Patient Accounts Manager

Patient Financial Services  
Full Time
Day Shift 
Day

 

Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer.

 

Lexington Health also includes an accredited Cancer Center of Excellence, the state’s first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer’s care center. Its postgraduate medical education programs include family medicine and transitional year residencies, as well as an informatics fellowship.

Job Summary

Plans, organizes and directs the accounts receivable process for specified centers/locations, including the development, interpretation, coordination and administration of the collection workflow processes. Maintains and meets accounts receivable goals set forth by supervisor and reports progress/results.

Minimum Qualifications

Minimum Education: High School Diploma or Equivalent
Minimum Years of Experience: 5 Years of experience in health care finance/patient accounting (hospital or physician practice environment);
3 Years of experience in a health care field, with extensive A/R management.
Substitutable Education & Experience: 5 Years of experience in health care finance/patient accounting can be substituted for a Bachelor's of Science Degree in Finance, Accounting, or related field
Required Certifications/Licensure: None.
Required Training: Must have the ability to manage, direct train and coordinate a revenue cycle team;
Expertise in payer specific billing, coding, reimbursement and compliance guidelines;
Ability to interact with all levels of physicians and management.

Essential Functions

• Responsible for the maintenance and upkeep of computer specific billing system (i.e. monitoring charge master, table maintenance, billing cycles, codes (CPT, revenue codes, transaction,  etc.).  Will spearhead periodic system upgrades to billing system.
• Plans and directs patient insurance, billing, cash applications and collections and data processing to ensure accurate patient billing and efficient account collection.
• Manages assigned staff and responsibilities within the established budget including annual planning and develops monthly status reports.
• Reviews current status of patient accounts to identify and resolve billing and processing problems in a timely manner.
• Keeps registration well informed of quality data input and makes recommendations for improvement. 
• Establishes and implements a system for the effective and timely collection of outstanding accounts receivable.
• Establishes and recommends credit and collection policies. Makes recommendations for improvement.
• Solves difficult payment and associated collections problems.
• Maintains contacts with medical records and other departments to obtain and analyze additional patient information to document and process billings.
• Develops and implements new procedures to improve the quality and quantity of data collections with regard to revenue cycle.
• Assists in developing, implementing, and administering annual capital budget and initiating corrective action to significant variances.
• Supervises, trains, orients and evaluates performance over assigned personnel.  Recommends merit increases, promotions, and disciplinary actions.  Responsible for hiring and firing of staff.
• Maintains required personnel files.

Duties & Responsibilities

• Communicates directly with Human Resources staff on daily-related issues that may arise. 
• Monitors daily operating activity of staff and makes necessary adjustments in work assignments.
• Prepares and writes reports to communicate progress status of operations to supervisor.
• Maintains knowledge of and complies with established policies and procedures including government, insurance and third-party regulations.
• Attends administrative meetings and participates in committees as requested.  Conducts special projects and studies as directed.
• Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.
• Performs all other duties