Manager Patient Financial Services

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Job Summary
The Manager, Patient Financial Services is responsible for the overall operations and functions of University Medical Center's billing services. This position oversees all billing functions including billing and collections of patient accounts, compliance with third-party payer regulations, cash posting, employee productivity and ongoing improvement to key revenue-cycle indicators. These key indicators include but are not limited to: Accounts receivable days, cash collection goals and posting, resolving customer services issues, bad debt, denials, refunds, underpayment recovery, chargemaster management, audit process, and contract management activities related to patient account management.

Reports to:

Job Specific Responsibilities
Daily assignments may include but are not limited to:

• Routinely produces Age Trial balances to monitor reimbursement patterns and investigate any cash flow issues for needed corrective actions to assure timely collection of accounts and achievement of established department goals.

• Assist staff to resolve any claim denial and appeal the denial when appropriate.

• Monitors credit balance and budget plan reports. Manage and approve any refunds to ensure accurate financial reporting.

• Correct errors by PFS staff when noted and inform the proper supervisor/employee of errors and what measures should be taken to prevent recurring errors.

• Identify revenue cycle problems, research/analyze data to resolve issues, identify and select alternatives, and implement solutions for improvement. Provide revenue capture training as needed.

• Oversee the annual charge review with revenue departments. Execute the annual pricing study and monitor revenues resulting from price changes.

• Monitors unbilled reports to determine necessary actions required to minimize number and dollar value of accounts being held for claim production.

• Monitors payers claim rejections and implements steps necessary to prevent future rejections. This includes management of hold bills to assure proper billing.

• Understand claim queue processing related to networking between the hospital billing system and SSI, i.e. processing claim queues and translating claims into SSI across UMC's network. Coordinates hardware support with the IT department.

• Determines qualifications and competence of department personnel. Evaluates employee performance and annual education requirements and provides feedback to staff to ensure consistency in application of performance review process.

Education and Experience

• Bachelor's degree in Business or related field or +6 years of related work experience

• Minimum of 2 years of leadership experience, leading people and managing processes

Required Licensures/Certifications/Registrations
N/A

Skills and Abilities

• Ability to effectively communicate both verbally and in writing; Must speak English fluently

• Mainframe computer skills

• Basic accounting and detailed clerical skills

• Possess customer relation skills

Interaction with Other Departments and Other Relationships
Constant interaction is required with Admitting, Utilization Review, Fiscal Administration, Resource Assistance, Health Information Systems and Information Technology. Frequent interaction is required with all revenue generating departments. Interaction with other departments shall occur as needed.

Physical Capabilities
Work is of medium demand; walking, sitting and standing most of the time while on-duty. Occasional lifting of equipment is required. Adequate hand/eye coordination and fine motor skills required for typing. Talking and hearing is essential in dealing with co-workers and customers.

Environmental/Working Conditions
Work in a well-lighted, heated and ventilated building. Hours may vary to accommodate needs of other departments.

Direct Reports
Patient Financial Services staff as assigned

UMC Health System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

*Request for accommodations in the hire process should be directed to UMC Human Resources.​*

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