Patient Account Manager

JOB SUMMARY

Responsible for managing patient account staff in following up accounts and working with non-government payors to ensure proper reimbursement.

ESSENTIAL DUTIES AND RESPONSIBILITIES 

• Ensures compliance with state and federal laws and regulations.
• Facilitates the identification of issues and solutions by team members related to delays in achieving payment resolution.
• Monitors collection processes to determine cash flow improvement opportunities.
• Manages the aging of accounts receivable by trending and analyzing the A/R, and through communication with the payors.
• Works with department trainer and leaders to identify department training needs for system education, industry updates and changes in collection processes and protocols.
• Works with department leaders and staff to ensure that employee productivity and quality meets standards.
• Manages desk assignments to meet employee productivity and collection efforts.
• Review and approve manual adjustment request
• Attends all meetings as requested and performs any additional duties as requested by Executive Management.
• Seeks and recommends ways to use technology to improve operational efficiency.
• Meets with Collections staff regularly to discuss difficult claims and provide solutions.
• Submit month-end analysis of AR inventory trends and insights into improvement opportunities. 
• Provide timely feedback to leadership and staff.
• Planning, Executing, Monitoring, and improving communication processes within the department staff and other related department
• Partner with RCM Operations team to ensure KPI’s are met/exceeded
• Maintains a thorough understanding of health insurance and government programs, where necessary.
• Other duties may be assigned.

KNOWLEDGE, SKILLS, ABILITIES

• Advanced knowledge of healthcare A/R
• Excellent working knowledge of Patient Financial Services operations with specific focus on Inpatient and Outpatient Managed Care and Commercial payors (i.e., Medicare regulations and compliance; HIPAA)
• Proficient in Microsoft Office (Word and Excel)
• Advanced writing skills
• Ability to provide advanced customer service
• Ability to plan and implement process improvements
• Ability to train and coach staff
• Ability to multi-task
• Strong leadership and organizational skills
• Proficient in building a strong team to meet performance goals
• Very good written and verbal communication skills
• Strong interpersonal skills
• Strong technical skills, including PC and MS Office Suite knowledge

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience preferred to perform the job.

• 4 year college degree in Healthcare Administration, Business or related area or equivalent experience. 
• 5 – 10 years experience in Healthcare Administration or Business Office
• 2 – 3 years supervisory experience

The posted pay scale represents the range the Company reasonably expects to pay candidates for this position. The actual wage for this position may depend on factors such as experience and education, specific skills and abilities, alignment with similar internal candidates, marketplace factors, an applicable collective bargaining agreement, and Company business practices.