Job Details
Directs the overall policies, objectives, and initiatives of the business service activities; ensures that clinical revenue cycle is effective and properly utilized; provides general oversight for Hospital clinic and physician office functions that contribute to the billing, collection, and reporting of patient service revenue.
Familiar with the principles and practices of patient accounting, insurance reimbursement, coding, governmental and other payer source billing, credit and collections, cashiering and admitting; knowledge of functions, capabilities and operation of computer-based registration, billing and patient accounts management systems;
Ability to effectively communicate when in contact with insurance carriers, third party payer, and patients; knowledge of federal, state, and local government payers (e.g. Medicare, Medicaid) and other commercial health plan billing and collection policies and processes; knowledge of healthcare industry payer trends and statistics;
Ability to learn and understand hospital patient accounting policies and procedures and how the Accounts Receivable computer system works; must be able to maintain an accurate account of billing and A/R reconciliation activity on all assigned accounts; must be able to train others on customer service and collections procedures.
Demonstrated patient accounting knowledge and skills; proficient with Excel spreadsheets and other Microsoft Office programs; exhibit excellent customer service and communication skills.
High School Diploma or general educational development (GED) equivalent
Three (3) years relevant healthcare patient accounting and/or collections experience
Relevant experience in healthcare billing and coding; work record that demonstrates in-depth knowledge of hospital and physician billing, coding, and reimbursement; knowledge of medical terminology; negotiating skills, and knowledge of healthcare industry financial statistical information.
Experience in a University and/or Healthcare setting; knowledge of generally accepted Academic Medical Group or medical group management principles and theories.