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PFS Billing & Denials Manager (FT Salaried) Job in Findlay, Ohio US
Monster
 
 
 
 

Job Summary

Company
Blanchard Valley Regional Health Center
Location
Findlay, OH
Industries
Government and Military
Job Type
Full Time
Employee
Contact Information
Blanchard Valley Regional Health Center
Apply by Email

PFS Billing & Denials Manager (FT Salaried)

About the Job

PURPOSE OF THIS POSITION

The purpose of this position is to develop, organize, implement, and direct the day-to-day activities of the Patient Financial Services Department in accordance with Federal, State, and local guidelines as well as BVHS and Patient Financial Services established policies and procedures.

JOB DUTIES/RESPONSIBILITIES

Duty 1: Recommends and implements approved departmental policies, procedures, and staffing; reviews annually, and recommends changes. Is required to maintain or improve financial progress within the Patient Financial Services department.

Duty 2: Assists in the recruitment, selection, and training of competent department employees, in conjunction with Human Resources. Delegates appropriate authority, responsibility, and accountability to employees. Review's employees' performance, recognizes good performance, addresses substandard performance through coaching/counseling. Initiates discipline if no improvement. Investigates rule violations and initiates discipline, when appropriate. Reviews all suspensions or terminations with Revenue Cycle Director, Patient Financial Services Director and Human Resources.

Duty 3: Manages the billing function related to all patient accounts including the creation of a detailed bill and all required insurance regulations and forms. Manages all changes to be made to the billing master files.

Duty 4: Participates in meetings, representing Patient Financial Services, including but not limited to Risk Committee, Revenue Regulatory, and Corporate Compliance.

Duty 5: Communicates using various methods such as department meetings, huddles, email, and Microsoft Teams. Regularly holds department meetings to communicate, identify and correct problem areas and/or to solicit recommendations on improvements of service. Documents meetings appropriately.

Duty 6: Works with the Patient Financial Services Director in maintaining budget. Assists the Patient Financial Services Director & Revenue Cycle Director in the strategic initiatives of BVHS.

Duty 7: Acts as a liaison between all departments and provides education to clinical staff, corporate compliance, physicians and other personnel regarding payer changes and regulations. Promotes service oriented and team approach within department staff.

Duty 8: Collaborates with the Patient Financial Services, Billing and Credit and Collections Managers & Supervisors, Patient Financial Services Educator & Compliance Specialist, Patient Financial Services Director and Revenue Cycle Director on all denial, billing and collection functions within the Patient Financial Services Division.

Duty 9: Establishes, in conjunction with the PFS Director, Revenue Cycle Director, HIS Director and Revenue Integrity Coordinator, adequate internal control procedures to assure the proper recording and billing of all patient charges. Assist in defining policies & procedures for charge entry, late charges and charge capture for compliance with current regulations.

Duty 10: Establishes with the leadership of Accounting and Credit and Collections, adequate internal control procedures to assure the proper recording and posting of all insurance payments and denials.

Duty 11: Manages the Patient Financial Services Denial management program to include benchmarking, targets and reporting for appropriate management of accounts receivables.

Duty 12: Assures confidentiality of patient information. Adheres to all HIPAA related privacy, security and transaction & code set regulations

REQUIRED QUALIFICATIONS


* Bachelor's degree in related field or significant relateApply here: https://www.aplitrak.com/?adid=YmJnZW5lcmljLjExMzM3LjEwNTA4QGJsYW5jaGFyZHZhbGxleWNvbXAuYXBsaXRyYWsuY29t
 
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