Job Description

The Patient Accounts Manager is responsible for overseeing duties and tasks associated with insurance billing and follow-up, patient liability collections, and business office vendor management; providing supervision and leadership for all staff members in the patient accounts office, including day-to-day staff oversight, performance management, and staffing changes; and accountability for patient accounts key performance indicators and coordination across other Revenue Cycle departments.

Essential Job Duties:

  • Ensure all billing and follow-up processes are being followed and completed timely
  • Manage staff work queues and coverage for staff absences
  • Assess department staffing and implement hiring/realignment strategies if necessary
  • Maintain department policies and procedures
  • Review Patient Accounts key performance indicators weekly; identify and address any metrics falling below goals
  • Review denials and write-offs and identify/implement upstream process improvements to prevent future denials/write-offs
  • Coordinate with other Revenue Cycle departments, Finance, Clinics, Performance Improvement, and other relevant groups
  • Keep systems updated when regulations and/or hospital and clinic services change
  • Complete staff quality assurance reviews and deliver associated feedback in accordance with the Quality Assurance policy
  • Hold regular check-ins with Patient Accounts team to review goals, progress towards goals, and understand risks and barriers
  • Facilitate cross-department collaboration between the Patient Accounts staff, Patient Access staff, and HIM/Coding staff
  • Manage external vendor relationship and hold vendors accountable for metric performance
  • Track payer issues and escalate to payer representatives when appropriate
  • Participate in payer contracting
  • Complete payer audits timely
  • Complete staff performance evaluations

Other Duties:

  • Communicate effectively with all co-workers  in a courteous and professional manner
  • Attend organizational and department meetings when indicated
  • Participate in team discussions and planning
  • Follow all hospital policies and procedures
  • Perform any other duties as assigned by the Hospital Chief Financial Officer
  • Adhere to HIPAA privacy regulations at all times

Minimum Qualifications:

  • Minimum 5 years of Revenue Cycle Management experience in a Hospital setting
  • Must be highly organized with the ability to effectively manage multiple projects and staff simultaneously
  • Must possess excellent time management skills
  • Excellent supervisory and leadership  with strong communication skills
  • Strong ethics with a high level of personal and professional integrity
  • Proficient computer skills with strong knowledge of Microsoft Word & Excel

Preferred Qualifications:

  • Bachelor’s Degree is highly preferred
  • Coding experience preferred

Physical Requirements/Working Conditions:

  • Must be able to sit for long periods
  • Must be able to operate standard office equipment
  • Must be able to lift and carry up to 20 lbs
  • Must be able to work paying close attention to detail with frequent interruptions
  • Ability to work in a fast pace environment 

Application Instructions

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