Summary The Manager of Patient Accounts is responsible for the revenue cycle for the Multi-Specialty Clinics located in Downers Grove, Illinois. This position reports to the Assistant Director of Patient Accounts.
Essential Duties and Responsibilities - Organize, direct, coordinate, and evaluate the following: clinic patient scheduling, registration, cashiering, refunds to patients and third parties, billing/collection activities, cash application, and provider insurance credentialing.
- Work in conjunction with University Administration, Clinic Administration and various academic programs to reach and maintain financial and accounts receivable goals, establish policies and procedures, monitor HIPAA and HiTech compliance, and develop and maintain excellent customer service.
- Interview, hire, train, manage, develop, and evaluate patient account staff members.
- Ensure that all Federal, State, and other third-party billing, collecting, and follow-up requirements and regulations are met.
- Manage and coordinate accounts receivable functions/reporting to ensure efficiency and maximize reimbursement. Analyze processes to identify payer issues, monitor results and progress, implement plans for improvement, and keep bad debt to a minimum.
- Participate in various University and clinic audits as it relates to finance, billing, and coding.
- Participate as a member on various clinic committees.
- Participate as a member of HFMA and MGMA.
- Oversee the application, approval, and administration of the MWU clinic assistance program.
- Prepare, implement, and monitor patient account budgets for MWU clinics.
- Assist in research, development, and implementation of new services and programs.
- Ensure compliance with payer contracting agreements.
- Communicate and educate clinical care staff on billing, coding, and documentation changes.
- Assist patients with concerns and complaints regarding scheduling/billing.
- Promote, develop, and maintain excellent customer service with patients.
- Manage and direct credentialing activities for MWU clinic providers in conjunction with the credentialing agency.
- Develop strong and effective relationships with vendors and contracted partnerships in order to exchange information and resolve issues of financial impact.
- Review month-end reporting to develop, implement, and monitor benchmarking/metrics for patient accounts.
- Develop/revise policies and procedures for the finance department, as needed.
- Implement changes directed by regulatory agencies.
- Other duties may be assigned.
Supervisory Responsibilities This position will have direct supervisory responsibilities.
Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. The individual must be able to work in a constant state of alertness and in a safe manner and have regular, predictable, in-person attendance. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience A bachelor's degree in finance or related field is required. 5-7 years of revenue cycle experience working in an integrated clinic environment is required, preferably with an academic institution. 5-7 years of previous management experience. Knowledge of Federal and State guidelines, managed care contracting, payer filing and appeal limits, and credit and collection policies is also required. A high level of interpersonal skills, problem-solving, and strong analytic abilities are necessary to be successful in this position. Thorough knowledge of Current Procedure Terminology (CPT), ICD9/ICD10, HCPCS codes, and the CMS 1500 claim form.
Computer Skills Computer proficiency in MS Office (Word, Excel, Outlook). Experience with Medical Practice Management systems, EHR, payer websites, clearinghouses.
Language Skills High skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information to top management and boards of directors
Reasoning Ability High skills: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Mathematical Ability Intermediate skills: Ability to calculate figures and amounts such as discounts, interest, commissions, and proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry.
Physical DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to talk, hear, stand, walk, reach with hands and arms, and use hands to handle and feel. The employee must occasionally lift and /or move up to 25 pounds.
Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
We offer a comprehensive benefits package that includes medical, dental, and vision insurance plans as well as life insurance, short/long-term disability, and pet insurance. We offer flexible spending accounts, including healthcare reimbursement and a child/dependent care account. We offer a work-life balance with a competitive time off package including paid holidays, sick/flex days, personal days, and vacation days. We offer a 403(b) retirement plan, tuition reimbursement, a child care subsidy reimbursement program, identity theft protection, and an employee assistance program. Wellness is important to us, and we offer a wellness facility on-site with a fully equipped fitness facility.
Other duties may be assigned.
