Manager- PFS Hospital Billing

Facility:

Work from Home- Hybrid- Ohio

Department:

HIM/ Revenue Integrity

Schedule:

Full time

Hours:

40

Job Details:

The Patient Financial Services Insurance Billing Manager is responsible for overseeing the operations and functions of the department's billing services, which can include claims processing, claim edits, claim rejections, denials and insurance collections. This role involves review of revenue performance, managing a staff responsible for billing and collections, ensuring compliance with third-party regulations, and improving key revenue-cycle performance indicators.

Under the general direction of the Director Patient Financial Services, the manager is responsible for maintaining an efficient operational workflow for day-to-day operations in the areas of insurance accounts receivable management. Management responsibility includes implementing and monitoring productivity standards, work queue volumes, problem resolution, understanding and monitoring KPIs, team action plans and adherence to Dayton Children's policies and procedures. This position will work directly with various interdepartmental teams for collaboration of optimized revenue cycle management.

Department Specific Job Details:

Shift

• Hybrid- varies, 2-3 days in office
• Monday-Friday
• 8:00 am- 4:30 pm

Education

• High school diploma required
• Associate degree preferred

Experience

• 3+ years of experience in patient financial services or healthcare billing
• At least one year of leadership or supervisory experience
• Strong communication and interpersonal skills
• Ability to work tactfully with patients, staff, and interdepartmental customers

Skills/Competencies

• Proficient in managing billing and collection processes
• Strong analytical and problem-solving skills
• Ability to lead and motivate a team
• Knowledge of healthcare billing regulations and compliance requirements
• Excellent organizational and time-management skills