Supervises and coordinates activities and employees related to all Enterprise Customer Service and processing including billing, self-pay collections, customer service, and financial counseling of patients within West Virginia Medicine Hospitals, and University Medical labs to ensure the financial viability of the clinical and business enterprise
Maintain internal controls over accounts receivable records and collection of cash
Establish and implement controls for submission, billing and payment cycles to ensure integrity of accounts receivable and patient information as well as supervising and controlling cash collected directly from patients
Negotiate special discount arrangements, using sound financial practices, within the guidelines of State and Federal regulations
Assures department compliance relating to the extension of credit, billing, and allowable follow-up
Monitors daily operations to help ensure adherence to documented administrative and departmental policies and procedures
Coordinates billing operations (including late charge issues, charge issues, coding issues) with other departments and/or outside referral sources/agencies/facilities to ensure continuity of care timely communication and accurate revenue cycle operations
Identifies on-going continuing education needs of existing employees as well as new employees
Complete annual reviews as well as 90 day review
Keeps staff informed of process, policy and other changes through presentation at regular staff meetings, face to face communication and email correspondence
Provides coaching and counseling to staff based upon performance management principals
Efficiently and assertively coordinates resolution of problems with other departments as monitored by Manager or Director
Organizes and executes daily tasks in appropriate priority to achieve optimal productivity, accountability, and efficiency
Handles patient/family or staff complaints, investigates complaints, and makes recommendations of appropriate resolution
Works with Manager or Director to develop and attain quarterly objectives
Maintains confidentiality according to policy when interacting with patients, physicians, families, coworkers and the public regarding demographic/clinical/financial information
Demonstrates flexibility to meet the needs of the department or hospital in regard to changes in work volume, planned change, scheduling changes, and emergency call – backs (i.e. weather or disaster)
Maintains currently knowledge of major payor payment provisions
Displays and understanding of third-party payor regulations related to managed care, denials, and reimbursement issues
Able to inform patients of hospital and clinic billing practices/polices and their rights and responsibilities regarding payments
Requirements
High school diploma or equivalent
Two (2) years of experience working in a customer service environment
Bachelor’s degree (preferred)
Two (2) years’ experience in a healthcare setting (preferred)
Two (2) years’ experience in the direct supervision of associates (preferred)
Excellent oral and written communication skills
Knowledge of medical terminology (preferred)
Knowledge of third party payors (preferred)
Knowledge of ICS-9 and CPT coding (preferred)
Knowledge of Fair Debt Collection Act (preferred)
Ability to organize tasks and coordinate with teams
Ability to handle patient/family or staff complaints