NH PATIENT FINANCIAL SERVICES MANAGER at The Hospital Authority of Miller County

Colquitt, Georgia, United States -

Full Time

Start Date

Immediate

Expiry Date

30 Apr, 26

Salary

0.0

Posted On

30 Jan, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Financial Management, Accounting, Medicare, Medicaid, Insurance Billing, Regulatory Compliance, Audit Readiness, Revenue Cycle Management, Leadership, Collaboration, HIPAA Compliance, Process Improvements, Microsoft Office, MatrixCare, DDE, Availity

Industry

Hospitals and Health Care

Description

Description JOB SUMMARY: Responsible for the calculation, posting, and verifying duties to obtain and record financial data for use in maintaining accounting and statistical records. Compiles composite reports required by management of government agencies. Determines work procedures, coordinates work schedules, and expedites work flow. Completes duties and examines work for exactness, neatness, and conformance to policies and procedures. EDUCATION, CREDENTIALS & EXPERIENCE REQUIREMENTS: · Bachelor’s degree in business or accounting related field preferred. · In absence of a degree at least (5) years of experience in a healthcare business office required. · Computer knowledge to include Microsoft Office products. · Thorough understanding of Medicare, Medicaid, HMOs, PPOs, and private insurance. GENERAL REQUIREMENTS: · Performs all job responsibilities in alignment with the mission and vision of the organization. · Performs other duties as required and completes all job functions as per departmental policies and procedures. · Maintains current knowledge in present areas of responsibility (i.e., self-education, attends ongoing educational programs). · Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time. · Wears protective clothing and equipment as appropriate. GENERAL SKILLS: · Ability to communicate in English, both verbally and in writing. · Additional languages preferred. · Strong written and verbal skills. · Basic Computer Skills WORKING CONDITIONS: · General environment: Works in a well-lighted, air-conditioned area, with moderate noise levels. · May be exposed to high noise levels and bright lights. · May be exposed to limited hazardous substances or body fluids, or infectious organisms. · May be required to change from one task to another or different nature without loss of efficiency or composure. · Periods of high stress and fluctuating workloads may occur. · May be scheduled as needed including overtime. PHYSICAL REQUIRMENTS & DEMANDS: · Have near normal hearing: Hear alarms/telephone/normal speaking voice. · Have near normal vision: Clarity of vision (both near and far), ability to distinguish colors. · Have good manual dexterity. · Have good eye-hand foot coordination. · Ability to perform repetitive tasks/motion. · Continuously within shift (67-100%): Standing, Walking. · Frequently within shift (34-66%): Bending/Stooping, Pushing/Pulling, Lift/carry up to 20lbs, Lift/carry greater than 20 lbs. with assistance. · Occasionally within shift (1-33%): Sitting, Climbing, Twist at waist, Lift/Carry greater than 50 lbs. with assistance, Reaching above shoulder. MISSION STATEMENT: QUALITY HEALTHCARE: In our continuing effort to enhance the quality of life for the communities we serve, the Hospital Authority of Miller County is committed to the delivery of superior, safe, cost-effective healthcare through the provisions of education prevention, diagnosis and treatment. JOB SPECIFIC COMPETENCIES: Financial Management & Accounting · Manages accounts receivable, accounts payable and general ledger. · Oversees resident trust funds in compliance with regulations. · Prepares and reconciles monthly financial reports. · Assists with budget development and monitoring. · MEC (Month End Process). · Triple Check Process. · Knowledge and experience of Medicaid pending process including disability and Medicaid pending applications. · Working experience with MatrixCare, DDE, Availity, Experion, Medicaid Gammis, and other financial applications used to assist business office functions. · Responsible for the calculation, posting, and verifying duties to obtain and record financial data for use in maintaining accounting and statistical records. Medicare, Medicaid & Insurance Billing · Processes Medicare, Medicaid, Managed care, and private pay billing. · Ensures accurate claim submission and follow-up. · Manages denials and appeals. Regulatory Compliance & Audit Readiness · Maintains compliance with CMS, state, and federal regulations. · Prepares for audits and surveys. · Maintains organized financial records. · Compiles composite reports required by management of government agencies. Admissions, Census & Revenue Cycle Management · Verifies insurance authorizations. · Monitors payer mix and census changes. · Ensures correct patient liability and charges. Leadership & Collaboration · Supervises and trains business office staff · Collaborate with Administrator, DON, MDS and Admissions. · Determines work procedures, coordinates work schedules, and expedites work flow. · Completes duties and examines work for exactness, neatness, and conformance to policies and procedures. Information Systems & technology · Uses LTC financial billing software. · Maintains HIPAA compliance. Ethics & professional Conduct · Maintains confidentiality and integrity. · Adheres to ethical standards. Quality Improvement · Participates in QAPI initiatives · Implements process improvements. PROFESSIONAL REQUIREMENTS: · Follows Code of Conduct policy. · Adheres to dress code; appearance is neat and clean. · Completes annual educational requirements. · Maintains regulatory requirements. · Maintains patient confidentiality at all times. · Reports to work on time and as scheduled; completes work within designated time. · Wears identification when on duty; uses computerized time clock system correctly. · Completes in-services and returns in a timely fashion. · Attends annual review and/or skills fair and department in-services, as scheduled. · Attempts to end conversations and other interactions in a positive manner; leaves others with a good impression of the Hospital Authority of Miller County and its employees. · Complies with all organizational policies regarding ethical business practices. · Communicates the mission statement of the organization. GUEST RELATIONS STANDARDS: (All guest relation violations are subject to disciplinary action up to and including termination): · Always treat others in a friendly, helpful manner. · Refers co-workers to proper sources when unable to provide an answer. · Interacts with others in a professional and friendly manner. · Takes interest in others and always gives full cooperation to fellow workers. · Always maintains an open line of communication with other departments. · Thoroughly familiar with the hospital and the services it offers. OTHER: · Responsibility to Report: It is the responsibility of every employee of HAMC to comply with federal, state and local laws and regulations, as well as, HAMC Policies and Procedures. Every employee is help accountable to participate in, comply with and report concerns to his or her supervisor or the Compliance Officer if illegal or unethical behavior is suspected. · As an employee of HAMC, you have been granted user access to applicable ePHI systems based on your position. This user or role-based access is intended to give you the minimum necessary access to perform your job function(s) only and should be used only as applicable. OTHER DUITIES: Please note 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 this job. Duties, responsibilities and activities may change at any time with or without notice. Requirements EDUCATION, CREDENTIALS & EXPERIENCE REQUIREMENTS: · Bachelor’s degree in business or accounting related field preferred. · In absence of a degree at least (5) years of experience in a healthcare business office required. · Computer knowledge to include Microsoft Office products. · Thorough understanding of Medicare, Medicaid, HMOs, PPOs, and private insurance.

Responsibilities

The NH Patient Financial Services Manager is responsible for managing financial data, including accounts receivable and payable, and ensuring compliance with regulations. This role also involves supervising staff and collaborating with other departments to maintain efficient workflows.