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This position is responsible for managing the Patient Accounting, Billing, & Collections in such a manner as to generate claims/bills which meet payor specifications, to collect timely payments on such claims/billing, and to effectively administer accounts receivable, all within the confines of laws, rules and regulations REPORTS TO: JOB SPECIFIC
- Develops and implements departmental policies and procedures to assure the goals/responsibilities of the department are met
- Identifies measurable indicators of goal/responsibility accomplishment and establishes targets (including, but not limited to the following): o Aging of accounts receivable o Days in accounts receivable o Collection rate
- Develops and implements processes to monitor compliance with policies and procedures, and indicator targets. Identifies and communicates issues requiring administrative level intervention.
- Develops, implements and distributes all required and necessary documents, reports and information (including, but not limited to the following): o Medicare, Medicaid, and other third party payor rules, regulations, requirements. o Hospital/departmental activities resulting in lost or delays in collections. o Policy and procedure compliance. o Indicator compliance.
- Develops, recommends, and applies resource needs (staffing, space, equipment, systems, etc) necessary to meet the goals and responsibilities of the Department.
- Develop operating and capital budgets on an annual basis. Monitors and reports actual financial results and variances from budget on a monthly basis.
- Coordinates and integrates responsibilities activities, goals of reporting areas with those of other departments, affiliated entities, and Medical Staff in order to accomplish the mission, vision, and values of the Hospital system. Carries this activity out in such a manner to maintain or improve collaborative relationships.
- Oversees performance improvement activities of departments and actively participates in other department’s of hospital-wide performance improvements initiatives
- Designs, implements, and updates training programs and documentation necessary for staff to accomplish their
s, the department’s goals and responsibilities and the Hospital’s mission, vision and values: Initial Orientation Environment of Care • Establishes, implements, monitors and reports customer service requirements and expectation. EDUCATION AND
College degree or five years' experience in a business-related field and a thorough knowledge of patient accounting in the healthcare industry. REQUIRED LICENSURES/CERTIFICATIONS/REGISTRATIONS: College degree or five years' experience in a business-related field and a thorough knowledge of patient accounting in the healthcare industry. SKILLS AND ABILITIES: Operate personal computer and mainframe systems.
Analyze reports and detect operational problems. Identify problems/opportunities and design and implement resolutions. Communicate effectively in verbal and written formats.
Possess positive interpersonal skills. Change-oriented/innovative. INTERACTION WITH OTHER DEPARTMENTS AND OTHER RELATIONSHIPS: This position requires interaction with most other UMC departments, medical staff, technical personnel at TTUHSC and PNS.
This position also deals directly with vendors, payers, collection agencies, and any other company/regulatory agency necessary to complete business. PHYSICAL CAPABILITIES: Visual and auditory acuity required continuously. The ability to speak is required frequently.
The ability to sit for extended periods is required frequently. Typing is required frequently. Lifting/carrying requirements are light but may occur moderately.
The ability to walk/transport oneself in a timely manner is required frequently. ENVIRONMENTAL/WORKING CONDITIONS: This position is subject to inside environmental conditions; protections from weather conditions, not necessarily from temperature changes. 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. *Request for accommodations in the hire process should be directed to UMC Human Resources.*