Patient Accounting Financial Services Mgr

Driscoll Children's Hospital; Edinburg (TX); On-site; USD 80,000 - 110,000; Full time

Job summary

Driscoll Children's Hospital in Edinburg, TX seeks an experienced Patient Access and Revenue Cycle Manager to lead referrals, scheduling, registration/admissions and financial counseling across access points. You will partner with the department director to improve performance and ensure policy compliance.

The role requires strong leadership, knowledge of Medicare/Medicaid billing, and the ability to develop staff and implement training, while coordinating with hospital administration to meet

Qualifications

• Associates Degree in a related field.
• Minimum of 3 years in patient access or revenue cycle in a managerial role.
• Knowledge of Medicare/Medicaid billing regulations.
• Experience with hospital policies and compliance practices.
• Strong leadership and staff development abilities.

Responsibilities

• Oversee daily operations of referrals, scheduling, registration/admissions and financial counseling.
• Ensure accuracy of information and quality of processes across all access points.
• Lead performance management, feedback, goal setting and competency assessment.
• Ensure compliance with governmental billing regulations and corporate integrity.
• Develop training plans and staff development in coordination with the Director.

Skills

Leadership

Compliance

Billing regulations

EPIC proficiency

Communication

Team management

Education

Associates Degree

Tools

EPIC Systems

Job description

Where compassion meets innovation and technology and our employees are family.

Thank you for your interest in joining our team! Please review the job information below.

GENERAL PURPOSE OF JOB

The patient accounting and financial service manager is responsible for the daily operations of all referrals to the facility, including the scheduling, registration or admission, and financial counseling functions at all facility access points in support of revenue and reporting cycle.

The manager will interact with departments at all levels to ensure accuracy of information and quality of processes. This manager works closely with the department director to assess and improve department performance and ensures orientation and continuing education of departmental staff. This leader serves as the key promoter to service excellence which, along with the team, strives to meet and exceed the needs of their customers. As the leader, this person may recommend resources/space needed by the department and may participate in the selection of outside services. Assist the director in developing and implementing policies and procedures that guide or support service.

MANAGER RESPONSIBILITIES

• Effectively administers performance management system including:
• developmental feedback
• goal setting
• assesses competency
• progressive discipline
• Strong knowledge of and effective in administering hospital policies and procedures.
• Strong knowledge of governmental regulations as they pertain to Medicare and Medicaid billing and compliance.
• Thorough understanding of billing requirements for Medicare/Medicaid and private payors.
• Ability to interpret complex governmental regulations and apply practically.
• Ability to interpret managed care contracts and applies practically to the revenue cycle.
• Responsible for sound management of human resources.
• Makes and implements decision compatible with organizational goals.
• Maintains composure, effectiveness, and flexibility under pressure.
• Has the potential to supervise the following job classes:
• Patient Accounting & Financial Service Supervisor
• Patient Accounting & Financial Service Team Lead
• Patient Accounting Specialist
• Financial Counselor
• International Financial Counselor
• PA Greeter

ESSENTIAL DUTIES AND RESPONSIBILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; the employee will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required.

• Always maintains utmost level of confidentiality
• Adheres to hospital policies and procedures
• Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines
• Maintains composure, effectiveness, and flexibility under pressure
• Implement and promote excellent customer service and responds to all customer inquiries in a timely and professional manner to ensure customer satisfaction. Customer is defined as all individuals requiring service from DCH (i.e., patients, providers, payers, and other DCH associates)
• Demonstrate knowledge of all aspects of patient accounting, financial counseling, registration/admissions, benefit verification and authorization workflows
• Complete in-depth management reports including summarization of weekly and monthly performance
• Demonstrated multi-task orientation.
• Demonstrated ability to interpret and apply complex governmental regulations in regards to Medicare and Medicaid to the revenue cycle.
• Demonstrates a positive attitude and serves others with personal service 100% of the time
• Exceptional communication and interpersonal skills are required to effectively interact with department management, and staff at all levels.
• Assures compliance with DCH and department policies and procedures
• Assures staff participation in Corporate Integrity Program
• Participate and initiate process improvement resolutions as indicated
• Assures that all patient access processes are completed in a professional and thorough manner
• Works closely with the Director of Patient Access to develop, evaluate and implement individual training plans and staff development programs for the department
• Accountable for implementing and monitoring activity related to the financial budget as directed
• Conduct routine checks (audits) on patient accounts to ensure actions are being completed according to policy
• Attend and participate in at least 8 hours of compliance related training annually in addition to the annual hospital wide compliance training
• Participates, supports, and completes all DCH training activities
• Strives to expand working knowledge of assigned job and various other aspects within patient accounting and the revenue cycle and that of the department employees.
• Accepts constructive criticism and integrates suggestions in effective ways
• Attends workshops, seminars, and meetings as indicated
• The Manager must be a positive role model for patient access staff by working with them to promote teamwork and cooperation
• The Manager will organize personnel, coordinate and prioritize workflow
• Takes “ownership” of the job and provides useful information to minimize problems and streamline work processes
• Actively searches for solutions to problems and continually brings ideas and recommendations to the department director
• Demonstrate excellent leadership and supervisory skills
• Exercises good judgment and demonstrates a professional approach to dealing with others
• Holds staff accountable for achieving performance measures
• Analytical skill required to address complex issues
• Understanding of proper collection techniques and regulations
• Interpretation of complex managed care contracts is required
• Assist the Department Director in areas as identified by the Director
• Achieves EPIC ADT/Prelude/Benefit proficiency.

EDUCATION AND/OR EXPERIENCE

Associates Degree (A.A.) from a two year college with a minimum of three years direct patient access or revenue cycle management experience in a Manager or Assistant Manager position; or ten years direct patient access or revenue cycle experience and/or training in a Revenue Cycle leadership position. Demonstrated knowledge of governmental billing regulations as they pertain to Medicare and Medicaid.