Essential Functions:

• Ensures accurate and efficient patient registration, insurance capture, authorizations, and point-of-service collections.
• Collaborate closely with the Controller, department leaders, clinical leadership, and external partners to streamline and optimize workflows.
• Recruit, train, supervise, and evaluate Patient Services team members in assigned areas, fostering a culture of accountability, Quality improvement and professional growth.
• Serves as a liaison with auditors, regulators, and external consultants related to financial operations when necessary - with the support of the Controller.
• Oversee and appropriately manage collections, payment plans and adjustments for patent accounts in consultation with the Controller.
• Prepares and files the Medicare Credit Balance reports
• Prepares and files the monthly PNWPop CHARS report.
• Review weekly bank balances and determine deposit amount for the Treasurer’s Fund.
• Communicates with patients regarding billing.
• Maintain statistics for Assisted Living, Inpatient, and Swing Bed Billing ProviderOne.
• Oversee and finalizes all resident and patient accounts including Quail Court.
• Prepare and mail monthly statements to Quail Court and Long-Term Care residents.
• Submit reports and claims to long-term care insurance providers with attention to detail.
• Assist with Charity Care applications and file quarterly charity reports to maintain compliance
• Perform manual billing for ambulance services using appropriate mileage calculations and modifiers
• Oversee all work queues and ensure timely completion of tasks in individual work queues.
• Prepare and review refund documentation for patients with credit balances and coordinate with Accounts Payable for timely reimbursement.
• Performs other duties as assigned.

Leadership/Supervisory Skills

• Attends and participates in Leadership meetings, including daily organizational huddles, monthly leadership team meetings, monthly leadership touchpoints, leadership development meetings and other relevant meetings as needed.
• Meets with staff members for monthly touchpoint meetings.
• Meets with staff members for coaching meetings and annual evaluations for each staff member.
• This is a working leadership position. This leader will also help to cover all positions for Patient Access.

Required Education and Certification

• Knowledge of medical billing practices, payer requirements, and healthcare regulatory compliance.
• Minimum of 3–5 years of experience in patient registration, or customer service.
• Associate’s or Bachelor’s degree in Healthcare Administration, Business, or related field preferred.
• Proficiency in EHR/EMR systems; experience with rural health or critical access hospital systems is a plus.
• This is a working leadership position. This leader will also help to cover all positions for Patient Access.