Job Details

JOB SUMMARYUnder the direction of the CFO, plans, organizes, directs, and supervises department programs. Ensures
service excellence development, personnel management, and resource allocation and control. Assumes
direction of participation in special projects as needed. Coordinates hospital-wide compliance with state
and federal regulations.

SUMMARY OF ESSENTIAL JOB FUNCTIONS
• Assists with the development of and implements the organization's revenue cycle / Indigent
care / care transitions plans / programs in accordance with the mission and strategic goals of the
organization, federal and state law and regulations, and accreditation standards.
• Serves, manages and supports the patient services and billing staff in handling patient relations.
• Handles complex patients' complaints and issues by explaining company policies and guidelines
as well as those involving compliance issues with state and federal regulations
• Reviews and reports any issues on a regular basis at Revenue Cycle meeting on overall
performance of third-party goals and objectives.
• Assists in the development of and implements policies and procedures for prospective,
concurrent and retrospective case review, and reporting quality of care issues identified and
reported in the occurrence system related to Patient Access and Patient Financial Services.
• Monitors effectiveness of third-party collection efforts and, ensuring that outstanding patient
accounts and accounts receivables is no more than the agreed upon limit and that bad debt is
within budgeted target.
• Participates in performance improvement activities to improve outcomes by identifying the root
cause associated with the need for performance improvements.
• Complies and prepares various status reports for management in order to analyze trends and
make recommendations.
• Serves, manages and supports internal and external customers.
• Schedules and performs all initial interviews and renewals appointments for healthcare
assistance applicants.

• Is responsible for processing all applications in accordance of guidelines set by the District and
State.
• Is responsible for processing all claims to reimburse providers for Indigent or give notification of
ineligible status.

BASIC SKILLS
• Excellent interpersonal communication and problem-solving skills
• Knowledge of Excel and Word
• Some knowledge of ICD and CPT coding

EDUCATION AND EXPERIENCE
• Bachelor's degree, but experience will be considered
• Prefer a minimum of 5 years experience in health insurance billing, receivables management,
collection and data processing

LANGUAGE SKILLS
• Able to communicate effectively in English, both verbally and in writing.
• Additional languages preferred.

PHYSICAL REQUIREMENTS
• Standing/Walking
• Use of Hands, Fingers
• May Reach and/or Lift Objects Weighing Less Than 10 Pounds

Equal Opportunity Employer
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