Patient Financial Manager – PFS

Powell Valley Healthcare; Powell (WY); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Life insurance

Long-term disability

Paid time off

Job summary

Powell Valley Healthcare is seeking a Billing Supervisor to oversee patient financial services processes within the hospital in Powell, Wyoming. The role focuses on supervising staff productivity, assisting in budget preparation, and ensuring compliance with pricing transparency and payer requirements.

The candidate will support continual staff education and coordinate with hospital departments to ensure timely reimbursement and accurate billing practices.

Qualifications

• Ability to read, comprehend and interpret instructions and write reports.
• Mathematical ability to compute rates, ratios, percents and graphs.
• Ability to apply common sense to carry out instructions and solve problems.

Responsibilities

• Perform special projects/assignments approved by RCD.
• Monitor staff productivity; counsel to reach goals; disciplinary actions as needed.
• Assist with budget preparation and monthly monitoring of budget vs. expenses.

Skills

Language skills

Math skills

Reasoning ability

Education

GED or equivalent

Tools

Office equipment

Healthcare software

Job description

At Powell Valley Healthcare, providing quality healthcare to our community is our top priority. We are located in the heart of Powell, Wyoming; just 25 miles outside of Cody. We believe in creating positive and safe environments for both our patients and our staff. Being part of our organization means becoming a cornerstone in the patient experience and their care.

Here at PVHC, we offer a wide array of benefits in a way that allows you to choose options and build a package that works best for you. Some of the benefits we offer include:

• Health, dental and vision insurance
• Life insurance
• Long term disability coverage
• PTO – New employees accrue the equivalent of up to twenty days of PTO withing their first calendar year
• EIB (Extended Illness Bank) – Our version of accrued sick leave
• Nine paid holidays which includes two personal holidays
• Tuition Savings Plan
• Opportunities to cash out PTO for personal use, student loan payments, and in-house medical bills
• Tuition reimbursement – up to $5,000 per year
• Fun to be Fit program and Club Dauntless Membership Discount
• HRA – Flex spending accounts

POSITION SUMMARY:

ESSENTIAL FUNCTIONS:

• Performs special projects/assignments that are assigned and approved by the RCD in a careful and thorough manner and in accordance with identified goals and instructions.
• Reviews and documents productivity of the staff of PFS. To include productivity monitoring, counseling staff member to reach goals, and provide disciplinary action when appropriate, per policy.
• Assist with budget preparation with the department as well a monthly monitoring of this budget vs expenses.
• Assist with the continual education of all PFS staff member.
• Ensure that PFS is responsive and pro-active to changes in regulation or requires related to Surprising Billing, Price Transparency, and any new requirements in the future.
• Provide customer service by solving billing problems with the use of SZP and assistance from Risk/Quality when necessary.
• Works directly with the outside collection agency regarding additional paperwork needed and settlement offers.
• Review and ensure PFS staff adhere to all policies and procedures set in place, including the oversight of patient Responsibility pod.
• Develop, implement, and enforce scheduling, payroll approval for PFS staff and disciplinary action as allowed by policy.
• Develop a working relationship with departments in the hospital to ensure clear communication lines and quick resolution to issues that delay or reduce reimbursement.
• Work closely with Registration Director to ensure smooth operations of both areas of registration, including cross training and ability to share staffing to cover open shifts in Registration areas.
• Work closely with Case Managements as related to PFS issues.
• Ensure Pre-authorization processes are efficient and effective. Staff is updated on continual updates and additional as required by regulation or payor contracts.
• Perform other duties as assigned.

KNOWLEDGE, EDUCATION AND EXPERIENCE REQUIRED:

• High school diploma or general education degree (GED) required. 3-5 years’ experience in patient financial services supervisory position.
• Strong working knowledge and skills in essential accounting functions.
• Skills in operation of typical office equipment such as P.C.’s, Printers, Terminals, , Calculator, FAX, Copiers.
• Demonstrated knowledge, experience and skills in using business software applications: Windows environment on P.C.’s, Spreadsheet, Word Processing, Small Business Applications, and Health Care Systems Applications – primary focus on accounting and financial functions minimum two years’ experience required four years’ experience preferred.

SKILLS AND ABILITIES REQUIRED:

• LANGUAGE SKILLS: Ability to read, comprehend and interpret instructions, correspondence, and other documents such as operating, maintenance and procedure manuals. Ability to write reports, memorandums, minutes, and other business correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
• MATHEMATICAL SKILLS: Ability to apply basic mathematical concepts such as adding, subtraction, multiplication, and division in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, percent and other mathematical outcomes, and to draw and interpret bar graphs.
• REASONING ABILITY: Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

PHYSICAL DEMANDS/REQUIREMENTS:

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Visual acuity – to utilize computer terminal screens, read employee records, files, invoices, etc. Specific vision abilities required by this job include close vision, distance vision, color vision, and peripheral vision.
• Hearing ability – to answer telephone and relate to employees and public.
• Manual dexterity – to operate calculator, keyboard, copy machine and FAX.
• Ability to work under time pressure-Work is usually sedentary but does require some bending and stooping. Use of both arms and hands is required to operate equipment.
• While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; and talk or hear. The employee must occasionally walk. The employee must occasionally lift and/or move up to 25 pounds.
• The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. There is no hazardous exposure involved in this position.