Patient Financial Services (PFS) Health Services Manager

Overview

Full-time, benefited position. Days of work are Sunday - Saturday, typically Monday - Friday with variable hours. Holidays, weekend, and night call work as needed.

Manages and coordinates fiscal affairs; designs and implements systems to identify and control the Business Services within the institution; consults with and advises administrative officers regarding methods for generating increased revenues and controlling operational costs in relation to the long-term goals of the organization, the market trends, and the status of the community. Primarily responsible for Charge Master. Assists in corporate compliance issues.

Responsibilities

• Develops, interprets, coordinates, and administers the institutions policies on insurance, credit and collections, data processing, telephone console, patient billing, and internal controls.
  
• Coordinates day-to-day activities of the Patient Financial Services (Business Office) and Patient Access management (Admissions) departments.
• Plans, organizes, coordinates, and controls the financial policies for the department to control the receipt of revenue, expenditure of funds and conservation of the department.
  
• Maintains and updates Charge Master including hospital wide education of changes and resulting financial implications.
  
• Implements billing system's required charges (Medicare, Medicaid, etc.)
  
• Responds to patient complaints/questions.
  
• Interacts with patients of all age groups (infants, pediatrics, adolescents, adults, geriatrics) while performing duties.
  
• Evaluates and recommends changes in the institutions rate structure as appropriate.
  
• Evaluates the institutions objectives as they relate to third-party reimbursement.
  
• Supervises and coordinates the functions of patient accounting services.
  
• Participates in the development of the department's operating budget and ensures that operations are maintained within allocated funds.
  
• Establishes and maintains appropriate records and reports.
  
• Continually reviews data collection to assure maximum cost reimbursement for patient services.
  
• Attends required meetings and participates on committees as required.
  
• Participates in professional activities; maintains professional affiliations to keep abreast current trends and changes in legislation in the field.
  
• Develops and coordinates Corporate Compliance audits including sample selection, account review, resolution of problem issues, and generation of final audit reports.
  
• Responsible for the hiring, training, evaluation, and necessary discipline and discharge of employees in assigned departments; reviews recommendations of, and provides guidance and counsel to subordinate supervisor regarding employee relations matters.
• Prepares staff schedules; edits and approves employee time and attendance records.
• Conducts unit staff meetings and provides for minutes of meetings.
• Performs other related duties as assigned or requested.

Qualifications

Bachelors Degree in Accounting or Business Administration or related field preferred.

Three to five years progressively more responsible experience required.