Patient Financial Services Manager at INSIGHT Surgical Hospital

Chicago, Illinois, United States -

Full Time

Start Date

Immediate

Expiry Date

10 Sep, 26

Salary

0.0

Posted On

12 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Revenue Cycle Management, Medicaid Billing, Financial Counseling, Accounts Receivable, Charity Care Management, Staff Leadership, Compliance Auditing, Patient Advocacy, Cash Posting, Denial Management, Financial Assistance Programs, Regulatory Compliance

Industry

Hospitals and Health Care

Description

FTE: Full time-9:00 a.m.-5:00 p.m. WE ARE INSIGHT: At Insight Hospital and Medical Center Chicago, we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location looks forward to working closely with our neighbors and residents, to build a full-service community hospital in the Bronzeville area of Chicago; creating a comprehensive plan to increase services and meet community needs. With a growing team that is dedicated to delivering world-class service to everyone we meet, it is our mission to deliver the most compassionate, loving, expert, and impactful care in the world to our patients. Be a part of the Insight Chicago team that provides PATIENT CARE SECOND TO NONE! If you would like to be a part of our future team, please apply now! Position Summary Patient Financial Services Manager oversees all front- and back-end revenue cycle functions related to patient billing, collections, insurance follow-up, and financial counseling. This role ensures timely, accurate reimbursement while maintaining a positive patient financial experience and compliance with all regulatory requirements. Medicaid eligibility, enrollment, billing, and reimbursement activities while managing the organization’s charity care and financial assistance programs. This role ensures compliance with federal and state regulations, maximizes reimbursement, and promotes equitable access to care for underserved and vulnerable populations. Key Responsibilities Medicaid Operations * Manage daily operations of Patient Financial Services, including billing, collections, cash posting, credit balances, and account resolution. * Monitor accounts receivable, denial trends, and collection performance to ensure optimal cash flow * Develop and implement workflows to improve efficiency, accuracy, and turnaround time. * Manage daily Medicaid eligibility, enrollment, redeterminations, and billing processes. * Ensure timely and accurate submission of Medicaid claims, adjustments, and appeals. * Monitor Medicaid denials and reimbursement trends; implement corrective actions. * Stay current on state and federal Medicaid policy changes and ensure operational compliance. Leadership & Staff Management * Lead, train, and evaluate PFS staff, including supervisors and team leads. * Set performance goals and hold staff accountable to productivity and quality metrics. * Foster a culture of accountability, collaboration, and patient-centered service. Patient Advocacy & Financial Assistance * Oversee financial assistance, charity care and presumptive eligibility programs * Ensure charity care policies align with federal, state, and organizational requirements (including 501(r), where applicable) * Review and approve charity care determinations and complex cases * Ensure compassionate, clear communication with patients regarding financial assistance options * Oversee financial counseling, charity care, and presumptive eligibility processes * Ensure patient-centered communication for vulnerable and underserved populations * Resolve escalated patient and payer issues related to Medicaid coverage Compliance & Audit Support * Maintain compliance with Medicaid regulations and internal financial assistance policies * Support internal and external audits related to Medicaid and charity care * Ensure accurate documentation and internal controls Reporting & Performance Improvement * Prepare reports on Medicaid A/R, eligibility conversion rates, denial trends, and charity care utilization. * Identify process improvements to reduce A/R days and improve eligibility capture. * Collaborate with registration, case management, clinical, and compliance teams. Qualifications Education * Bachelor’s degree in Healthcare Administration, Business, Finance, or related field * Master’s degree preferred Experience * 2+ years of patient financial services or revenue cycle experience * Strong background in Medicaid eligibility and billing * Experience in managing charity care or financial assistance programs * Supervisory or management experience required Benefits: * Paid Sick Time - effective 90 days after employment * Paid Vacation Time - effective 90 days after employment * Health, vision & dental benefits - eligible at 30 days, following the 1st of the following month * Short and long-term disability and basic life insurance - after 30 days of employment The duties are to be performed in a highly confidential manner, in accordance with the mission, values and behaviors of Insight Hospital and Medical Center. Employees are further expected to provide high quality of care, service and kindness toward all patients, staff, physicians, volunteers and guests. Disclaimer: The statements herein are intended to describe the general nature and level of work being performed by employees, and are not to be construed as an exhaustive list of functions, tasks, duties, responsibilities and requirements of employees so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of Insight Hospital and Medical Center.

Responsibilities

Oversees all front- and back-end revenue cycle functions, including patient billing, collections, and Medicaid eligibility. Manages charity care programs and ensures compliance with federal and state regulatory requirements.