| The Center for Family Health is a thriving federally qualified health center located in downtown Jackson, Michigan. Our mission is Opening the Door to Healthcare for all. We are committed to taking care of our talented and compassionate staff as they provide good quality care to our patients. We are currently seeking a full time Patient Accounts Manager to join our team and lead our Patient Accounts department. Position Summary: The Patient Accounts Manager is responsible for overseeing the daily operations of the Billing and Patient Accounts areas. Displaying a high degree of initiative and independent judgement, the patient accounts manager continually directs and assesses the accounts receivable and billing functions of the center. The Patient Accounts Manager collaborates and coordinates efforts with other leadership to achieve success in the day-to-day operations and the mission of the Center for Family Health. It is the responsibility of the Patient Accounts Manager to guide and facilitate their staff in meeting all job expectations and required compliance. The Patient Accounts Manager is expected to work in a team-based environment where the approach is a whole person care approach that engages the patient in their health care and requires all team members to be effective and supportive communicators. A high degree of integration and collaboration is required to meet the varying and changing needs of our patients. Essential Duties and Responsibilities: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Supervision and Leadership: - Supervise and support departmental adherence to confidentiality of private health information and HIPAA standards when communicating with insurance companies, patients, and/ or their representative(s) both verbally and/ or in written communications.
- Supervise patient accounts staff performing day to day operations and specific projects/tasks related to financial goals and overall compliance with state and federal regulations.
- Support senior management’s planning by providing timely operational information and analysis.
- Assign and audit the work of the patient accounts department. Assess staffing needs, oversees staff scheduling, monitors staff levels and makes recommendations for changes if needed, maintains discipline and corrects behavior through CFH policies and procedures.
- Develops, updates, and implements policies and procedures to staff with emphasis on compliance and accountability.
- Ensures smooth daily operations and steady progress towards established goals through open and effective communication with all members of the staff.
- Under guidance from human resources, selects, promotes, disciplines and terminates staff within the guidelines of the CFH policies and procedures.
- Trains and evaluates work activities of staff directly or through collaboration with human resources.
- Maintains a safe work environment.
- Maintains established performance and conduct standards in accordance with organizational expectations
Quality: - Monitor adherence to approved compliance and organizational initiatives and goals with emphasis on chart and encounter coding completion for efficient and timely billing.
- Assist in designing, implementing, and carrying out continuous quality improvement programs and activities.
- Conducts quality assurance activities through reviews, meetings, reports and observation of results, according to professional practice standards and regulatory compliance.
- Participates in quality assurance, quality improvement and utilization review activities and makes recommendations to the quality director for plans of correction and improvement.
Management and Compliance: - Participates and supports the preparation and submission of the annual Medicare and Medicaid Cost Reports.
- Gather and analyze historical information to support the annual budgeting process and special projects as needed.
- Supports the accounting department for month-end and annual closing activities.
- Promote practices consistent with state and federal laws and regulations.
- Financial Accountability. Plan and operate within the approved budget.
- Work collaboratively with leadership staff and Human Resources.
- Develop processes necessary for billing and collections functions
- Participates in overall center strategies and operational planning processes.
- Develop and implement departmental mechanisms and controls to ensure appropriate billing and timely filing in accordance with established internal and third-party payer requirements, including collections.
- Select and contract with collection agency for bad debt follow up and collection.
- Communicate patients recommended for discharge for unwillingness to pay. Manage process for reinstatement from discharge status.
- Assign, establish, and implement appropriate billing policy procedures for all billing functions per CMS, CPT policy standards and guidelines.
- Direct charge posting, billing, and collection operations for compliance with established policies, regulations, procedures and standards.
- Appropriate judgment used when problem solving complex billing compliance, software, clearinghouse and payer criteria
- Oversee account receivable posting process to meet CFH reporting requirements.
- Represent CFH while interacting with payers, patients, providers, managers, billing partners, agencies, and other related organizations.
- Manage credentialing processes to ensure participation with managed care systems, PPO, group and site affiliation. ensure appropriate payer credentialing and re-credentialing for practice providers are complete to secure accurate payment for services. Communicate with provider to obtain and clarify additional supportive documentation requested by payer. Communicate discrepancies found by payer to provider and / or Human Resources as applicable.
- Perform billing and coding audits following complex billing and compliance criteria and communicate the results to providers and clinic management along with prescribed remedies
- Audit, assign and recommend specific documentation and coding for billing medical procedures and services.
- Conforms with and abides by all regulations, policies, work practices and instructions.
Education/Training/Experience: - Bachelor’s degree in Business, Finance, or other related field or equivalent work-related experience.
- Five (5) years’ experience in computerized medical billing systems.
- EPIC experience preferred.
- Five (5) years’ experience in a Federally Qualified Health Center preferred, three (3) years’ experience in the healthcare industry required.
- Five (5) years progressively responsible supervisory experience in a healthcare setting.
Job Knowledge, Skills & Abilities: - Ability to work effectively both independently and in a team environment.
- Excellent communication skills, both written and verbal.
- Excellent computer skills (and knowledge of accounting software).
- Excellent customer service skills.
- Demonstrates understanding and appreciation for the diversity of CFH patients and CFH employees.
- Stress Management.
- Decision making, judgement, and problem-solving skills.
- Leadership and Training Skills.
- Project management and presentation skills.
- Ability to prioritize and manage time effectively.
- Ability to establish and maintain effective relationships with other management staff, employees, and the public.
- Strong organizational skills and attention to detail.
- Ability to develop long-term plans and programs based on knowledge of organizational and operational goals.
- Ability to supervise staff at one or more facilities.
- Ability to maintain strict standards of confidentiality regarding patient information.
- Thorough knowledge of general accounting including thorough skills knowledge plus the application of general accounting theory.
The Center for Family Health offers many great benefits including: - Medical
- Dental
- Vision
- Life Insurance
- Short & Long Term Disability
- Flexible Spending Account
- 403B Retirement Plan with Employer Match
- Paid Time Off
- Up to 10 Paid Holidays a Year
- Employee Assistance Program
- Continuing Education Funds
- Professional License Fee Reimbursement
Center for Family Health is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, marital status, sexual orientation, gender identity, gender expression, pregnancy, age, status as a protected veteran, status as an individual with a disability, genetic information, political views or activity, or other applicable legally protected characteristics. |
