Description

Wage Range: $82,472 - 131,934 per year

Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity.

Job Summary:

Responsible for the day-to-day supervision and effective operation of the Patient Financial Services self-pay patient accounting functions for both EvergreenHealth Medical Center and EvergreenHealth Monroe.

Oversees departmental operations to ensure efficient, compliant, and patient-centered service delivery. Resolves complex account issues and addresses concerns from patients, guarantors, and insurance carriers related to outstanding balances and billing.

Serves as a liaison and resource to internal departments, physicians, and external partners regarding Patient Accounting policies, procedures, and operational processes.

Primary Duties:

1. Partners with leadership to support strategic direction for call center operations, ensuring overall effectiveness and a high-quality patient experience for EvergreenHealth patients and community.
2. Partners closely with Patient Financial Services staff to resolve accounts and provide accurate and timely support.
3. Provides day-to-day staff supervision and operational support for self-pay patient accounting functions including collection activities, payment processing, payment plans, and account management.
4. Establishes and communicates staff productivity and behavioral standards. Monitors team performance to ensure service excellence and timely resolution of self-pay accounts.
5. Coordinates staff scheduling, including approving time-off requests and coverage for illness and leaves, to ensure sufficient staffing levels that meet departmental needs. Reviews and approves staff payroll.
6. Plans and facilitates staff meetings. Develops and leads training sessions for Self-Pay and Financial Assistance teams regarding new programs and processes.
7. Participates in recruitment, interviewing, hiring, performance evaluation, and corrective action processes in partnership with the PFS Manager.
8. Resolves billing, charging, and patient accounting inquiries by collaborating with cross-functional departments and serving as a liaison when necessary.
9. Follows established escalation procedures to ensure timely resolution of patient complaints received via phone or in writing.
10. Oversee charity care operations to ensure compliance with policies and regulatory requirements, including:
• Coordinating Medicaid application processes with authorized vendors
• Ensuring timely processing of applications in accordance with 14-day compliance standards
• Reviewing and seeking resolution of application discrepancies
• Updating state-approved poverty guidelines annually
• Resolving any discrepancies to ensure adherence to the charity policy
• Acting as an escalation for the charity unit
• Delegating approval authority as assigned by PFS manager
11. Administers accounts assigned to collection agencies in compliance with applicable laws and regulations, including:
• Oversight of bad debt accounts and agency performance
• Coordination of insurance rebilling and resolution of patient disputes and complaints
• Monitoring of bad debt hold reports for timely follow-up
• Application of Fair Credit Reporting Act (FCRA) guidelines
• Representation in legal proceedings related to billing when required

1. Oversees monthly processing of collection agency payment vouchers and conducts regular performance reviews with agency partners.
2. Facilitates charge validation, coding review, and billing corrections in collaboration with departments such as Revenue Integrity, Care Management, and Health Information Management.
3. Maintains current knowledge of billing, compliance, and collection regulations. Ensures adherence to regulatory standards, including Joint Commission requirements, while safeguarding data integrity and patient confidentiality.
4. Ensures an efficient, accurate, and timely billing process for all self-pay accounts.
5. Identifies opportunities for workflow improvement and implements solutions to increase productivity and effectiveness.
6. Ensures that the SEIU requirements are met by department such as posting of monthly schedules, posting of SEIU communications, etc.
7. Performs other duties as assigned.

License, Certification, Education or Experience:

REQUIRED for the position:

• Associate's degree or equivalent combination of education and experience
• 3 years related hospital or Accounting/Finance experience
• Supervisory or leadership experience in hospital related fields
• Experience leading centralized call center teams
• Understanding of payment methodologies (MSDRG, APDRG, OPPS, APG, APCs etc.)
• Knowledge of UB04 and HCFA 1500 billing
• Knowledge of state and federal regulations relating to Patient Accounting and collections

DESIRED for the position:

• Bachelor's degree in business or equivalent combination of education and experience
• Experience in a financial healthcare setting, Patient Accounting or Admitting
• Lean, Six Sigma or process improvement certification

Benefit Information:Choices that care for you and your family

At EvergreenHealth, we appreciate our employees' commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.

• Medical, vision and dental insurance
• On-demand virtual health care
• Health Savings Account
• Flexible Spending Account
• Life and disability insurance
• Retirement plans 457(b) and 401(a) with employer contribution)
• Tuition assistance for undergraduate and graduate degrees
• Federal Public Service Loan Forgiveness program
• Paid Time Off/Vacation
• Extended Illness Bank/Sick Leave
• Paid holidays
• Voluntary hospital indemnity insurance
• Voluntary identity theft protection
• Voluntary legal insurance
• Pay in lieu of benefits premium program
• Free parking
• Commuter benefits
• Cafeteria & Gift Shop Discount

View a summary of our total rewards available to you as an EvergreenHealth team member by clicking on the link below.

EvergreenHealth Benefits Guide