patient financial services manager

Colorado Department of Human Services

Patient Financial Services Manager - Program Management II

Community Health of South Florida

POSITION PURPOSE: 
 
The purpose of the Patient Financial Services Specialist is to ensure that the Billing and Encounter Forms are processed correctly. Coordination of work from the patient care areas, maintaining the work flow of documents to and from Data Processing. 
 
POSITION REQUIREMENTS / QUALIFICATIONS: 
 
Education/Experience:
 
A minimum of High School Diploma or GED Equivalent. ICD 9 Coding experience preferred. Experience with Patient Services. Must have knowledge of Medicaid / Medicare Insurance, collection and setup. 
 
Licensure / Certification:
 
Maintain current CPR certification from the American Heart Association. 
 
Skills / Ability:
 
Ability to work as a team member. Must have clerical skills, ability to type 20 - 30 wpm and have interviewing skills. Must have knowledge of math, operation of calculator; telephone etiquette, human relation skills and organizational skills. Must be computer literate. Ability to demonstrate effective oral and written communication skills. 
 
POSITION RESPONSIBILITIES (THIS IS A NON-EXEMPT POSITION) 
 
Register new client on Intergy as per guidelines issued by Community Health of So. Florida. 
 
Researches files for previous enrollment in CHI computer system before creating a new medical record number. 
 
Re-new or update existing clients profiles as per guidelines issued by Community Health of South Florida. 
 
Performs financial screening on active clients who have requested services from Community Health of South Florida, Inc. 
 
Attempt collection o Completes assigned task in a timely manner.f past due debts as clients request services from CHI. 
 
Check-in clients for needed medical services. 
 
Check-out clients upon receiving medical services. 
 
Process of patient payments. 
 
Review and balance out daily batches. 
 
Submit daily journal to assigned supervisor. 
 
Submit cash and copies of daily batches to the Accounting Department for deposit. 
 
Complete statistical data and submit daily. 
 
Reviews Quality Care Guidelines/Patient Reminder print-out to identify overdue items e.g. Advance Directives, Learning Needs Assessment, Depression Screening, etc. 
 
Identifies patients who have not executed an Advance Directive and provide them with the Advance Directive form to read. 
 
Identifies patients who need a Learning Needs Assessment and gives them the form to complete. 
 
Identifies patients due for Depression Screening and provide them with a PHQ-9 form in the appropriate language to complete. 
 
Gives all new patients a New Patient History form to complete before Nursing Staff calls the patient. 
 
Attaches a completed new patient lab request form to the encounter form of every new patient. 
 
Consistently informs patients that their Provider wants them to read or complete the appropriate forms or education material while waiting to see the Provider. 
 
Verifies Medicare, Medicaid and all other insurance carriers. 
 
Performs daily balance closing and ensures that all procedures and payments are posted accurately. 
 
Performs cashier duties, collect patient funds for services and enters data into computer for payment received. 
 
Train new employees on all functions of Patient Services (i.e. registration, cashiering, posting of B&amp;E&rsquo;s and Payments). 
 
Use appropriate and correct telephone etiquette at all times. 
 
Participates in Continuing Educational In-services and Performance Improvement Activities. 
 
Reports to work on time and ready to work with minimal absenteeism. 
 
Completes &amp; Post all B&amp;E (billing and encounter) forms within the same of service. 
 
Adheres to the Confidentiality Policies and Procedures / HIPAA Regulations. 
 
Performs other duties as assigned, including variable shifts if needed.

PATIENT FINANCIAL SERVICES SPECIALIST

CHRISTUS Health

<div>Description 
Summary:
The associate is responsible for the duties and services that are of a support nature to the Revenue Cycle division of CHRISTUS Health. The associate ensures that all processes are performed in a timely and efficient manner. The primary purpose of this Job is to ensure account resolution and reconciliation of outstanding balances for CHRISTUS Health patient accounts. The Job works in a cooperative team environment to provide value to internal and external customers.
 
