Patient Financial Services Manager in Lincoln, Nebraska at Bryan Health

GENERAL SUMMARY:

Responsible for planning, organizing, coordinating and implementing the activities and functions of the department, to include: patient balance resolution, cash management, patient refunds, bad debt, and activities related to financial assistance. Manages the operational processes required to complete assigned functions in a timely and accurate manner to maximize cash collections, evaluate and process patient credit balances and meet all regulatory and compliance requirements. Provides continued evaluation of the effectiveness of collection agencies and legal representatives to achieve desired outcomes for collection of patient accounts.

PRINCIPAL JOB FUNCTIONS:

1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values.

2. *Responsible for hiring, training, supervising and evaluating staff.

3. *Develops relationships and manages operations to maximize reimbursement, assure accuracy of refund activity and maintain compliance with health care regulations and hospital compliance plans.

4. *Monitors actual performance against projected outcomes; performs ongoing review of system utilization; recommends changes/modifications for enhancing processes.

5. *Develops, maintains and interprets Patient Accounts statistical data and evaluates the effects of internal and external influences on departmental objectives and policies.

6. Manages and monitors information project/modification requests to the system to support Patient Financial Services (PFS) operations.

7. *Develops and operationalizes policies, procedures and information support systems related to patient collections, cash posting, government/legal regulations, and outside vendors.

8. *Communicates departmental activities, changes and facility impacts to appropriate personnel; represents to outside organizations; participates in interdepartmental committees as assigned.

9. *Establishes and maintains departmental budgets for assigned areas.

10. *Plans, implements and maintains informational reporting related to Patient Accounts processes; trains others to complete routine reports.

11. Works closely with all Bryan Health departments to maintain timely and accurate reimbursement, collections and customer services procedures and practices; evaluates and recommends procedures or methods to eliminate or decrease redundant activity within Bryan Health and the Self-Pay Business Office (SBO).

12. *Directs the follow up and collection practices in the recovery process for all patient responsibilities.

13. *Develops and maintains relationships with collection agencies and attorneys in order to maximize recovery of accounts.

14. Assists in the development of collection agency and legal contracts, commission rates, performance and recovery measurements.

15. Maintains current knowledge about new technology for attaining efficiency in receipting and managing cash.

16. Works interdepartmentally to manage non-patient receivables with cost effectiveness and efficiency.

17. Performs other related projects and duties as assigned.

(Essential Job functions are marked with an asterisk “*”. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed.

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

1. Knowledge of Joint Commission regulations, quality improvement processes and corporate compliance plans.

2. Knowledge of organizational and personnel management standards and practices.

3. Knowledge of general accounting principles.

4. Knowledge of computer hardware equipment and software applications relevant to work functions.

5. Knowledge of hospital billing practices and procedures including effective collections/recovery methods.

6. Knowledge of third party payers, Medicare, Medicaid and Managed Care agency regulations and requirements.

7. Knowledge of legal practices and testimony procedures in the active pursuit of delinquent accounts.

8. Ability to lead multi-disciplinary teams and work as a team member.

9. Ability to communicate effectively both verbally and in writing.

10. Ability to establish and maintain effective working relationships with all levels of personnel, medical staff, volunteer and ancillary departments.

11. Ability to collate and integrate information from a variety of sources for the purposes of review and evaluation.

12. Ability to schedule, direct, counsel and evaluate employee work and performance.

13. Ability to develop written policies and procedures, memoranda and performance evaluations with measurable behaviors.

14. Ability to maintain regular and punctual attendance.

EDUCATION AND EXPERIENCE:

Bachelor’s degree in Business or Finance-related field required. Minimum of five (5) years progressively responsible work experience providing patient financial services in a hospital or medical center of equivalent size. Prior supervisory experience required.