Patient Account Manager- Business Office
Responsible for day-to-day management of the Credit and Collections unit for third party accounts receivable. Essential Duties and Responsibilities include the following. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other duties may be assigned. 1. Manages the daily follow-up, denial management, and collection of outstanding accounts receivable. 2. Provides supervisory oversight of staff including recruitment and selection, training and performance evaluation. 3. Develops and monitors key performance indicators for each payor classification. 4. Prepares and analyzes data to report out on outstanding Enterprise Task Manager Requests and staff productivity. 5. Participates in the development of standard operating provides for unit. 6. Ensures accuracy, timeliness, and integrity of adjustment transactions posted through quality assurance checks and random audits. Responsible for pro-active reviews and corrective action. 7. Ensures actions taken by team adhere to internal controls. Reviews and authorizes adjustment to accounts over $1000. 8. Evaluates operational controls and procedures to maximize productivity and minimize errors. 9. Analyzes trends with regard to denials and takes corrective action by meeting with payer or collaborating with Revenue Manager to develop Claims Manager edits and communicating issue to clinical operations manager and Business Office Management Team. 10. Other duties as assigned.
The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education: Bachelor’s Degree in Healthcare Administration, Accounting, or Finance with strong command of general accounting principles or a combination of education, knowledge, experience, and skills.
Minimum of two years management experience, preferably in a physician practice setting. Must be experienced with CPT, HCPCS, diagnoses coding. Require experience and knowledge of various payment methodologies including capitation, fee-for-service, and pay for performance. Prefer experience with GE Centricity practice management system or similar large practice plan system. Experienced with patient accounting standards and terminology. Excellent verbal, written and attentive listening communication skills. Must have ability to effectively communicate with various levels of management. Strong analytical skills with high level of attention to detail. Appreciation of timeliness with resolving transaction errors and developing strategies to resolve outstanding receivables. Proficient with MS Office suite. Strategic agility to manage processes and resources to adapt and adjust to changes affecting Credit and Collections unit. Problem solving skills to define, test, analyze, and compare before developing a solution or change a process. Ability to set priorities, manage resources, and multi-task effectively to accomplish goals. Good interpersonal skills to collaborate with colleagues internal to the Business Office, as well as, within the clinical operations departments. Planning and delegation skills including ability to develop, coach, and cross-train staff. Competencies: Ability to do math calculations, input data into the computer, and analyze data as requested. Must be able to communicate providing verbal feedback in a professional manner. Must be able to follow and understand instructions, and react favorably in all work situations. Must be mentally adaptable and flexible in dealing with a variety of people. Work Requirements: This position requires extended hours especially at month-end. Incumbent must be available week-ends and holidays as required by closing schedule. Incumbent must have ability to effectively manage staffing resources to meet deadlines. Incumbent must also have ability to take initiative and make decisions remaining complaint with internal controls and standard operating procedures. Ability to maintain a professional demeanor and confidentiality. Incumbent must be able to successfully pass background check.