The associate carries out his/her duties by adhering to the highest standards of ethical and moral conduct, acts in the best interest of CHRISTUS Health, and fully supports CHRISTUS Health's Mission, Philosophy, and core values of Dignity, Integrity, Compassion, Excellence, and Stewardship.
Responsibilities: 
<ul><li>Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
</li><li>Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics.
</li><li>Ensures PFS departmental quality and productivity standards are met.
</li><li>Collects and provides patient and payor information to facilitate account resolution.
</li><li>Responds to all types of account inquiries through written, verbal, or electronic correspondence.
</li><li>Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers. Maintains working knowledge of all functions within the Revenue Cycle.
</li><li>Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution.
</li><li>Meets or exceeds customer expectations and requirements, and gains customer trust and respect.
</li><li>Compliant with all CHRISTUS Health, payer, and government regulations.
</li><li>Exhibits a strong working knowledge of CPT, HCPCS, and ICD-10 coding regulations and guidelines.
</li><li>Appropriately documents patient accounting host system or other systems utilized by PFS in accordance with policy and procedures.
</li><li>Provide continuous updates and information to the PFS Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience.
</li><li>Must have professional and effective written and verbal communication.
</li></ul><ul><li>Billing
</li><li>Review and work on claim edits.
</li><li>Works payor rejected claims for resubmission.
</li><li>Works reports and billing requests.
</li><li>Demonstrates strong knowledge of standard bill forms and filing requirements.
</li><li>Exhibits and understanding of electronic claims editing and submission capabilities.
</li></ul><ul><li>Collections
</li><li>Collect balances due from payors ensuring proper reimbursement for all services.
</li><li>Identifies and forwards proper account denial information to the designated departmental liaison. Dedicated efforts to ensure a proper denial resolution and timely turnaround.
</li><li>Maintain an active knowledge of all collection requirements by payors.
</li><li>Works collector queue daily utilizing appropriate collection system and reports.
</li><li>Demonstrates knowledge of standard bill forms and filing requirements.
</li><li>Identify and resolve underpayments with the appropriate follow-up activities within payor timely guidelines.
</li><li>Identify and resolve credit balances with the appropriate follow-up activities within payor timely guidelines.
</li><li>Identify and communicate trends impacting account resolution.
</li></ul><ul><li>Cash Reconciliation
</li><li>Ensures all payments are retrieved and posted accurately and timely through reconciliation of patient accounting system and bank statement.
</li><li>Researches submitted cash payments by verifying patient account numbers and appropriate facilities.
</li><li>Monitor and performs cash reconciliation to identify cash posting errors and ensures all receipts are applied and reconciles to daily bank deposit and monthly bank statements.
</li><li>Review and post cash corrections, including resolving patient complaints and inquiries from PFS, Finance, Facilities, and Vendor Partners.
</li><li>Resolve and Research unapplied cash, including continuous follow-up until payment identification is made for application of payment or refund.</li></ul>
Job Requirements: 
Education/Skills
<ul><li>HS Diploma or equivalent years of experience required.
</li><li>Post HS education preferred.
</li></ul>Experience
<ul><li>3-5 years of experience preferred.
</li><li>Experience working within a multi-facility hospital business office environment preferred.
</li><li>College education, previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience.
</li><li>Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred.
</li></ul>Licenses, Registrations, or Certifications
<ul><li>None required.</li></ul> 

Work Schedule: 
8AM - 5PM Monday-Friday
Work Type: 
Full Time</div>

Patient Financial Representative Senior - Patient Financial Services

<div>Description 
Summary:
The associate is responsible for the duties and services that are of a support nature to the Revenue Cycle division of CHRISTUS Health. The associate ensures that all processes are performed in a timely and efficient manner. The primary purpose of these positions is to ensure account resolution and reconciliation of outstanding balances for CHRISTUS Health patient accounts. The Job works in a cooperative team environment to provide value to internal and external customers.
 
