Patient Financial Services Representative Lead - Days

Full time (40 hours weekly)
Monday-Friday dayshift

General Summary

Assists in oversight of the daily operations and work activities within Patient Financial Services Team. Acts in a supervisory role in the absence of the assigned supervisor.

Duties and Responsibilities

Essential Functions:

• Oversees the work of other personnel by training, allocating and monitoring work. Acts as a subject matter expert (SME) and may cover for PFS staff as needed.
• Maintains oversight of staff-assigned work queues, including volume and activity, payor days in AR, AR metrics, productivity, and performance.
• Assists with annual performance evaluations by providing feedback to Supervisor or Manager on individual employees.
• Assists Supervisor or Manager with the interview process, onboarding and training new staff members.
• Trains new hires and conducts training for existing employees as needed. Completes monthly audits on other staff members’ work.
• Performs various functions to complete and expedite the billing, claims corrections, appeals and/or payment posting/refund process including reviewing and reconciling a variety of reports.
• May interact with a variety of governmental agencies.
• Reviews accounts and maintains contact with third parties to ensure timely payments. May assist staff with follow-up and/or resolution of accounts.
• Acts as a resource for business office staff, Access ED Staff and PAS IT staff.
• Identifies trends, quantifies impact, and escalates as appropriate for resolution
• Assumes responsibility to lead projects as requested; may also lead process improvement initiatives for department.

Common Expectations:

• Establishes and maintains communication with ancillary departments/entities to facilitate problem solving and continuous process improvement.
• Assists in developing, establishing and maintaining policies, procedures and standards.
• Maintains appropriate records, reports, and files as required.
• Maintains departmental records and reports and collects statistical data for administrative and regulatory purposes.
• Participates in educational programs and inservice meetings.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Qualifications

Minimum Education:

• High School Diploma or GED Required

Work Experience:

• 3 years experience in Healthcare Revenue Cycle/Billing Required

Licenses:

• Certified Patient Accounts Technician within 1 year Required or
• Certified Compliance Technician - AAHAM within 1 year Required or
• Certified Healthcare Access Associate within 1 year Required or
• Certified Revenue Cycle Executive within 1 year Required or
• Certified Revenue Cycle Professional within 1 year Required or
• Certified Revenue Cycle Specialist within 1 year Required or
• Certified Revenue Integrity Professional within 1 year Required

Courses and Training:

• Cross-trained in the department; training as a PAS II or Financial Caseworker II Upon Hire Required

Knowledge, Skills, and Abilities:

• Excellent customer service, communication, and interpersonal skills
• Familiarity with ICD-10 and CPT codes
• Strong Knowledge of payer rules and policies
• Computer skills
• Healthcare billing systems (Epic preferred)

Benefits Offered:

• Comprehensive health benefits
• Retirement savings plan
• Paid time off (PTO)
• Education assistance
• Financial education and support, including DailyPay
• Expanded Paid Parental Leave

For additional details: Benefits & Incentives | WellSpan Careers (joinwellspan.org)

WellSpan Health’s vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an integrated delivery system focused on leading in value-based care, we encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region’s largest and one of the best in the nation. With a team 23,000 stro