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Sr. Manager - Patient Financial Svcs Professional Billing


Sr. Manager - Patient Financial Svcs Professional Billing

Sr. Manager - Patient Financial Svcs Professional Billing

WellSpan Health
York, PA

Job details

Job Type

Full-time

Job Description:

Under the general supervision of the Director for Patient Financial Services PB manages the daily operation of Physician Billing Services and supervision of assigned billing teams/staff. Acts as liaison between physician offices and physician billing staff, promoting and maintaining a professional, cordial and cooperative working relationship with members of the office team, insurance payers, practice/operations managers and medical group administration. Performs a variety of duties to provide oversight and management of billing and accounts receivable for WellSpan physician practices.


Duties and Responsibilities

  • Ensures quality customer service (internal and external) through recommending appropriate staffing levels; interviewing and selecting employees; evaluating and determining work assignments for employees; evaluating staff performance, implementing or recommending progressive disciplinary action, when necessary; initiating or recommending personnel actions, when necessary.
  • Works with Revenue Cycle Administration to establish performance objectives.
  • Fosters a positive working environment and staff relationships through recognition of employee, team and office-wide accomplishments; meeting with employees to listen to and resolve employee issues and grievances and demonstrating care and concern for all employees supervised.
  • Promotes open communications, positive manager/team leader/staff interactions and timely resolution of inter and intradepartmental issues.
  • Acts as a role model in the development of staff to facilitate growth and change in a positive manner.
  • Demonstrates commitment to and support of the mission and vision of WellSpan Health.
  • Monitors revenue cycle performance via standard and custom reports, comparing outcomes on KPIs to established benchmarks and goals; identifies patterns and trends working with assigned teams to maximize revenue cycle outcomes and to meet or exceed performance goals; utilizes Anodyne for custom reports and completes Service Requests, as necessary.
  • Responsible for defining & recommending changes and updates to the Accounts Receivable follow up and Rejection workfiles for staff; reviews workfile reports on a weekly basis to identify issues, review work volumes, troubleshoot and communicate recommendations to the Revenue Cycle Administrator; completes Service Requests, as necessary, to request changes/updates to the workfile system set up.
  • Works collaboratively with Practice Operations leadership to develop new policies and procedures to maximize office efficiency and to promote maximum reimbursement, while following correct coding and compliance standards; acts as a resource for physician office staff and managers as well as physician billing staff.
  • Works with the PBS Education Specialists to ensure that staff are trained in proper procedures for carrying out their job responsibilities; Reviews training materials and procedures & establishes timelines for new staff training as well as continuing education and updates for existing staff.
  • Responds to patient concerns (CRS/SRS) and inquiries in a courteous and professional manner. Assists in any way possible, explaining patients’ charges, balances, insurance determinations and providing any other essential information or assistance, as required to satisfy their concerns and/or questions.
  • Manager- Physician Billing Services
  • Reviews and enforces established policies and procedures, WellSpan system and PBS Operating Objectives, productivity and quality standards, safety, environmental and infection control and compliance standards; convenes staff workgroups and makes recommendations for improvements; initiates and communicates changes, as needed.
  • Facilitates discussions with payers regarding rejection and denial trends, payment and coding issues.
  • Interacts with collection agencies and a variety of governmental agencies.

Qualifications

  • Notes:
    • Other combinations of formal education, training and experience may be considered.

  • Minimum Experience:
    • Minimum three (3) years’ experience in healthcare billing and accounts receivable required. Experience in PC data entry and medical terminology, CPT, ICD-9/ICD-10 and coding preferred Experience in general office practices required. Physician office billing experience preferred.

  • Minimum Education:
    • High School or G.E.D required, Business or Trade School education in billing & accounts receivable, clerical skills and data entry, accredited coding certification, preferred.

  • Required Courses:
    • Medical terminology

  • Skills:
    • Must display skills in insurance billing and with Third Party and HMO payers. Displays excellent interpersonal skills. Must possess a thorough knowledge of ICD-9/ICD-10 & CPT coding. Exhibits a professional, customer experience-focused approach when performing all duties. Uses excellent written and verbal communication skills. Demonstrated excellent mathematical skills. Utilizes proper telephone etiquette and follows practice confidentiality/HIPAA policies and procedures. Should be motivated and have the ability to work under the direction of others as well as independently. Possesses computer literacy, Microsoft Office skills.

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• Mobile: NA

• Location: NA

• Post ID: 21772474


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