Patient Accounts Manager - 3163

AbsoluteCARE Medical Center & Pharmacy; Northern (KY); Hybrid; USD 60,000 - 90,000; Full time

Job summary

AbsoluteCARE Medical Center & Pharmacy is seeking a Patient Account Manager to optimize revenue cycle activities across the organization, including front desk, billing, collections, and financial counseling. The role focuses on reducing bad debt, improving cash flow, and ensuring timely processing of payments with HIPAA compliance.

The position requires at least 5 years of FQHC billing experience and 3 years of healthcare management, with strong communication and Excel skills.

Qualifications

• High School diploma or equivalent. Bachelor’s degree in business administration, Health Care Administration or related field preferred.
• Five years’ FQHC Billing experience required.
• Three years’ management experience in a healthcare setting.
• eClinicalWorks experience preferred.
• Function with minimal direct supervision.
• Proficiency with Excel and other office programs to perform duties.
• Must have strong communication skills and ability to establish relationships.
• Knowledge of quality management processes.

Responsibilities

• Ensure accuracy of payer information entered into the patient billing system.
• Provide guidance to billers on effectively working claims and following up on claim denials.
• Monitor staff productivity and audit staff work.
• Document deficiencies to determine training opportunities.
• Report system setup errors to the Director.
• Problem solve and prioritize work for billing staff.
• Ensure timeliness of processing and correction of rejected claims.
• Keep billing staff updated on third party coverage contracts and terms.
• Establish and maintain regular follow up on claims.
• Maintain Billing Manual with current payer processes.
• Prepare reports for Director and FQHCs analyzing trends and recommendations.
• Provide billing concerns to Director prior to payer meetings.
• Assure accurate and timely payment posting.
• Provide monthly reports on credit balances.
• Sign off on employee time and conduct annual reviews with the Director.
• Adhere to HIPAA and privacy laws.
• Perform other duties as assigned.

Skills

FQHC Billing

Healthcare management

Financial management

Communication skills

Excel

Education

Bachelor’s degree in Business Administration or Health Care Administration

High School diploma or equivalent

Tools

eClinicalWorks

Job description

Job Summary

This role is responsible for ensuring that patient billing and processing of payment receipts are consistently completed timely and in accordance with policy. The Patient Account Manager will minimize bad debt, improve cash flow, and effectively manage accounts receivables. This position will coordinate effective management of revenue cycle activities across the organization to include, but not limited to front desk, billing, collections, financial counseling for patients and staff training.

Duties and Responsibilities

• Ensure accuracy of payer information entered into the patient billing system.
• Provide guidance to billers on effectively working claims and following up on claim denials.
• Monitor staff productivity. Audit staff work and provide feedback.
• Document any deficiencies in staff performance to determine training opportunities.
• Report any system set-up errors that hinder billing to the Director.
• Problem solve and prioritize work for billing staff.
• Responsible for ensuring the timeliness of processing and correction of rejected claims.
• Keep Billing Specialists up to date on third party coverage contracts, assuring that current contractual terms are understood and applied correctly.
• Establish and maintain a regular process for follow up on claims.
• Maintain current information for billing and collections processes for each payer in a Billing Manual.
• Compile and prepare reports for Director and FQHCs analyzing trends and make recommendations.
• Provide any billing/payment concerns to Director prior to monthly payer meeting.
• Assure accurate and timely payment posting.
• Provide monthly report on the status of credit balances.
• Track and sign off on employee time. Complete annual reviews with the Director.
• Follow the Program Code of Conduct and obey all relevant laws, statutes, regulations, and requirements applicable to Medicaid, Medicare and other State and Federal health care programs.
• Perform any other duties as assigned.

Minimum Qualifications

• High School diploma or equivalent. Bachelor’s degree in business administration, Health Care Administration or related field required preferred.
• Five years’ FQHC Billing experience required.
• Three years’ management experience in a healthcare setting.
• eClinicalWorks experience preferred.
• Function with minimal direct supervision.
• Demonstrates skill in use of personal computers, various programs and applications (excel) required to competently execute job duties.
• Demonstrates effective management skills.
• Has knowledge of quality management process.
• Demonstrates ability to establish and maintain effective internal and external working relationships.
• Must have strong financial management knowledge and experience.
• Must be an effective communicator with strong oral, written and presentation skills.

Working conditions

This job operates in a remote location from your home location. This role requires a dedicated, quiet workspace with the ability to adhere to HIPPA and other privacy policies. A reliable and high-speed Wi-Fi connection or home internet is required to perform the essential functions of this role.

Physical requirements

• Ability to communicate clearly and exchange accurate information constantly.
• Ability to remain stationary for long periods of time.
• Constantly operates computer, keyboard, copy and fax machine, phone, and other general office equipment.

Direct reports

Revenue Control Analyst, Billing Coordinator, Certified Professional Coder, Payment Poster