Hours

Monday - Friday working within 7:00- 4:00pm

General Summary

Supervises and coordinates activities of personnel engaged in a variety of functions which may include billing, credit and collection, cashiering, insurance and inquiry functions. Establishes and implements a billing and collection system in accordance with appropriate policies.

Duties and Responsibilities
Essential Functions:

• Establishes and implements a system for the collection of delinquent accounts. Collects accounts that are not paid in full at time of discharge or at promised date.
• Responsible for government and third party billing, as well as patient and physician billing.
• Keeps current on all reimbursement billing procedures of third party and private insurance payers.
• Ensures appropriate submission, billing and payment cycles. Establishes appropriate procedures for follow up on third party approvals, billing and collection on overdue accounts.
• Implements appropriate billing and collection procedures, ensuring that all accounts receivable records are kept in accordance with established procedures.
• Ensures that appropriate policies, procedures and regulations for maintenance of financial records are followed including information needed for government audits.
• Evaluates appropriate policies and procedures and makes recommendations for improvement. Initiates changes as needed.
• Approves or disapproves extension of credit. May secure assignment of benefits or may recommend other sources of credit.
• Interviews patients or responsible individuals to arrange methods of payment or extension of credit. Secures information relative to patient's financial status, evaluates credit history and determines payment dates and/or amounts based on patient's ability to pay and hospital policies.
• Plans, conducts and supervises assigned projects.
• Initiates review of third party payors as appropriate, coordinating with Payor Contracting and setting up payor meetings as needed.

Common Expectations:

• Selects, trains/orients, assigns staff, evaluates performance, prepares work schedules and initiates or makes recommendations for personnel actions.
• Compiles data for and prepares regularly scheduled or special reports, analyses and statements
• Maintains established policies and procedures, objectives, quality assessment and safety standards.
• Enhances professional growth and development through participation in educational programs, current literature, inservice meetings, and workshops
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Required for All Jobs:

• Performs other related duties as identified.
• WellSpan Health has adopted and implemented a compliance program to support WellSpan's values and standards for professionalism, integrity, and ethics. Expected to support and meet the values and standards of the organization and the performance expectations of the job, the department, and the compliance program.
• WellSpan Health has adopted and implemented a privacy program to safeguard the patient information and the business and operational information of the organization. Expected to support and meet the values and standards of the organization to safeguard patient and business/operational information.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.

Physical Demands:

• Standing - Occasionally
• Walking - Occasionally
• Sitting - Frequently
• Reaching - Rarely
• Talking - Frequently
• Hearing - Frequently
• Repetitive Motions - Occasionally
• Eye/Hand/Foot Coordination - Occasionally

Working Environment:

• Occupational Hazards - Occasionally

Qualifications
Minimum Education:

• High School Diploma or GED Required
• Associates Degree Preferred

Work Experience:

• 3 years Relevant experience. Required and
• Supervisory experience. Required

Licenses:

• Certified Patient Accounts Technician Upon Hire Preferred or
• Certified Patient Accounts Manager Upon Hire Preferred