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 the effective functioning of all Patient Financial Services department units within EvergreenHealth Medical Center, Hospice Care and Home Care. Primary areas of responsibility include the Insurance Claim submission unit, Insurance Follow up unit, Cash Application unit, Refund unit, Customer Service unit, Self-pay Collections unit and Charity Care unit. Responsible for researching and resolving issues and concerns raised by patients, guarantors and insurance carriers regarding outstanding accounts. Serves as a recognized liaison and resource to other departments, physicians and their offices as well as our satellite clinics regarding Patient Accounting functions.

Primary Duties:

• Functions as a liaison in resolving issues, responding to inquiries as it pertains to billing, charging and other patient accounting related functions by working with other departments as required
• Provides supervision and assistance in the day-to-day operations of the patient accounting functions under the direction of the department manager.
• Ensures the completion of all daily cash application which includes application to individual accounts, data entry, balancing, reconciling and depositing of hospital and EHCS dollars.
• Ensures that credit balances are resolved based on coordination of benefit rules and the completion of the Medicare Quarterly Credit Balance Reports submission.
• Provides escalation of all bad debt accounts assigned with collection agencies which may include pursuing insurance rebilling, resolution of patient billing disputes and resolve patient complaints.
• Provides oversight of the operations of the department in the absence of the Patient Financial Services Manager and is accountable to the decisions made in this capacity.
• Reviews and validates staff payroll daily and any activities required to manage vacations and sick time requests.
• Ensures that the SEIU requirements are met by department such as posting of monthly schedules, posting of SEIU communications, etc.
• Performs other duties as assigned.

License, Certification, Education or Experience:

REQUIRED for the position:

• Understanding of payment methodologies (MSDRG, APDRG, OPPS, APG, APCs etc)
• Knowledge of UB92 and HCFA 1500 billing
• Knowledge of state and federal regulations relating to Patient Accounting and collections.
• 3 years related hospital or Accounting/Finance experience
• Supervisory or leadership experience in hospital related fields

DESIRED for the position:

• Bachelor's degree in business or equivalent work experience
• Experience in a financial healthcare setting, Patient Accounting or Admitting

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.

Kirkland Employee Benefits Kirkland, WA EvergreenHealth