The Manager Patient Financial Services directs all self-pay credit and collection activities for the organization, including adjustments of bad debt, charity and administrative. This includes sending activities with statements, follow-up, call center/customer service, and payment plans, while providing the overall direction, coordination, and evaluation of all self-pay collections staff members. This individual manages the self-pay portion of the receivables, including financial assistance services (HERO) and oversees the admitting departments and financial clearance team within the hospital.
5 years of healthcare experience preferred
Essential Job Functions:
Develops and meets capital and operating budget targets. Seeks out operational efficiencies and involves employees and physicians in workforce redesign as appropriate to better serve the patient as well as create a workplace that employees can function at their highest competency and productivity. Teaches and engages employees in department financial improvement and performance.
Contributes to and supports short and long-range goals for departments/division and is responsible for measurable outcomes and effective use of resources. Supports program and service development in response to both internal and external stakeholders. Analyzes department-related data and develops appropriate action plans to resolve variances from goals.
Recruits, develops, retains and leads a talented team of leadership and staff committed to accomplishing the goals of Altru. Oversees all human resource activities including recruitment, retention, performance reviews and disciplinary actions. Develops, revises and implements administrative policies, procedures, guidelines and job descriptions. Acts as a mentor and promotes professional growth of employees. Takes responsibility for personal growth and development and meets all system education requirements. Ensures that employees are oriented to the department and hospital. Oversees the planning and implementation of educational programs for the department.
Builds consensus with the Medical Staff, working in cooperation and collaboration with physicians, advance practice providers, and/or Department Chairs on related strategy and program initiatives.
Practices process improvement principles and oversees improvement of the quality of the services and patient care provided. Maintains competency in all organizational, department standards relevant to services provided and ensures compliance. Manages processes to ensure all regulatory standards are met as well as works to prevent potential legal risk to Altru as appropriate. Accesses internal resources to assist in adhering to standards as well as ensures staff understands expectations.
Coordinates billing and collection activities for self-pay accounts. Maintains appropriate internal safeguards of accounts receivable records.
Oversees payment plans and other credit procedures, bad debt write-off, charity write-offs and processing of bankruptcies. Plans and coordinates various activities related to the customer service call center, legal proceedings, and use of private collection agencies.
Serves as the primary contact for patient reimbursement issues in accordance with established policies. Conducts communication in a positive manner, resulting in positive patient relations and prompt reimbursement. Educates, screens, and assists patients with enrollments programs and collects monies from patients. Establishes long term payment arrangements for patients per established Altru policy and follows up with all patients who have not been financially cleared prior to discharge.
Identifies and obtains missing patient demographics, insurance, and pre-authorization information by effectively communicating with patients, physicians, front end staff, and translators.
Performs other duties as assigned or needed to meet the needs of the department/organization.
Certifications
Resolute billing module certification | Epic | Within 6 Months of Start Date | Employee Provides HR a Copy
Driver's License with Acceptable Driving Record | Driver's License - Current State Licensed | Prior to Start Date | HR Primary Sources
Education:
• Required: Bachelors - Business Administration/Management- OR -Bachelors - Related Field
Work Experience:
• Required: A minimum of 3 years Related Experience
