North County San Diego Medical Center is seeking a talented Patient Financial Services Supervisor to add to their team. In this role, you would be responsible for the day-to-day operations of Patient Financial Services (PFS) department account receivable for a district hospital business office.
Responsibilities:
- Supervises the Patient Financial Services account receivable department.
- Monitor, manage, and track the accounts receivable, billing and cash collections.
- Identify problems and trends that require action plan and develop and/or recommend an action plan.
- Maintains and reviews reports that are specific to accounts that may have insurance or denial codes. Reviews edits on electronic transfer of claims to insurance carriers for payment.
- Monitors contractual payment and patient payment arrangements.
- Reviews high dollar accounts that have reached stop loss and works with the discrepancy unit to attain the health plan reimbursement.
- Reconciliation of daily receipts from cashier, reviews accounts for bad debt, outsourcing agency, refunds and credits.
- Conducts staff meetings and individual or team quality sessions.
- Coaches staff that require additional education.
- Demonstrates knowledge of accounts receivable posting and balancing procedures.
- Manage the payment appeals process.
- Processes and review all refunds, contractual adjustment and credit balance for accuracy from the PAR or outsource vendors.
- Ensures accurate account handling in accordance with government, contractual and hospital procedures.
- Reviews, approves and signs refunds and administrative adjustments up to signature approval.
- Interviews, selects and recommends applicants for hire.
- Provides orientation and hands on training to new hires and continuous training of existing staff through staff meetings and training seminars.
- Establishes performance criteria for all staff, which includes measurable performance standards. Conducts periodic performance evaluations.
Required Qualifications:
- Bachelors degree from an accredited university or equivalent work or equivalent work experience in a hospital billing and collections, required.
- Minimum of 4 years of experience in hospital patient accounting, required.
- Minimum of 3 year's progressively responsible for staff, including the ability to train, mentor and coach employees in the healthcare industry, required.
- Demonstrates in-depth knowledge of all third party/government authorization, billing and reimbursement rules and regulations, required.
- Knowledge of accounts receivable posting and balancing procedures, required.
- Must be detail oriented and demonstrate ability to audit and reconcile cash reports.
- In-depth knowledge of CPT, HCPCS, DRG, ASC & other coding requirements, required.
If you meet the required qualifications and are interested in this role, please apply today.
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