MANAGER OF PATIENT FINANCIAL SERVICES at Primary Care Associates of Appleton

Appleton, Wisconsin, United States -

Full Time

Start Date

Immediate

Expiry Date

05 Jun, 26

Salary

0.0

Posted On

07 Mar, 26

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Leadership, Patient Accounts, Coding, Change Initiatives, Charge Reconciliation, Claim Denials, Denial Management, Revenue Cycle, Documentation Optimization, Compliance, Data Tracking, Operational Processes, Staff Scheduling, Medical Billing, A/R Reports, Epic

Industry

Medical Practices

Description

Description DEPARTMENT: Leadership REPORTS TO: CEO SUMMARY: The Manager of Patient Financial Services is responsible for activities performed by Patient Accounts and Coding staff. This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for the job. Duties, responsibilities, and activities may change at any time with or without notice. DUTIES AND RESPONSIBILITES: Provide leadership and direction for the Patient Accounts department, ensuring alignment with the organization’s vision and values. Maintains positive relationships with all customers, employees, providers and patients. Establish employee relationships and maintain a high level of visibility and accessibility. Lead change initiatives, supporting the organizational changes for staff and providers and developing strategies for successful implementation. Ensure departments are completing their charge reconciliation process timely. Work with coding and Patient Accounts staff to reduce claim denials through root cause analysis and process improvement. Implement effective denial management procedures and monitor the financial impact. Achieve goal of reducing bill hold days below established target by participating in revenue cycle committee meetings with members of finance, coding and providers. Coordinate discussions with coding team to optimize documentation and coding practices that impact revenue capture. Lead the implementation of new coding changes and provide education to providers and departments to maintain compliance and improve efficiency. Utilize data to track performance indicators such as denial rates and collection rates. Serve as the primary point of contact for Patient Accounts inquiries for the clinic. Lead efforts to improve operational processes within Patient Accounts and Coding areas. Maintain staff schedules to assure adequate staffing within department. Ensure compliance with all regulatory requirements within the department. Utilize Epic system to review dashboards, reports, and work queue monitoring to improve accuracy and overall metrics. Interdepartmental collaboration with all Leadership Team members. Responsible for the education of all staff and must assure all staff is competent. Delegates and prioritizes work assignments in relation to organizational needs. Provides clear communication and expectations for staff. Complete performance evaluations timely based on organizations policy. Oversee end-to-end medical billing operations including charge entry, claim submission and follow-up, payment posting, denials and appeals, patient billing. Run, analyze, and explain billing and A/R reports including aging, payments, adjustments, write-offs, and denial trends. Performs other related duties as assigned by leadership. SUPERVISORY RESPONSIBILITIES: Directly supervises 10 employees within the listed department(s). Carries out manager responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Requirements QUALIFICATIONS: Bachelor's Degree (BA) from four-year college or university, or one to two years of related experience and/or training, or equivalent combination of education and experience preferred Computer skills required: Human Resource Information Systems; Microsoft Office Suite; EPIC Preferred with Resolute and Cadence Experience: reporting software 10+ years of supervisory and revenue cycle experience OTHER SKILLS REQUIRED: Strong accounts receivable and clearing house experience Advanced understanding of billing, accounts receivable, and financial reporting Previous management experience preferred Strong organization skills Demonstrates self-starter behavior Possess a high degree of confidence Possess a high degree of independent judgement Acts independently and will deal with a certain level of ambiguity Ability to work well with all customers of Primary Care Associates Ability to function as a part of a team with cooperative attitude Ability to work under pressure and in a fast-paced environment Ability to prioritize and work efficiently PHYSICAL DEMANDS AND WORK ENVIRONMENT: Continually required to stand, walk, sit, bend, stoop, talk or hear. Continually required to utilize hand and finger dexterity While performing the duties of this job, the noise level in the work environment is usually moderate. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include: close vision; distance vision; color vision; peripheral vision; depth perception and ability to adjust focus. The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or physical requirements. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Responsibilities

The Manager of Patient Financial Services provides leadership and direction for the Patient Accounts department, ensuring alignment with organizational vision and values while maintaining positive customer and employee relationships. Key duties include leading change initiatives, ensuring timely charge reconciliation, reducing claim denials through root cause analysis, and overseeing end-to-end medical billing operations.