Job #: 32425
Title: Head of Patient Financial Services - Healthcare
Job Location: Truckee, California - United States
Salary: $90,000.00 - $105,000.00 - US Dollars - Yearly
Employer Will Recruit From: Nationwide
Relocation Paid?: Negotiable
WHY IS THIS A GREAT OPPORTUNITY?
We are looking for a Head of Patient Financial Services who will oversee the output and quality of all back-end business functions, and collaborates with the Director of Revenue Cycle to identify strategies for performance improvement on a monthly basis. Responsible for much of the financial health side as the staff, he/she supervises and their associated functions play a large role in reimbursement, cash flow, and whether a patient will return for service to restart the revenue cycle process. Has primary responsibility for ensuring timely billing and collections on accounts receivables. JOB DESCRIPTION
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Manages and monitors the performance of PFS staff members, motivating them to work quickly and with
- Supervises PFS personnel in the timely completion of all essential functions including billing, collections, cash
posting, accounts receivable, medical records, etc.
- Monitors quality and productivity levels for both individual staff members and the team as a whole; identifies
and re-trains underperforming staff members as needed.
- Ensures all staff provides exemplary customer service to both internal and external customers.
- Works with other department leaders to create reports regularly.
- Monitors Accounts Receivable and makes improvements for claim billing and follow up.
- Helps plan initiatives to increase performance as needed.
- Provides formal and informal communication and distributes education and information to the team as needed.
- Measures and compares key performance indicators; responsible to ensure district is meeting industry benchmarks.
- Responsible to be a knowledge resource related to workflow operations and the inner workings of the Health Information System (HIS), so as to recommend streamlined workflow resolutions as appropriate.
- Launches new reimbursement and collection initiatives with staff on regular basis, brainstorms methods for achieving them, and carries projects through until goals are successfully achieved.
- Ensures timely billing and proactively investigates and addresses potential billing process inefficiencies.
- Manages volume of billing workload and adjusts biller assignments as needed to maintain Accounts
- Receivable inventory and cash collections.
- Extracts and prepares data as requested.
- Ensures all billing and collection activities are compliant with federal, state, and industry standards and
- Prepares reports for monthly meetings, conducts audits and provides analysis of billing reports to ensure assigned Divisions productivity, efficiency and financial goals are being met.
- Communicates with the Revenue Cycle Director, other departments leaders, insurance carriers, patients, providers and/or other billing personnel to ensure a smooth workflow.
Analyzes data and prepares reports on collections performance, governmental and commercial payer reimbursement, payment arrangements, etc. as required and/or requested.
- Manages the root-cause analysis of the designated initiatives that prevent timely billing or collection of accounts assigned to each team member and assimilate the data into readable and useful tools for analysis.
- Participates and collaborates with the Revenue Cycle Director for making effective recommendations to the larger Revenue Cycle team, leading to effective resolutions.
- Works in collaboration with all departments and units in the revenue cycle to appropriately communicate issues and/or barriers, and to formulate work plans for resolution of trended issues.
- Develops staff training materials and competency monitoring for all associated Patient Financial Services functions, including billing, follow up, cash collections, cash posting, denials management, customer service follow up, and so forth.
- Reports performance results to the Director.
- Assures uniformity in billing and follow-up approaches.
- Performs other duties as assigned by the Revenue Cycle Director.
- Demonstrates System Values in performance and behavior.
- Complies with System policies and procedures.
- Other duties as may be assigned.
EDUCATION AND EXPERIENCE:
- High school diploma or general education degree (GED) is required, bachelors degree preferred, but may be
substituted with at least three years of related experience in a management position.
- Two years experience in a healthcare commercial insurance billing environment, including knowledge of claims edit software or
Electronic Data Interchange (EDI) is required.
- Two years experience with a computerized admission, billing, and/or collection health information system is required. Knowledge of third party payers including managed
care, Medicare, Medicaid, and Workers Comp is highly desirable.
- Knowledge of Medicare compliance, fraud and abuse principles, and third party payment practices is highly desirable.
University - Bachelor`s Degree/3-4 Year Degree
How to Apply: