Sr. Project Manager

Position Summary
The supervisor of patient accounts provides assistance with overseeing, coordinating, and managing the daily operations related to the billing and collection of third-party accounts. Compiles and analyzes statistical data to measure and explain staff performance, accounts receivables, and progress towards financial targets. Identifies trends and recommends process improvements to enhance workflows, expand staff training and skills, advance productivity, and meet department goals.

Provides technical guidance and assistance to the Revenue Cycle staff on complex billing, payment, and/ or follow-up activities

Essential Functions and Responsibilities Include the Following:
1. Understands and adheres to the WPH Performance Standards, Policies and Behaviors
2. Ensures accounts are billed and followed accurately, timely, and in a compliant manner
3. Resolves routine questions and problems posed by support staff, referring more complex issues to the Manager
4. Assist in updating policies and procedures as necessary. Develops and implements processes, procedures, and controls to identify and address discrepancies associated with third party payments received
5. Compiles and organizes statistical data related to staff productivity and quality weekly. Identifies and communicates both positive and negative trends to the management team
6. Manage and participate in performance discussions as requested by the Manager
7. Assist with developing and conducting training for respective applications and staff
8. Maintain training materials, job aides, competencies, and training records for all staff to manage individual
performance
9. Keeps abreast of all billing and reimbursement regulations and standards to ensure compliance with any published or anticipated changes issued by governmental agencies and/or third-party payers
10. Share knowledge with staff through verbal and prepared written communication. Ensures CHS managed care contracts terms and conditions are adhered to by support staff and contracted parties.
11. Actively leads and participates in payer meetings to communicate and resolve billing and reimbursement issues
12. Assists Manager in preparing materials in advance
13. Monitors the performance of outside agencies including reconciling inventories and invoices
14. Troubleshoots and acts as a point of escalation for issues arising internally and externally as a result of a vendor
partnership
15. Recruits and trains new personnel. Assists Manager with evaluations and counseling when needed
16. Prepare departmental and ad-hoc reports as requested
17. Participate in special projects as requested by the Manager
18. Keeps the Manager and Director informed as to the status of the department
19. Develops and submits departmental goals and objectives as required by the Division Administrator
20. Attends and participates in educational programs or activities to maintain your current level of knowledge or expertise to manage department
21. Supervises and controls the billing for all third-party agencies
22. Reviews, completes, and prepares the Medicare Credit Balance Report on a quarterly basis
23. Reviews pre-collection report and assists with preparation of accounts for the transfer of bad debt to outside collection agencies
24. Review trial balance reports as needed for monitoring staff performance, and/or adjustments
25. Adheres to compliance with all financial assistance policies and regulations regarding financial assistance.
26. Performs all other related duties as assigned
27. HBI certification certificate required prior to end of probationary period

Education & Experience Requirements
High School Graduate or GED required. Graduate of an accredited College with an Associate Degree in
Business, Healthcare Administration or Accounting preferred
Minimum of three years of previous experience in patient accounts
Knowledge of hospital billing and reimbursement of insurance as well as third-party billing
Ability to use basic office equipment and knowledge of CTR computer terminals
Medical terminology helpful but not mandatory
Core Competencies
Ability to cooperate with others
Must be able to speak, write, understand and communicate in the English language
Effectively communicate with internal and external customers
Integrity to handle the confidential aspects of work
Retains composure under stress
Physical/Mental Demands/Requirements & Work Environment
May be exposed to chemicals necessary to perform required tasks. Any hazardous chemicals the employee may be exposed to are listed on the hospital's SDS (Safety Data Sheet) database and may be accessed through the hospital's Intranet site (Employee Tools/SDS Access). A copy of the SDS database can also be found at the hospital switchboard, saved on a disc.
Must be able to remain in a stationary position 50% of the time
The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc
The person in this position frequently communicates with…