Patient Financial Services Manager

4 days ago

Batesville, Arkansas, United States Margaret Mary Health Full time
Job Summary

The Patient Financial Services Manager will lead the evaluation of business processes, anticipate requirements, and develop solutions to improve departmental efficiency. This role will also design, develop, and implement best practice guidelines within systems and policy procedures to achieve workflow efficiency across the department.

Key Responsibilities
  • Evaluate business processes and develop solutions to improve departmental efficiency
  • Design, develop, and implement best practice guidelines within systems and policy procedures
  • Lead the analysis, implementation, and maintenance of revenue cycle best practice processes and activities across the department
  • Develop and monitor staff work queues and productivity to ensure work volumes and staffing are aligned
  • Audit staff work and participate in developing and delivering training programs within the department
  • Create system and processes audit plans, resolve discrepancies, and troubleshoot issues
  • Prepare data analysis for departmental leadership in organized format to clearly convey trends and identify key areas for revenue optimization
  • Create reports to evaluate accounts receivables, operational productivity, and departmental outcomes
  • Analyze data trends to determine the root cause and conduct deep dive sampling
  • Provide a detailed assessment of revenue cycle processes with a focus on process improvement and best practices
  • Monitor and track ongoing departmental performance through key performance indicators (KPI) in comparison to industry benchmarks
  • Cultivate effective collaborative relationships with departmental teams to seek resolution of issues identified through monthly monitoring of KPIs
  • Work closely with department management to facilitate root issue remediation
  • Collaborate closely with peers to develop, validate, and maintain meaningful report sets
  • Maintain knowledge of Medicare, Medicaid, and commercial reimbursement
  • Stay abreast of group payer contracts, payer policies, payer plans, and member benefits
  • Keep apprised of rules and regulations affecting reimbursement
  • Manage special projects and duties as needed or assigned
  • Serve as first point of contact and support for staff on billing and collection questions
  • Manage staff schedules, approve timecards, track attendance, handle PTO requests, and fill in when staff is unavailable
  • Responsible for orienting and training all new team members
  • Participate in interviews and hiring process
  • Assist in preparation of annual performance reviews for staff
  • Support/conduct departmental huddles, staff meetings, and communications
  • Able to communicate effectively with staff and the public in person and over the phone under stressful situations
  • Keep Director informed of appropriate matters
  • Management and supervision of AR clean-up projects
  • Management of internal processes and workflow implementation
  • Assist in development and revision of departmental policies and procedures
  • Conduct research and resolution activities on insurance claims
  • Track and trend revenue cycle data including, but not limited to, staff productivity, denials, clean claim rates, and bad debt
  • Management and supervision of project/program implementation
  • Assist the Director of Revenue Cycle to identify and implement solutions and system-wide education
  • Maintain, update, and report KPI
  • Functions as the program coordinator of the Indiana Navigator program
  • Obtain and maintain certification from the State of Indiana Navigator's program
Requirements
  • Strong customer service, time management, and decision-making skills
  • Able to multi-task; detail-oriented
  • Highly organized, self-starter
  • Demonstrated analytical skills-ability to break down and quantify problems and processes
  • Excellent written and verbal communication skills
  • Demonstrated ability to manage a process and timelines effectively
  • Must be able to operate a computer and other basic office equipment
Education and Experience
  • Bachelor's degree in Accounting or Finance, Health Information Management, Health Administration, Computer Science, or related field (in lieu of degree, at least 10 years healthcare revenue cycle experience)
  • Minimum of 5 years revenue cycle, medical billing, or follow-up experience
  • Minimum of 3 years relevant supervisory experience; revenue cycle supervisory or managerial experience preferred
  • Medical Coding Certification through the American Academy of Professional Coders (AAPC), and/or the American Health Information Management Association (AHIMA)
  • Coding or billing experience required; Certified Revenue Cycle Representative (CRCP or CRCR) preferred
  • Cerner/Cerner Community Works experience and expertise preferred
  • Proficient in MS Office Suite including Excel, Word, Visio, and PowerPoint
  • Knowledge of patient accounting systems, contract management, and/or claims scrubber software
  • Experience reporting from healthcare decision support, patient accounting, contract management, and/or claims scrubber systems
  • Knowledge of CPT, HCPCs, and ICD-10 coding principles
  • Expert knowledge of inpatient and outpatient billing requirements (UB-04, 837i); specifically, how claims information impacts and drives reimbursement
  • Expert knowledge of Medicare, Medicaid, and commercial reimbursement methodologies
  • Beginner to intermediate proficiency in database reporting queries

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