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