Job Description – Patient Financial Services Manager

[Pages:4]Job Description ? Patient Financial Services Manager

Department: Reports to: Supervises:

Administration Chief Financial Officer Billing Manager, Billing Specialists

POSITION SUMMARY The Patient Financial Services Manager is responsible for the overall operations and functions of the agency's billing services (medical, dental, mental health, and addiction treatment). This position is responsible for forecasting revenue projections and communicating this information regularly with the Executive Committee. This position also oversees the agency Billing functions including the billing and collections of patient accounts, compliance with third-party payer regulations, cash posting, employee productivity and ongoing improvement to key revenuecycle indicators. These key indicators include but are not limited to: Accounts Receivable days, cash collections goals and posting, bad debt, denials, underpayment recovery, and contractmanagement activities related to patient account management. ESSENTIAL JOB DUTIES ? Leads and provides operational directives for all activities

related to claims management and collections of Accounts Receivables and ensures timely, efficient cash collections to support overall financial goals of facility ? Prepares and analyzes all statistical reports to monitor trends and determine operational deficiencies and implements corrective-action plans as necessary ? Forecasts revenue projections based on staffing, program models, billable services, and payer reimbursements ? Alerts Executive Committee to any concerns or of any needed

modifications around projected revenues ? Communicates and collaborates with individual, program

managers in an effort to improve efficiencies and streamline processes for NARA's billing-revenue cycle ? Routinely produces Age Trial Balances to monitor reimbursement patterns and investigate any cash-flow issues for needed corrective actions to assure timely collection of accounts and achievement of established department or agency goals ? Monitors unbilled account reports to determine necessary actions required to minimize number and dollar-value of accounts being held for bill production; reports findings weekly; develops, in concert with other department heads, corrective actions necessary to clear accounts held for bill release ? Leads departmental efforts and design with patient collections ? Develops dashboards and graphs to illustrate NARA's productivity goals while also maintaining and updating changes to this information on a regular basis in order to help identify ideas to increase efficiencies and streamline processes within NARA ? Determines qualifications and competence of departmental personnel who provide billing services. Evaluates all employee performance evaluations and annual education requirements and provides feedback to managing staff to ensure consistency in application of performance-review process ? Works with front desk and Oregon Health Plan teams to assure training around proper entry for patient registration and other data to assure all information is collected that is needed for billing ? Assists in preparation of annual departmental budgets ? Maintains knowledge of current regulations and policies of

Federal, State and private payers; keeps impacted departments informed of changes, revisions, and updates ? Stays abreast of latest developments and trends in field of Patient Accounting by attending seminars/workshops and actively participating in interdisciplinary committees ? Maintains confidentiality in all matters that include Patient Health Information and Employee Data ? Other duties as assigned by Chief Financial Officer in order to fulfill NARA's mission QUALIFICATIONS ? Bachelor's degree in business administration or related field, minimum of 10 years of medical billing experience, and minimum of seven years' experience working as department manager in billing, accounting, or information systems ? Strong working knowledge of accounting/business principles, revenue cycle management, applicable Federal and State laws and regulations, Medicare and Medicaid rules and regulations, all aspects of third-party reimbursement policies and practices, and knowledge of Current Procedural Terminology (CPT), International Classification of Diseases (ICD)-9/10 coding and Physician billing ? High-level knowledge of practice management billing systems, electronic health records, and government payment systems ? Data-driven with excellent analytical and problem solving skills along with proven ability to assess and evaluate complex financial data and manage multiple, complex tasks ? Exceptional interpersonal, verbal, and written communication skills; and superior organizational, consultation, and mediation skills ? High-level of accuracy and attention to detail, flexibility, and ability to attend to competing priorities in an effective and timely way, and prioritize effectively in team environment

? Ability to maintain professional boundaries with clients, community, and other staff members

? Work collaboratively with clients, other NARA staff, team members, and treat everyone with respect and dignity at all times

? Ability to pass pre-employment or for-cause drug tests ? Ability to pass criminal background and check by Oregon's

Driver and Motor Vehicle Services ? Minimum of two years sobriety/clean time, if in recovery ? Experience with Federally Qualified Health Center (FQHC),

preferred ? Experience with Centricity Practice Management and/or

Resource and Patient Management System (RPMS), preferred ? Experience working within Native American/Alaska Native

community, a plus This job description is not intended to be and should not be construed as an all-inclusive list of responsibilities, skills, or working conditions associated with the position. While it is intended to accurately reflect the position's activities and requirements, the agency reserves the rights to modify, add or remove duties and assign other duties as necessary.

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