Manager Patient Financial Services

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JOB SUMMARY :

This position is responsible for managing Revenue Integrity Analyst and Denials Manager positions. They will manage all tools as they relate to revenue integrity. They are also responsible for CDM management, audit process and denials improvement processes.

This position is responsible for managing of the billing in Patient Financial Services in such a manner as to generate claims / bills which meet payor specifications, to collect timely payments on such claims / billings, and to effectively administer accounts receivable, and to provide a high-level of customer satisfaction, all within the confines of laws, rules and regulations. Management of all SSI products to ensure proper utilization and training when necessary.

REPORTS TO :

JOB SPECIFIC RESPONSIBILITIES :

• Identify revenue cycle problems, research / analyze data to resolve issues, identify and select

alternatives, and implement solutions for improvement. Provide revenue capture training as

needed, especially when issues arise.

for each go-live. Monitor and correct charge issues that result.

and all other departments.

creation and capture, audits, denials, etc.

performance appraisals according to hospital policy.

improvement, and ongoing operation events.

claim queues and importing claims into SSI across UMC network. Coordinates hardware support

with IT department.

CPT / HCPCS coding in charge master.

transmitting claims to payor groups.

rejections. This includes management of Hold Bills to assure proper billing.

and paper claims.

a daily basis.

EDUCATION AND EXPERIENCE :

REQUIRED LICENSURES / CERTIFICATIONS / REGISTRATIONS :

None required.

SKILLS AND ABILITIES :

INTERACTION WITH OTHER DEPARTMENTS AND OTHER RELATIONSHIPS :

Constant interaction is required with Admitting, Utilization Review, Fiscal Administration, Resource Assistance, Health Information Systems and Information Technology. Frequent interaction is required with all revenue generating departments. Interaction with other departments shall occur as needed.

PHYSICAL CAPABILITIES :

Work is of medium demand; walking, sitting and standing most of the time while on-duty. Occasional lifting of equipment is required. Adequate hand / eye coordination and fine motor skills required for typing. Talking and hearing is essential in dealing with co-workers and customers.

ENVIRONMENTAL / WORKING CONDITIONS :

Work in a well-lighted, heated and ventilated building. Hours may vary to accommodate needs of other departments.

DIRECT REPORTS :

UMC Health System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.