PATIENT ACCESS AND FINANCIAL SERVICES MANAGER

Company: Iberia Medical Center

General Information
US-LA-New Iberia LA
N/A
Graduate Degree
Full-Time
At least 5 year(s)
Not Specified
False
False
Job Description

Reporting to the Chief Financial Officer, the Patient Access and Financial Services Manager is responsible for the patient intake and insurance and patient billing and collection processes for hospital, CRNA, and rural health clinic services of Iberia Medical Center as well as quality management functions of those departments. This person leads a team of +30 staff members.  Other responsibilities include maintaining high levels of patient satisfaction, optimizing upfront collections and reimbursement, ensuring accurate and compliant billing, and maintaining AR days and cash flow at acceptable levels.

 

Essential functions include:

 

Manage the daily operations of the Registration and Scheduling departments and front-end revenue cycle functions, including demographical and insurance data collection, outpatient diagnostic scheduling, pre-registration, registration, financial clearance, payment collections, and document management for hospital services.

Promote exceptional patient experiences by demonstrating a high quality and professional level of service at all times and educate staff to achieve hospital standards.

Plan, coordinate and direct daily functioning of hospital insurance and patient billing/collection processes, and denial management. Maintain appropriate internal control safeguards over accounts receivable records and collection of cash. Participate in various revenue cycle work teams as needed.

Work closely with the hospital’s information system and billing system vendors in developing and maintaining billing and accounts receivable systems for optimum performance in billing and collecting. Implement financial policies, procedures and support Patient Finance Services as developed. Establish and maintain procedures which ensure that appropriate submission, billing and payment cycle of patient accounts can be maintained.

Assume ultimate accountability for the recruitment, interviewing, hiring, performance monitoring, retention, initiating/follow through with disciplinary action and termination of staff in consultation with Human Resources. Mentor, coach, and develop leadership team/staff and act as a role model and resource to them.

Work collaboratively with other Revenue Cycle management areas (Patient Access, Scheduling, Coding, Contracting, Credentialing) to ensure needs of the organization are being met.

Develop, implement, and monitor appropriate and measurable performance metrics and goals along with comparison to industry benchmarks.  Identify opportunities for improvement and develop, plan, and implement strategies for successful execution

Ensure that the organization maintains a high level of integrity through comprehensive understanding of regulatory and accreditation standards including Medicare, Medicaid, and commercial and contracted insurance billing procedures, regulations, and contracts

Work collaboratively with any organizations responsible for audits (both internal and external audits), and be responsible for implementing any approved action plans applicable to the PFS department.

Stay abreast of new developments in areas of responsibility and propose use of new processes or use of technology when appropriate and cost effective

Assist with preparations for the Joint Commission survey process

Ensure there are internal controls for areas managed

Manage contractual relationships with third party vendors that are integral to the success of the PFS department, including negotiate new vendor statements of work (SOWs), monitor vendor productivity and quality performance, communicate  with vendors

Develop departmental budgets for staffing, operations, and capital resources; manage actual costs to budget; proactively address any unfavorable budget variances;

Work collaboratively with the Revenue Integrity and Contracting departments on issues pertaining to provider payer enrollment and any Medicare Administrative Contractor and CMS notifications and reporting required

Represent Iberia Medical Center, if needed, in a matter of patient account litigation

Success in managing responsible function will be measured by the following metrics:

Patient Satisfaction Score

Cash Collections

Accounts Receivable Days

Denials

Write-offs

Bad Debt

Budget management

 

Job Requirements

Education:

Bachelor’s degree in a related field

 

Experience:

5 years’ experience in related healthcare supervisory/management position, preferably in a patient access or healthcare billing or collection setting.