Patients Accounts Manager

PURPOSE OF POSITION

A member of the revenue cycle process, Patients Accounts Manager is responsible for overseeing all staff under the Patient Accounts Director including Billing, Denial/Follow-Up, Cash Management, and Correspondence Team.

AREAS OF RESPONSIBILITIES

• Ensure compliance with payer rules and regulations.
• Billing various payers including Medicare, Commercial, and Medicaid
• Perform routine follow-up on Outstanding AR and Cash Management Team
• Assign and control the workflow of a supervised unit.
• Monitor the Spv Snr HCI, Senior HCIs, and Coordinating Manager team productivity.
• Review of accounts for accuracy and completeness.
• Monitor and documenting Spv. Snr. HCI and Coordinating Manager with time/leave issues.
• Communication with other departments: Central Office, Utilization Management, Medical Records, Patient Access, Registration, etc. to resolve DNB and denial issues
• Assist in the training and skills development of new staff and current staff as needed.
• Assignment of special projects with: UM, Managed Care, Special Audits, Rehab, Rad. Onc, HIM, Phycare, etc.
• CMS Audits
• Process refunds to insurance companies
• Weekly meeting with Patient Accounts / Follow-up Manager and or Director to review the work for the week, discuss team productivity.
• Review and work appropriate accounts to maximize A/R reduction and minimize write-offs.
• Review payer denials and underpayments and work to resolution.
• Attend all necessary training sessions to effectively perform the day-to-day functions of the position.
• Perform all other duties as assigned the Director
• Progressively discipline staff and attend to Labor issues
• Promote a positive and pleasant attitude conducive to the workplace which enhance and further the Mission, Vision and Value Statements.
• Meet all compliance standard/requirements such as annual physical evaluation/assessments/mandatory in service and customer service.
• Demonstrate an awareness of all organization’s Safety Plans.
• Participate in Performance Improvement Activities.
• Maintain professional attire in the workplace, as well as off-site when conducting business on behalf of the NYC Health+Hospitals.
• Demonstrate an acceptable level of professional development through attendance at outside and NYC Health+Hospitals.
• Take all necessary actions to ensure a safe environment.
• Secure patient records to assure confidentiality of information.
• Exhibit flexibility as it pertains to work assignment, workplace site designation and tour of duty.