DHR Health · 2 months ago
Patient Accounts Manager- FT- Days- Billing & Collections
Edinburg, TX
Full-time
Onsite
Mid, Senior Level
2+ years expDHR Health is a healthcare provider in Edinburg, Texas, seeking a Patient Accounts Manager to oversee insurance collectors and manage outstanding accounts receivable. The role involves ensuring efficient operations in the Patient Accounting area, analyzing reimbursement trends, and providing excellent customer service while managing a team.
Health CareMedical
Responsibilities
Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices
Manages the day to day operations of the Patient Accounting area of the Business Office (Insurance Benefit Verifications/Self Pay Collections/Customer Service/Refunds an the Reimbursement area(s)) and oversees the Patient Accounting Supervisor handling Financial Counselors and Self Pay collectors:
Manages daily activities related to the Patient Accounting area of the Business Office ((Insurance Benefit Verifications/Self Pay Collections/Customer Service/Refunds an the Reimbursement area(s))
Ensures processes are performed efficiently and effectively
Monitors and ensures that productivity reports are completed at 95% or greater at the end of the week
Analyzes trends in reimbursement delays, underpayments and insurance denials. Develops and implements an action plan to resolve issues
Works with the scheduling staff and the benefit verification staff to ensure that appropriate insurance reimbursement is maximized
Analyzes appeal and denial codes to determine underlying causes
Reconciles Cash posting for the department with Accounting and the bank
Ensures that all private pay accounts are contacted/followed-up by the Financial Counselor/Self Pay Collectors or transferred to the Third Party eligibility agency or other collection agency
Manages Bad debt review and Charity review
Ensures that credit balances are reviewed and refunded within (30) days of last payment transaction
Oversees that patients are provided good customer service
Ensures that return mail and correspondence is reviewed for appropriate follow up
Effectively manages and directs the Patient Accounting area of the Business Office ((Insurance Benefit Verifications/Self Pay Collections/Customer Service/Refunds an the Reimbursement area(s)): To ensure quality. Ensures work assignments and schedules are established
Reviews each staff's productivity and ensures staff meets productivity standards
Completes and submits daily, weekly and monthly reports to the Director
Performs QA on for all areas. Includes trending and analysis of the data, as well as the development and implementation of action plans
Maintains QA statistics and reports
Resolves issues escalated by patients and/or staff
Meets with Supervisor regularly to effectively communicate and resolve issues, set and prioritize goals and improve processes
Works closely with peers to ensure all procedures regarding patient’s accounts are completed in a thorough and timely manner
Works closely and professionally with outside agencies on special projects developed by the Administration. (Third Party ; collection agencies, etc)
Demonstrates proficiency and initiative at problem solving
Develops and recommends long and short range goals and specific actions to maximize results in the department
Keeps informed of developments affecting product, services or areas of specialization and utilizes this information for the benefit of the hospital
Cooperates and assists staff to foster productive teamwork
Works with staff to improve processes and work flow in the areas of responsibility. (EX. Listen to staff for implementing process improvements.)
Interviews and hires
Supervises all employees with equal standards, efficiently and professionally
Assists with payroll activities for staff. (Timecards, PTO requests, etc.,)
Assists with the orientation of new employees
Provides continuous training and communicates process improvement changes to employees
Trains new employees in all aspects of their assigned job and ensures that their training is complete and accurate for their assigned tasks
Coaches and counsels staff as necessary, provides written documentation of coaching and/or counseling sessions as appropriate. Enlists the help of Director or Human Resources depending on severity of issue
Recommends termination of employees as necessary
Maintains appropriate documentation to support such recommendations
Performs employee's performance evaluations in a timely manner
Ensures all personnel policies are followed
Recommends changes in department policies and procedures to the Director
Leads in a way that motivates employees to do their best work in a positive manner
Provides employees with guidance and supervision, but gives them sufficient opportunity to carry out their assignments and make decisions
Creates a positive atmosphere conducive to employee development by personal example and by encouraging and praising initiative, imagination and resourcefulness
Qualification
Required
Minimum of High School Diploma or GED
Experience in health related fields is necessary
Comprehensive knowledge of healthcare reimbursement
Strong organizational skills are necessary
Understanding CPT, HCPCS, and ICD 9 coding
Good written and verbal communication skills required
Ability to read, write and speak English required
Ability to communicate clearly and concisely with all levels of nursing, administration, and physicians
One to two (1-2) years of medical/healthcare business office experience
Two (2) years supervisory experience required
Excellent customer service skills
Computer skills required with knowledge of Microsoft Office Suite
Good written and verbal communication skills required
Requires good independent judgment and the ability to work with frequent interruptions
Requires good communication and organizational skills
Requires reasoning ability and good independent judgment
Requires working with frequent interruptions
Must project a professional image
Preferred
Some college hours in a related field preferred
Prefer hospital experience
Bilingual - English/Spanish
Benefits
Health Insurance
Company
DHR Health
DHR Health is a healthcare firm that provides cardiology, bariatrics, diabetics, children's hospital and ENT services.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Robert Meade
CEO
Carlos Cardenas
CAO
Recent News
HospitalManagement.net
2025-12-22
2025-11-24
Company data provided by crunchbase