Manager-PFS Clinic & Hospital Collections-8115

Staff Position Description

Position Title: Hospital/Clinic Collection Manager

Reports to: Director, Patient Financial Services

Position Purpose:

All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI's vision of providing the region's best clinical care and patient service through an environment that fosters respect for others and pride in performance.

This position oversees all functions of the credit/collection, Insurance Collectors, AHCCCS and department staff. The Manager coordinates activities and schedules work assignments to meet the rigid collection and accounts receivable guidelines. This position operates within the confines of federal and state collection laws and third-party payer requirements with respect to health coverage and reimbursement. The Manager monitors communications with patients regarding resolution of patient balances while safeguarding the public image of KHI.

Key Responsibilities

• Establish and maintain interdepartmental communications within KHI and work closely with the Billing Manager in respect to issues that arise effecting the billing staff
• Works toward reduction of A/R days through audit processes and staff in-services/training
• Plans, organizes, coordinates and controls the systems by which patients services and demographic account information is developed and maintained; monitors and evaluates, the quality of the department and takes appropriate action based on the findings
• Develops and revises job descriptions for all department positions; interviews, selects and hires new or replacement staff to fill approved positions
• Effectively utilizes employee improvement and corrective action methods when necessary; schedules work hours and assignments for employees to meet the needs of the Department's customers; administers hospital and department policies and procedures; completes employee appraisals
• Provides opportunities for self and staff development through orientation, education, and training; maintains professional qualifications and remains abreast of current developments and trends in collections and account resolution processes including billing
• Provides/coordinates community and education programs as needed; responds to physician requests and the Medical Staff personnel
• Assesses current volumes, and projects/plans for future service needs; establishes operational goals and objectives; evaluates achievements at least annually
• Randomly audit patients accounts, cash receipts and deposits using sampling techniques to ensure accuracy; coaches employees for improvement where necessary based on predetermined parameters; ensures that insurance EOBs are processed as required and financial counseling is effective allowing representatives to collect per the payment arrangements or offer financial assistance as needed.
• Develops and implements policies and procedures for the department

Qualifications

Education: High School Diploma or Equivalent

Experience: Five (5) years' experience in Patient Accounting and one (1) year supervisory experience

Skills and Knowledge: Manages staff through positive reinforcement that motivates and instills confidence; typing and computer CRT experience; proficient with Microsoft Office; knowledge in pre-billing or billing; knowledge of accounting principles; knowledge and skilled in office procedures; verbal and numerical intelligence; ability to interact with the public; ability to motivate people and utilize resources in an organized manner.

Preferences

Education: Accounting specific

Date Staff Position Description Created / Revised: 10/2006; 10/2012; 04/2019