JOB SUMMARY To direct patient financial services, to facilitate effective collection of accounts receivable, and to establish an operating plan to ensure the Hospital’s accounts receivable are liquidated according to established standards, compliance with Federal and State laws governing patient access, strategic information is provided for financial/clinical planning, and processes are conducted in a customer service oriented fashion.
ESSENTIAL DUTIES AND RESPONSIBILITIES Accountability A: Ensures key processes have standards of performance that are measured, reported, and addressed. Accountability B: Resolves patient accounts and reimbursement issues/problems by consulting with physicians, other Hospital departments, insurance companies, attorneys, and governmental agencies. Accountability C: Directs key processes by monitoring and reporting performance statistics and explaining variances and adjustments when made. Accountability D: Coordinates and/or directs process improvement opportunities. Drives tangible and measurable improvements of key processes through the leadership, training, and mentoring of the team. Accountability E: Participates in Hospital, departmental, and IDS network initiatives such as IS implementation and values improvement. Accountability F: Updates and/or establishes patient financial services policies and procedures to ensure that the Hospital is compliant with governmental regulations, accrediting bodies and other statutes. Accountability G: Reviews accounts recommended for write-off to identify performance issues and take action to ensure that uncompensated care is minimized. Accountability H: Meets regularly with direct reports and staff to keep them informed and up-to-date with matters that impact their areas of responsibility. Strives to achieve the goal of accreditation with commendation through the following: • Ensures that Joint Commission requirements specific to your department are fulfilled but also understand the linkage between your department’s requirements and those of the integrated delivery system. • Collaborates with colleagues in other departments to ensure all Joint Commission requirements are met
SHARED ACCOUNTABILITIES • Completes timely performance appraisals for direct reports • Assures that new staff attends hospital orientation and departmental orientation within 30 days of employment • Prepares and submits annual capital and operating budgets. Reports financial performance on a monthly basis. • Develops and modifies job descriptions as necessary • Conducts appropriate investigations and follows-up on individual and patient complaints • Submits performance planning documents, ongoing planning materials, action plan and department goals Knowledge and Skills • Knowledge of budgeting, microsoft office, flowcharting. Knowledge of healthcare and health insurance industry including admissions, discharge transfer, patient accounts, master patient index, patient registration, accounts receivable management. • Knowledge of Federal and State regulations and other requirements outlined by accrediting bodies is essential in developing policies and procedures for patient access operations is required. • Ability to operate a personal computer, demonstrate proficiency in Hospital standard software applications, excellent communication and organizational skills, data analysis skills, and industry standard performance improvement techniques.
