Patient Financial Services Manager

Rady Children's Physician Management Services (RCPMS) offers exciting opportunities for qualified candidates to join our rapidly growing organization. We are a wholly owned subsidiary of Rady Children’s Hospital and Health Center with just over 500 employees. RCPMS supports primary care pediatricians with 29 office locations throughout San Diego and Southern Riverside Counties.

RCPMS seeks a friendly, motivated, and experienced individual for our open PFS Manager position. This is a Full-Time position. Hours of operation are Monday through Friday, 8:00am to 5:00pm. On site.

SUMMARY

The Manager, Patient Financial Services (PFS) provides oversight of patient billing and collection within billing operations under the direction of the Director of Patient Financial Services. Monitors work processes and identifies/implements process improvement opportunities. The Manager, PFS oversees and evaluates Patient Financial Services staff, monitors and ensures compliance with Federal, State and industry standards and regulations, prioritizes and maintains timely turnaround, serves as resource for billing issues, performs periodic audits, and acts as the primary contact for escalated customer service concerns.

Responsibilities:

• Routinely analyze and follow up on batches for Medi-Cal, Medi-CAL/HMO and CHDP forms.
• Proof read changes and information provided on charge tickets to PM-160.
• Reviews and verifies charge documents for: eligibility of coverage, patient demographic and financial information, date of service, provider name and signature, CPT codes with medically appropriate diagnosis codes and proper attachments prior to entry.
• Efficiently and accurately complete CHDP/PM160 forms for processing.
• Proficiently meet set deadlines- close dates and monthly end.
• Performs related duties as required within scope of classification.
• Demonstrates behavior, which supports the Mission and Vision of Children's Physician Management Services.
• Act as a resource person for all areas of responsibility.

EDUCATION AND EXPERIENCE

• High school diploma or equivalent

• Minimum of 5 years supervisory and leadership experience in medical billing office environment

• Epic experience preferred

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

If you want to work with a great group of people, we invite you to join us in promoting the health of children within our communities.

For full-time positions RCPMS offers the full scope of benefits, a competitive compensation package and opportunities for professional growth.

Rady Children’s Physician Management Services is proud to be an Equal Opportunity Employer.

To be considered, please submit a resume and cover letter.

The reasonably expected salary range for this position is between $89,120.00-$148,534.00 a year depending on qualifications including education and relevant experience.