Job Abstract

The Manager of Patient Accounting is responsible for the overall operations and functions of the St. Rose Patient Accounting Business Office. The Director defines and provides the necessary support and leadership to achieve departmental goals and objectives. The Manager oversees the Business Office functions including the billing and collections of patient accounts, compliance with third party payer regulations, cash posting, employee productivity and ongoing improvement to key revenue cycle indicators. These key indicators include by are not limited to; AR days, cash collections goals and posting, bad debt, denials, underpayment recovery and contract management activities related to patient account management. This position is responsible for personnel development, implementing and maintaining Business Office policies and initiating disciplinary action. RESPONSIBILITIES: 1. Leads and provides operational directives for all Business Office activities related to the claims management and collections of patient account receivables. Ensures timely and efficient cash collections to support the overall financial goals of the facility. 2. Reviews all statistical reports to monitor trends and determine operational deficiencies and implements corrective action plans as necessary. 3. Monitors all billing. 4. Routinely produces Age Trial Balances to monitor reimbursement patters and investigate any cash flow issues for needed corrective actions to assure timely collection of accounts and achievement of established KPIs. 5. Monitors unbilled account reports (DNFB/ CRC Reports) to determine necessary actions required to minimize the number and dollar value of accounts being held for bill production. Reports findings weekly. Develops, in concert with other department heads, corrective actions necessary to clear accounts held for bill release. 6. Selects and monitors outside collection vendors engaged in the collection of Hospital receivables. Reviews and balances agency reports to hospital; system reports and approves agency invoices. 7. Determines the qualifications and competence of departmental personnel who provide Business Office Services. Evaluates all employee performance evaluations and annual education requirements and provides feedback to the managing staff to ensure consistency in application of the performance review process. 8. Ensures orientation and continued education and training are provided to the Patient Accounting Business office staff. 9. Assists in the preparation of annual departmental budgets. Ensures that necessary funds to carry out the goals and objectives are established and that the business unit functions within the budgetary guidelines 10. Maintains knowledge of current regulations and policies of the Federal, State and private payers. Keeps impacted departments informed of changes, revisions, and updates.

EDUCATION, EXPERIENCE, TRANING: 1. Bachelor Degree in Business, Accounting or Finance preferred. 2. CPAM or PMPA preferred. 3. Knowledge of A...