Job Summary

Utilize automated information and billing systems to their maximum potential to coordinate and manage the day-to-day functions of patient billing, credit and collection of patient receivables. Plan, organize, and implement policies and procedures to maximize effective collection of patient account receivables and minimize bad debt while remaining responsive to state and federal billing and collection regulations as well as new developments in the industry. Supervise managerial and Accounts Receivable systems support personnel to maximize departmental productivity and quality.

Responsibilities

•Maintainpatientreceivableswithinanacceptablerangeonanongoingbasis.Utilizeautomatedinformationandbillingsystemstotheirmaximumpotentialinthereductionofpatientreceivables.
•Establishanddirecttheimplementationofprocesscontrolstoensuretimelyandaccuratebillingofpatientreceivablestothirdpartypayors.

•Keepabreastofallreimbursementbillingrequirementsforthirdpartypayorsincluding,butnotlimitedto,stateandfederalregulationsandstandardacceptedbillingformats.

•Establishappropriateproceduresforfollow-uponthirdpartyapprovals,billing,andcollectionofpatientreceivables.

•Monitoractivitiesofsupportdepartmentstoassesstheimpactofactivitiesandaccuratesubmissionofdataforpatientbillingandpracticemanagement.

•IncollaborationwiththePatientAccountsManager,developandmonitorgoalsandobjectivesforPatientAccountsDepartmentforeffectivecollectionofreceivables.

•Planforchangesinthirdpartyreimbursementmechanisms,inadvanceoftheiroccurrencewheneverpossible,andadjustdepartmentalpoliciesandproceduresaccordingly.

•Maintainbaddebtsnetofrecoveryandpayerandpatientcreditsasapercentageofgrossrevenuewithinanacceptablerange,onanongoingbasis.

•ProvidemanagerialdirectionandserveasaresourceandsupporttoPatientAccounts'personnel,particularlytothemanagementteam.

•Preparemonthly,quarterly,annual,andadhocreportsofdepartment'sfinancialactivity.

•Exhibitprofessionalcompetenceandassumeresponsibilityformaintainingprofessionalgrowthanddevelopment.

•Maintainknowledgeofandadheretophysicianpoliciesandprocedures.

Knowledge, Skills & Abilities

Patient Group Knowledge (Only applies to positions with direct patient contact)

The employee must possess/obtain (by the end of the orientation period) and demonstrate the knowledge and skills necessary to provide developmentally appropriate assessment, treatment or care as defined by the department’s identified patient ages. Specifically the employee must be able to demonstrate competency in: 1) ability to obtain and interpret information in terms of patient needs; 2) knowledge of growth and development; and 3) understanding of the range of treatment needed by the patients.

Competency Statement

Must demonstrate competency through an initial orientation and ongoing competency validation to independently perform tasks and additional duties as specified in the job description and the unit/department specific competency checklist.

Common Duties and Responsibilities
(Essential duties common to all positions)

1. Maintain and document all applicable required education.
2. Demonstrate positive customer service and co-worker relations.
3. Comply with the company's attendance policy.
4. Participate in the continuous, quality improvement activities of the department and institution.
5. Perform work in a cost effective manner.
6. Perform work in accordance with all departmental pay practices and scheduling policies, including but not limited to, overtime, various shift work, and on-call situations.
7. Perform work in alignment with the overall mission and strategic plan of the organization.
8. Follow organizational and departmental policies and procedures, as applicable.
9. Perform related duties as assigned.

Education 

• Bachelor's Degree (Required) Education: Bachelor Degree can be in Finance, Business Administration or Accounting Experience: 5 - 7 Years - Related staff supervisory capacity or applicable related experience; 5 - 7 Years - Accounts receivable. Substitutions: Associate degree and 8-10 years successful supervisory experience in a financial or related setting may substitute for bachelors degree; High School Diploma/GED with 10-12 years successful supervisor experience in a financial or related setting may substitute for bachelors degree

Credentials 

• No Certification, Competency or License Required

Work Schedule: Days

Status:  Full Time Regular 1.0

Location: General Hospital

Location of Job: US:WV:Charleston

Talent Acquisition Specialist: Lisa J. Craft lisa.craft@vandaliahealth.org