Job Description
Job Description
Job Objective:
Under the direct supervision of the AVP of Revenue Cycle, or designee, the Business Office Collection Manager assists in the day-to-day centralized business office (CBO) operations related to insurance follow-up, cash and adjustment posting, customer service, billing and vendor management.
Essential Duties:
- Assist with job training for new employees
- Provides direction and support to department staff to answer and resolve problems relating to patient accounts
- Strategically create collector ATBs at least monthly to ensure cash consistently flows in without disruption
- Reviews and ensures that assigned work is completed accurately and timely
- Assist with special projects as assigned
- Helps in the development of procedures and job duties
- Handles difficult or complex questions and phone calls from customers
- Communicates backlogs, problems, and/or payor issues to leadership
- Interprets difficult contract language to maximize reimbursement
- Assists leadership with potential employee interviews
- Conduct employee performance reviews
- Works with all departments of the hospital, as needed
- Works with payors to ensure short pays and disputed claims are reimbursed timely and accurately
- Makes appropriate write off decisions per department guidelines
- Assures that any billing changes or follow up procedures are relayed to staff
- Monitor and report daily work for employees
- Prepares and sends collector productivity reports to leadership
- Approve and manage employee time off requests
- Approve timecards in the payroll system
- Other duties as assigned, within skillsets and abilities
Skills and Abilities:
- Excellent written and verbal communication
- Ability to be a team player and motivator
- Ability to give the highest level of customer satisfaction at all times
- Medical terminology as related to patient services support work
- Strong knowledge of policies and procedures relating to hospital Patient Accounting activities
- Strong knowledge of principles and techniques of patient accounting and billing including Common Procedural Terminology (CPT) and ICD-10 coding
- Ability to perform technical, specialized, complex or difficult patient billing services support
- Establish and maintain effective working relationships with patients, hospital departments, insurance carriers, physicians, and co-workers
- Establish and maintain accurate and systemic records
- Excellent ability to organize work and establish priorities
- Ability to expand on own initiative in performance of duties
- Bilingual, preferred
Experience:
- Minimum 5-years of experience in supervising and leading employees within an healthcare setting.
- Expert working knowledge in Federal, State, and County reimbursement programs, as well as managed care contract interpretation and insurance follow up, related to Commercial, HMO, PPO, and Worker's Compensation hospital claims
Education:
- High school graduate or equivalent
- Completion of relevant college courses, preferred