The position is responsible for managing all activities and employees related to all patient account services and processing including: Billing, Collections, Cash Posting, Contract Management, Denials Management, Refunds and Bad Debt processing. Ensures that all administrative and departmental policies and procedures are adhered to by staff. Demonstrates the ability to assertively pursue necessary information and to function independently to secure resolution on staff and patient issues. Projects a mature problem-solving attitude while dealing with interpersonal conflict, dissatisfied patients and time demands. Maintains knowledge of revenue cycle operations, third party reimbursement, local/state/federal regulations, Fair Debt Collections Act, and medical terminology.
Ensures a positive work environment, acting as a resource, and leading by example. Responsible for displaying behavior that promotes accountability for performance of job tasks which will meet or exceed the Customer's expectations. Encourage cooperative, collaborative relationship between all employees at all levels. Assists in creating a work environment that encourages and empowers staff to make improvements to their work processes. Compiles productivity data and statistics to monitor staff performance in an effort to seek efficiencies and effectiveness. Assists in the development of departmental policies to ensure procedures are in compliance with State and Federal Regulations, Joint Commission Standards, while maintaining consistency with Christus St. Vincent's philosophy, culture, and mission statement.
EDUCATION: Bachelor Degree preferred. High school graduate with some college accounting and/or business courses.
Knowledge will include at minimum, all aspect of payer relations, claims adjudication, contractual claims processing and general reimbursement procedures
Excellent customer service, telephone etiquette, written and oral communication skills
Possess knowledge of proper cash handling, cash posting and reconciliation
Possess knowledge of third party billing requirements and reimbursement practices
Knowledgeable of refund processing for Medicare, all other third party payers and patients
Knowledgeable of record retention guidelines for the hospital and insure proper record keeping
Ability to communicate with patients, payers, outside agencies, and the general public through telephone and written communication
Computer skills and working knowledge of all revenue cycle responsibilities
Ability to effectively problem solve and make independent decisions
Ability to maintain absolute confidentiality
Tact and courtesy required at all times
Possess the ability to assess a situation, consider alternatives, and choose an appropriate course of action
Self-motivated, responsible, reliable, and possess the ability to handle multiple tasks in a fast paced environment
Excellent customer relation skills, including the ability to deal effectively with demanding and difficult situations
EXPERIENCE: Three (3) years prior billing and/or Patient Financial Services related experience in a healthcare setting required. Three (3) years management experience preferred.
NATURE OF SUPERVISION:
-Responsible to: Director Central Business Office
- Bloodborne pathogen
PHYSICAL REQUIREMENTS: Requires knowledge of general safety standards. Subject to stressful professional relationships. Working hours vary, with flexibility due to unexpected changes in schedule and emergencies. Must be able to maintain composure and manage multiple priorities.
CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.