Wilbarger General Hospital

Vernon, Texas

Job Description

Job Title:Patient Financial Services Director

Department:Business Office

Job Summary:The Patient Financial Services Director is responsible for the overall functions of the Business Office. Supervises the business office staff, maintains and controls supplies and equipment. This position reports directly to the Chief Financial Officer.

OSHA Bloodborne Pathogens Class III.

Job Qualifications:

A.Education: Bachelor’s degree in Accounting or related business field preferred.

B.Personal Job-Related Skills: Ability to operate business office equipment including personal computers and possess basic computer skills. Effective oral and written communication skills.

C.Licensure, Registry or Certification:None required.

  1. Experience:
  1. Prior work experience: One year experience in a health care business office. Supervisory experience preferred.
  1. Technical Training: Office equipment and computer training desirable.
  1. Physical and Mental Requirements: Basically a sedentary position.

Essential Duties and Responsibilities:

  1. Manages department operations and regularly supervises the following Business Office staff: Four full time staff including 1- Patient Access Supervisor, 2- Billing Specialists and 1- Reimbursement Specialist.
  2. Participates in the hiring and promotion process for all Business Office staff identified in subsection A, above, including providing meaningful feedback to the hiring committee.
  3. Supervises day to day operations of the department to ensure maximum allowable cash collections, minimum bad debt and preventing aging of receivables beyond the acceptable time frame.
  4. Supervises staff and ensures adherence and compliance to departmental, organizational, and regulatory procedures and guidelines.
  5. Oversees, coordinates and directs activities pertaining to the daily operations of the department.
  6. Supervises and coordinates the billing of patient balances and the posting of patient payments after reimbursement by third party agencies of private insurance companies.
  7. Coordinates rebilling of outstanding accounts with billing staff.
  8. Responds or coordinates with other departments to provide additional information requested by third party payers.
  9. Ensures resources utilized are within budget guidelines.
  10. Participates in developing departmental goals and objectives.
  11. Meets with staff members to discuss progress and to develop future courses of action. Supervises staff and manages performance.
  12. Provides ongoing performance feedback, addresses problems, orients and trains employees, verifies competency and identifies and suggests ways to develop skills.
  13. Monitors billing, collections, and /or registration workflow. Interprets and establishes procedures to bill, follow up, and collect current and past due accounts.
  14. Develop and maintain a Patient Financial Services Policy and Procedures Manual.
  15. Communicates policy and procedure changes to staff.
  16. Keeps abreast of all regulations and standards that apply to billing and collections; monitors compliance with regulatory agencies and third party payers.
  17. Works with CFO and staff to explore ways to improve patient satisfaction.
  18. Interprets applicable regulations and establishes documentation and auditing procedures related to billing and collections.
  19. Reports to CFO problems with the electronic billing system causing billing delays.
  20. Suggests improvements and follows up to ensure problems are resolved.
  21. Assists in testing and monitoring the results of changes made to the billing system.
  22. Assesses needs and develops and implements staff development and training and in-services programs as appropriate.
  23. Works with the CFO to formulate plan for professional development. Attends educational in-services as appropriate. Will be a member of HFMA.
  24. Maintains a working knowledge of third party contractual arrangements, including coding requirements.
  25. Maintains a working knowledge of all Third Party payer requirements. Works with manager on development plans for all staff members.
  26. Responsible for developing and implementing the annual budget for the Business Office. Maintains necessary controls to assure compliance with budgeted expenses, resources, and staff projections.
  27. Other duties as assigned.

Other Significant Requirements:

  1. Maintains confidentiality while working with confidential matters on a daily basis.
  2. Practice and adhere to the “Code of Conduct” philosophy and “Mission and Vision Statement”.
  3. Interacts with patients, family members, Medical Staff members, department managers, and other staff on a continuous basis.
  1. Ensures completion of staff evaluations in a timely manner.
  1. Reports to work on time, maintains professionalism at all times, and performs duties with minimal supervision.

STATEMENT OF UNDERSTANDING:

I have read and understand the above JOB DESCRIPTION and understand the essential duties outlined and required in this position. I understand that I should contact my Department Manager if I have any questions or concerns regarding the job duties and requirements as outlined above. I acknowledge that I have received a copy of this job description.

Employee SignatureDate

Department Manager SignatureDate

Rev 05/01/17