General Summary

Under limited direction, directs departmental policies and procedures to effectively manage patient receivables. Reviews and authorizes all bad debt write-offs and generates uncompensated care write-off's. Collaborates with the Senior Director and Senior Managers to ensure effective utilization of resources. Actively involved in peer review and evaluation of how policies, procedures, protocols, and standards affect patient receivables for UMMC, Kernan and Specialty Hospital (Central Business Office).

Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

• Oversees and develops a high functioning patient billing and collection team that includes managers and supervisor levels that support delegation and oversight.
• Directs and manage accounts receivable (A/R) to ensure accounts are collected appropriately form members, nonmembers, insurance carriers, Medicare, Medicaid and other payer sources.
• Directs the processing of cash receipts collected from members, accounts receivable lockboxes and insurance payments; to ensure that cash is accurate and balances on a daily basis.
• Implements and monitors the operation of the credit policy, uncompensated care policy and bad debt write-off policy.

A. Resolves all unpaid patient accounts in excess of ninety days old.

B. Reviews and authorizes all bad debt write-offs and generates uncompensated care write-offs.

• In collaboration with the Senior Director of Patient Financial Services, develops goals for the Department, develops budgets and, with approval, administers procedures to achieve those goals.

A. Compiles reports to reflect the effectiveness and scope of all policies and procedures administered by the department.

B. Interacts closely with the Senior Director to review and/or alter policies and procedures to reflect changes in the industry and Medical System that impact upon the department goals. Informs the Senior Director of any changes in the third-party reimbursement environment.

• Directs and monitors activities of subordinate employees.

A. Interviews, hires, trains, evaluates and, when necessary, disciplines and discharges subordinate personnel in accordance with established policies.

B. Maintains a trained staff of supervisors and line employees. Conducts regular meetings to obtain feedback concerning problems, potential problems and agreed-upon solutions. Keeps staff current concerning changes in the third party payor environment.

• Interacts closely with the Admitting department and the Inpatient and Outpatient Business Offices to provide a smooth flow of patient billing information through the admission, discharge and billing functions.
• Reads appropriate trade publicationsand attends seminars in order to keep informed of impending changes and/or new methods to be used in the receivables management of the Medical System.
• Develops and maintains effective relationships with other Medical System employees, physicians, patients, volunteers and visitors to promote a positive response to the Medical System.
• Performs related duties as required.