Director of Patient Accounts

Job Summary

Responsible for oversight of processing claims of all third party payers and private pay patients, both inpatient and outpatient; for oversight of correspondence to and from insurance companies regarding submitted claims; for over sight of making appropriate contacts, by telephone or correspondence, with patients or insureds regarding needed information to accurately bill patient’s claim; oversight of preparation of EFT vouchers from third party payers for posting to patient accounts; must be available to the public, walk-ins and telephone calls, for any inquiries; oversight of the monitoring and management of accounts to minimize credit balances, bankruptcies, and self-pay referrals to the extended business office.

Application Screening Process Begins: October 31st

Status: 40 hours/week

Location: Memorial Hospital (Carthage – Main Campus)

Wage Range:  $22.50/hour-$24.50/hour
(actual wage dependent on relevant experience)

Required Qualifications

1. High school graduate or equivalent.
2. Previous commercial insurance billing experience.
3. Previous experience with medical terminology.
4. Must be able to work well with people of all ages and nationalities.
5. Good human relations, written and oral communication skills.
6. Mathematical, typing (30 wpm+) and/or computer entry skills.
7. Ability to distinguish difference between numbers and/or names that are similar.
8. Ability to handle emergency or crisis situations and adjust to changing conditions/situations.
9. Occasionally subject to irregular hours.

Preferred Qualifications

1. Bachelor’s degree in business administration or related subject.
2. Certified Revenue Cycle Professional (CRCP) or Certified Revenue Cycle Specialist (CRCS) or equivalent.

Primary Job Responsibilities

1. Maintain policies and revise as needed to accommodate current process and procedures.
2. Prepare budgets and department plans annually for the Pt Accounts department.
3. Oversight and implementation of new processes in Pt Accounts as needed.
4. Schedule and conduct quarterly communication meetings with staff.
5. Prepare and present evaluations to the staff in Pt Accounts.
6. Maintain the schedule to cover all shift requirements for the Pt Accounts staff.
7. Oversight of processing all third-party payer claims.
8. Oversight of monitoring claim processing for appropriateness and reviews accounts for compliance with Federal and State billing requirements to payers.
9. Oversight of the Epic work queues claim edits so that accounts are billed within 4 business days.
10. Oversight of the Epic work queues for timely follow up on accounts for all payers and private pay.
11. Ensure that staff perform the necessary maintenance of patient accounts, i.e., correspondence, follow-ups, logs, inquires, payment arrangements, and correspondence to ensure accurate and timely communication with the extended business office.
12. Ensure the maintenance of a system to capture missed and/or late charges prior to submission of claims.
13. Oversight of posting of payments via all payment methods from patients and third-party payers.
14. Ensure the preparation of EFT vouchers for posting to appropriate accounts.
15. Manage the balancing of receipts posted to the deposit slip to be sure all receipts tie out to close the day for posting.
16. Maintain the Bad Debt Collection files and work closely with the collection agency.
17. Maintain a good working relationship with all third-party vendors for collections and claim processing.
18. Maintain the patient accounts for bankruptcy claims and take appropriate measures to remain within required Federal guidelines.
19. Reconcile credit balances on patient accounts according to the guidelines within the Financial and Collection Policy.
20. Work with other departments to ensure best practices and processes for the entire Revenue Cycle.
21. Work closely with healthcare providers in the education of billing and coding principles.
22. Maintain knowledge of Federal and State billing requirements.
23. Will embody FOCUS values through interactions with patients/residents and coworkers.
24. Perform other duties as assigned and requested.