

Education: High School Diploma or Equivalent

Experience: Minimum of three (3) years in insurance billing, including electronic claims transmission, along with one (1) year of supervisory experience.

Skills and Knowledge: Proficient understanding of claims reimbursement; typing and computer skills; strong verbal and numerical aptitude; ability to engage with the public; capability to motivate individuals and manage resources effectively.

Preferences

Education: Some college coursework

Experience: Experience in a clinical or hospital business environment.

Special Position Requirements

Blood Borne Disease Exposure Category:
Category III
Work Requirements

Ability to sit for extended periods at a computer terminal; occasional lifting and carrying of files up to 15 pounds; must effectively manage interactions with frustrated or upset clients.