Responsibilities
Responsible for achieving effective performance in terms of compliance with approved Customer Service processes and procedures specific to the Hospital and Medical Group which include the EPIC SBO accounts, and related calls. Ensures that established goals, to include A/R Days, Cash Collections, Bad Debt, Denial Recovery Percentages, Charity and other metrics assigned by Senior Leadership, are met or exceeded in a positive manner, while adhering to Compliance Regulations. Plans, Organizes, and coordinates the total daily work efforts of the department. Key Accountabilities:
- Demonstrates leadership by organizing work team and continually assessing team to improve work performance. Establishes achievable and quantitative performance standards for staff and applies these standards in evaluating employee performance. This ensures obtaining Norton Healthcare goals which include but are not limited to : WIP, A/R Days, Cash Collection Goal, Bad Debt Goal, Recovery Percentage, etc.
- Escalates problems/trends/suggestions and provides feedback to other PFS Management, Revenue Cycle Managers, and Third Party Payers. This is in an effort to provide education, reduce denials, reduce re-work, and improve cash turnaround times. Attends payer meetings/denial meetings to discuss trends/denials as assigned.
Plans, organizes, prioritizes, and coordinates the daily work effort for all department staff to ensure smooth daily operations. Ensures all accounts are worked to ultimate successful resolution with all efforts being documented in the appropriate manner with approved customer service processes and procedures specific to each financial class/unit. Ensures that these assignments are communicated to and followed by all staff.
- Oversees the Customer Service Department to ensure that patients' questions and concerns are addressed in a timely manner. All patient related concerns resulting from a visit to one of our hospitals, or to one of our physician offices, are directed to the Customer Service department located in PFS. The manager ensures that staff have been cross trained on Hospital procedures and on Physician processes to allow the timely resolution of patients' concerns and questions. Works with the management team of the department to ensure that all HIPAA rules and regulations are enforced and that we are complying with our initiative to improve the billing process for our patients in accordance with our Patient Friendly Billing initiative.
- Screens and selects qualified staff while maintaining adequate department staffing levels. Manages performance for all staff, including conducting performance evaluations, providing appropriate training, and administering corrective action as necessary. Consults with Director prior to implementing discipline with employees.
Position has flexibility to work remotely, in office or hybrid.
Qualifications
Required:
- With Bachelor's Degree: Three years medical office billing
- Without Bachelor's Degree: Seven years medical billing
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