Job Summary

Coordinates all relevant collection data necessary to obtain proper reimbursement to the organization from individuals and third party payers. This includes billing and collection of accounts receivable, counseling of indigent patients and the interpretation of third party regulations.

Responsibilities

• Provides effective daily supervision to the work unit to ensure maximum effectiveness. • Coordinates and controls work flow. • Monitors productivity through various reports and through direct observation of their staff. • Makes adjustments to the workload as required to maintain an even distribution. • Determines methods and directs the resolution of problem accounts. • Maintains effective communication between their unit and other units, departments and outside organizations. • Ensures that employees are kept up to date on current issues affecting operations. • Interprets insurance policy provisions for claim adjudication. • Interprets and applies credit and collection laws and regulations to Patient Account activity. • Interprets and communicates to staff billing procedures contained in the HIM-10 Medicare Claims Processing Manual, UB-82 Billing Manual, and other billing manuals and contracts as required. • Compiles, maintains and submits various management reports. • Recommends policy and procedure changes, as well as implementation of such changes. • Complete responsibility for decision making and problem solving as it relates to their area of responsibility. Exceptional situations are referred to Director of Patient Accounts. • Maintain an ongoing, professional relationship with the following department/individuals in order to accomplish the daily objectives of the Patient Accounts Department: Admitting, Social Services, Nursing, Ancillary Departments, Administration, Physician's, Medical Records, Data Processing and Legal Services. • Required to act as a liaison to CAMC's for-profit subsidiary (SVI) in cases where assistance is necessary to fulfill certain contractual agreements; i.e., Braxton County Memorial Hospital, SVI Billing Department, HealthPlus, Healthcare Financial Services, etc. • Reinforce employee understanding of work integration with other departments throughout the institution.

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 

• Associate's Degree (Required) Education: Associate Degree - Business or Related Field Experience: 2 Years - Hospital business office environment with specific exposure to identified area of expertise, to include 6 months supervisory experience. Substitution: 3 years related experience may substitute for Associate Degree and/or 3 years Supervisory Experience in financial or related setting may be substituted for 2 years experience.

Credentials 

• No Certification, Competency or License Required

Work Schedule: Days

Status:  Full Time Regular 1.0

Location: Beckley-275 Dry Hill Road

Location of Job: US:WV:Beckley

Talent Acquisition Specialist: Tamara B. Young tammy.young@vandaliahealth.org