Jack Hughston Memorial Hospital · 6 days ago
Manager of Patient Accounting
Columbus, GA
Full-time
Onsite
Mid, Senior Level
1+ years expJack Hughston Memorial Hospital is seeking a Manager of Patient Accounting to oversee and direct the patient accounting functions within the facility. This role involves managing day-to-day operations, ensuring compliance with regulations, and resolving patient billing issues while promoting collaborative relationships across departments.
Hospital & Health Care
Responsibilities
Manages Patient Accounting functions by planning, directing, coordinating, and controlling human and material resource needs for the delivery of patient information and other departmental activities
Establishes planned accountability to assure the department as well as individual team members meet acceptable standards of production and quality while providing constructive feedback on work performed
Identifies potential problems and performs root cause analysis to identify and create recommendations and/or enact solutions
Plans and establishes Patient Accounting departmental staffing by managing the processes of coordinating time, attendance and scheduling to ensure continuous operational throughput of all billing and payment functions
Maintains professional and employee competency through formal and/or informal education programs
Responsible for all interviews and making selection recommendations to the System Chief Revenue Cycle Officer
Monitors, tracks and evaluates staff productivity and performance, quality assurance, collections and provides summary KPI reporting to the System Chief Revenue Cycle Officer monthly
Gathers, maintains, and reports Map Key and other externally required reporting data as required
Ensures competency assessments are adequate for employee-related training along with individual development to include coaching and counseling of staff
Promotes public relations within the Hospital and Surgery Centers while fostering collaborative working relationships with all departments
Supports the Mission and Vision, Lean Objectives and continuous improvement efforts of the organization, the leadership team and the System Chief Revenue Cycle Officer
Communicates verbally and in writing with personnel, physicians, patients and families
Performs continuous review of departmental processes and procedures and implements updates as appropriate
Provides feedback to team members during one-on-one monthly performance reviews
Attends meetings as appropriate
Provide direction, support, training and continuing education to section personnel on proper claims submission, collection follow-up, credit balances, appeal processes, posting and balancing
Create claim edits within SIS, Waystar, and/or Medhost to optimize clean claim rate
Oversees denials management to include reviewing denied claims to determine potential for appeal and reversal of denials
Sets annual and quarterly goals for the department along with System Chief Revenue Cycle Officer and puts processes and procedures in place to meet them
Monitors progress toward goals and makes changes when needed
Assists with keeping the Discharge Not Final Billed (DNFB) clean
Approves all denial write-offs that cannot be appealed
Oversees the appeals process for denied claims
Advises Chief Revenue Cycle Officer of needed process improvements to prevent denials and assists with implementation of changes
Serves as a liaison between HIM, Patient Access, Patient Accounting, Case Management, Underpayments, and Hughston Clinic staff to resolve denied claims
All other duties as assigned to include projects, goals, issues surrounding the revenue cycle, conflicts or concerns as directed or indicated by Management
Qualification
Required
1-3 years of medical supervisory/management experience
Must have working knowledge of tests, procedures, and terminology in addition to insurance knowledge
Must have exceptional customer service skills as well as verbal and non-verbal communication skills
Must have exceptional time management skills to perform during high periods of stress
Bachelors' Degree in Business Administration, Health Administration or equivalent experience
CPAR, CRCR, CHAA, CHAM, or equivalent Certification (within 180 days of employment)
Valid Driver's License, satisfactory motor vehicle report (MVR) and proof of insurance required for position on-boarding
Annual MVR may be required per policy and procedure; background reports may be ran as needed throughout the course of employment
Ability to use Microsoft Office and other software packages
Excellent typing skills and phone etiquette
Excellent Customer Service and Communication Skills
Ability to effectively lead and supervise people
Preferred
3-5 years Hospital and/or Surgical Center Business Office experience
Company
Jack Hughston Memorial Hospital
Our friendly and specialized staff is ready and eager to give patients personal attention.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase