The Patient Financial Services

Lead provides leadership to one or more areas within Patient Financial Services

to include billing & EDI, claims, data entry and/or operations. Acts as a

resource to staff responding to procedural questions and assistance with

problem resolution and provides coverage for staff absences and vacancies. This

position assists and supports the management in coordinating day to day

operational needs of the department, orienting staff, providing training staff

(both new and ongoing training), and provides input into interviewing, hiring,

performance appraisal and disciplinary processes. The Patient Financial Services Lead, in

cooperation with management ensures compliance to contract, agreements,

arrangements, and government policies and procedures. The Patient Financial

Services Lead is responsible for performing the same daily job tasks as those

they are leading and is responsible for the financial interests of the

organization by assisting in the interpretation of payer regulations, and verifying

payments and adjustments are appropriately applied to accounts based on

government, contract, and other regulations.

Essential Job Functions

• Supports and models behaviors

consistent with the mission and philosophy of Billings Clinic and

department/service.

• Acts as a resource within one or

more of the areas within Patient Financial Services (billing & EDI, claims,

data entry and/or operations) to staff responding to procedural questions and

assistance with problem resolution. Participates in determining work priorities

and assigns works to staff.

• Ensures adherence to regulatory

requirements as defined by government agencies and other third-party payers.

• Assists and supports supervisor

and manager in coordinating day to day operational activities within the

assigned area(s) and ensuring adherence to quality and production standards

which support the efficient and effective management of the revenue cycle.

• In conjunction with supervisory

staff, reviews and analyzes contracts, agreements, and government regulations

to ensure compliance. Participates in development of policy, procedures, and

documentation.

• Prepares reports on the status and

efficiency of the assigned area(s) utilizing various reporting tools including

report writers and query. Reports and analysis may be essential for senior

management decision making.

• Participates in orientation and

training of new staff and ongoing training and education of existing staff.

Responsible for maintaining procedure and policy documentation utilized for

training and as an ongoing reference.

• Provides input into the

interviewing, hiring, performance appraisals, coaching/counseling and/or disciplinary

processes.

• Utilizes performance improvement

principles to assess and improve quality, and workflow processes.

• Identifies needs and sets goals

for own growth and development; meets mandatory organizational and departmental

requirements.

• Maintains competency in all

organizational, departmental, and outside agency environmental, employee or

patient safety standards relevant to job performance.

• Performs other duties as

assigned or needed to meet the needs of the department/organization.

Minimum Qualifications

Education

• High school graduate or equivalent

Experience

• Two (2) years of patient accounts or

insurance billing related experience