Assistant Manager Patient Financial Services | Government Team Day Shift

Overview

FTE- 1.0

Mon-Fri

8:00 am - 5:00 pm

Provides direct supervision to staff responsible for financial counseling for inpatients, ambulatory surgical patients, and their guarantors.

• Patient Financial Counseling:

  • Secures appropriate socio-economic data for each account.
  • Establishes and/or confirms medical record identification numbers and patient registration information.
  • Conducts detailed financial screenings and analyses.
  • Verifies insurance or other third-party coverage.
  • Obtains necessary signatures and supporting documentation from patients and guarantors.
  • Coordinates financial issues with internal and external departments.
  • Resolves or refers non‑financial patient concerns to the appropriate department or agency.

• Billing Coordination:

  • Coordinates billing processes by assisting in the preparation and management of clean, accurate, and complete claims and bills for patients and third‑party payers.

• Accounts Receivable Management:

  • Manages assigned payer mix accounts receivable by ensuring clean claims are submitted, followed up on in a timely manner, and denials are properly addressed.
  • Ensures maximum reimbursement is collected from third‑party payers within payer or contracted time frames.

• Issue Communication:

  • Communicates outstanding claim issues to Leadership and the Managed Care Department for review during monthly Joint Operating Committee meetings with third‑party payers.

• Reimbursement and Credit Balance Oversight:

  • Manages assigned payer mix accounts to take appropriate action on credit balances and/or variances.
  • Ensures accurate reimbursement has been received and initiates refunds to third‑party payers as necessary.

• Education:

  • High school graduate or equivalent required.

• Experience:

  • Minimum of five (5) years of experience in hospital billing, insurance collections, or other healthcare revenue cycle positions.
  • Minimum of two (2) years of supervisory or team leader experience in a healthcare setting, including staff selection, evaluation, and termination.

• Knowledge, Skills, and Abilities:

  • Knowledge of HIPAA regulations, third‑party billing, insurance follow‑up, account reconciliation, and managed care contracts.
  • Familiarity with federal, state, and local laws governing hospital bill collections.
  • Strong analytical abilities and proficiency in mathematical calculations.
  • Excellent verbal and written communication skills, including the ability to compose professional correspondence.
  • Basic computer, internet, and spreadsheet competencies required.

• Motor Vehicle Operator Designation:

  • Will operate vehicles for assigned business purposes as a non-frequent driver.

• Licensure/Certification/Registration:

  • None required.