Job Summary: Directs and coordinates business operations for Patient Financial Services. This position is responsible for the day to day operations of the department to ensure compliance with organizational and industry standards. Supervises staff activities that promote best practices for collection efficiency and maximization of revenue. Identifies quality issues, advises management and implements solutions. Builds an effective team by demonstrating team leadership, budget development and management, work plan development, and project implementation skills. Creates strong customer service orientation and collaboration, results orientation, and strategic thinking within the Patient Financial Services department. Participates in and collaborates on all MHS activities relating to areas of responsibility. Supervises assigned staff.
Essential Responsibilities: - Plans, coordinates, directs, and supervises activities of assigned Patient Financial Services (PFS) area. Delegates, monitors, and evaluates activities of assigned staff to ensure accuracy and efficiency of business operations. Coordinates and facilitates monthly department meetings. Develops and implements business operations process changes. Implements work plans and efficiency improvement strategies. Promotes and supports processes, programs, and methods to enhance quality of service. Develops and monitors use of process improvement tools to ensure efficient, productive, quality work flow and environment. Develops procedures and documentation. Prepares and maintains statistical data on incoming work and identifies potential operational problems.
- Responsible for all aspects of PFS operations including but not limited to: billing, collecting, working with vendors, generating statements, resolving patient billing complaints, meeting department metrics and expectations, etc. Provides guidance to other departments related to PFS-related matters. Stays abreast of all regulatory changes and requirements and ensure that changes to department are implemented and communicated to all staff. Ensures effective financial management of accounts receivable.
- Provides information for and coordinates special projects/activities within area.
- Hires, trains, supervises, counsels, disciplines, and terminates assigned staff as appropriate.
- Communicates goals, objectives, accountabilities, priorities, and authority parameters to assigned staff.
Basic Qualifications: Experience
- Minimum three (3) years medical insurance claims processing and collections or related experience in the healthcare industry.
- Minimum three (3) years of experience in leading, managing and supervising staff, preferably in a healthcare environment.
Education
- Bachelors degree in business administration, related field, OR four (4) years of directly related experience.
License, Certification, Registration
Additional Requirements: - Demonstrated ability to perform diversified clerical functions and basic accounting procedures.
- Demonstrated knowledge of business operations and organizational practices and procedures.
- Demonstrated familiarity with medical charts and fee schedules.
- Knowledge of medical terminology, CPT-4 and ICD-9-CM coding.
- Demonstrated knowledge of and skill in word processing, spreadsheet, and database PC applications.
- Demonstrated knowledge of and skill in adaptability, change management, conflict resolution, creativity, innovation, decision making, customer service, influence, interpersonal relations, oral communication, problem solving, quality management, results orientation, systems thinking, team building, teamwork, and written communication.
- Demonstrated knowledge of state, federal and community agencies, insurance carriers, and intermediaries.
- Strong verbal and written communication skills and excellent presentation skills.
- Excellent negotiating and analytical skills.
Preferred Qualifications: - Project management experience.
Primary Location: Hawaii,Wailuku,Maui Mem. Wili Pa Loop Building
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri
Working Hours Start: 08:00 AM
Working Hours End: 04:30 PM
Job Schedule: Full-time
Job Type: Standard
Employee Status: Regular
Worker Location: Flexible
Employee Group/Union Affiliation: NUE-MHS-01|NUE|Non Union Employee
Job Level: Team Leader/Supervisor
Department: WILI PA - Pat. Financial Ops & Admin - 3601
Pay Range: $81300 - $105160 / year Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data, internal alignment, and a candidate's years of relevant work experience, education, certifications, skills, and geographic location.
Travel: Yes, 15 % of the Time