The associate carries out his/her duties by adhering to the highest standards of ethical and moral conduct, acts in the best interest of CHRISTUS Health, and fully supports CHRISTUS Health's Mission, Philosophy, and core values of Dignity, Integrity, Compassion, Excellence and Stewardship.
Responsibilities: 
<ul><li>Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
</li><li>Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics.
</li><li>Ensures PFS departmental quality and productivity standards are met.
</li><li>Collects and provides patient and payor information to facilitate account resolution.
</li><li>Maintains an active working knowledge of all Government Mandated Regulations as it pertains to claims submission. Responsible to perform the necessary research in order to determine proper governmental requirements prior to claims submission.
</li><li>Responds to all types of account inquires through written, verbal, or electronic correspondence.
</li><li>Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers. Maintains working knowledge of all functions within the Revenue Cycle.
</li><li>Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution.
</li><li>Meets or exceeds customer expectations and requirements, and gains customer trust and respect.
</li><li>Compliant with all CHRISTUS Health, payer, and government regulations.
</li><li>Exhibits a strong working knowledge of CPT, HCPCS, and ICD-10 coding regulations and guidelines.
</li><li>Appropriately documents patient accounting host system or other systems utilized by PFS in accordance with policy and procedures.
</li><li>Provide continuous updates and information to the PFS Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience.
</li><li>Professional and effective written and verbal communication required.
</li></ul><ul><li>Billing
</li><li>Review and work on claim edits.
</li><li>Works payor rejected claims for resubmission.
</li><li>Works reports and billing requests.
</li><li>Demonstrates strong knowledge of standard bill forms and filing requirements.
</li><li>Exhibits and understanding of electronic claims editing and submission capabilities.
</li><li>Correct claims in RTP status in the designated claim system per Medicare guidelines.
</li><li>Maintains an active knowledge of all governmental agency requirements and updates.
</li></ul><ul><li>Collections
</li><li>Collect balances due from payors ensuring proper reimbursement for all services.
</li><li>Identifies and forwards proper account denial information to the designated departmental liaison. Dedicated efforts to ensure a proper denial resolution and timely turnaround.
</li><li>Maintain an active knowledge of all governmental agency requirements and updates.
</li><li>Works collector queue daily utilizing appropriate collection system and reports.
</li><li>Demonstrates knowledge of standard bill forms and filing requirements.
</li><li>Identify and resolve underpayments with the appropriate follow-up activities within payor timely guidelines.
</li><li>Identify and resolve credit balances with the appropriate follow-up activities within payor timely guidelines.
</li><li>Identify and communicate trends impacting account resolution.
</li><li>Corrects claims in RTP status in the designated claim system per Medicare guidelines.
</li><li>Initiates Medicare Redetermination, Reopening and/or Reconsideration as needed.
</li><li>Working knowledge of the CMS 838 credit balance report.
</li></ul><ul><li>Vendor Coordinator
</li><li>Acts as liaison between external vendors and Revenue Cycle departments to monitor external vendor activities and ensures accounts placed for collection are received timely and acknowledged as received by the vendor.
</li><li>Manages account transfers between CHRISTUS Health and the various contracted vendors.
</li><li>Coordinates with Revenue Cycle Managers (Collections, Billing, Cash Applications, etc.) to review of selected accounts prior to transfer and placement with an external third party.
</li><li>Ensures accounts deemed as closed or uncollectible by the vendors are properly reflected in applicable AR systems.
</li><li>Maintains department reports measuring agency performance, which includes account placements, collections, returns, and performance metrics.
</li><li>Advises vendors of CHRISTUS Health billing and collection procedures and ensures accounts identified with third-party coverage are properly billed by the entities as requested by the vendor.
</li><li>Audits all vendor remittances and ensures all fees billed to CHRISTUS Health are in accordance with the contract and include supporting documentation of payments posted to the account on the patient accounting systems.
</li><li>Recalls accounts incorrectly placed and/or as requested by Revenue Cycle Managers with the external vendor and returns accounts to open receivables as appropriate.
</li><li>Creates tools, reports, or documentation that enables Revenue Cycle Leadership to understand, manage, and measure their vendor's performance and to prioritize important relationships.
</li><li>Performs account reconciliation between CHRISTUS Health system and vendor system.</li></ul>
Job Requirements: 
Education/Skills
<ul><li>HS Diploma or equivalent years of experience required.
</li><li>Post HS education preferred.
</li></ul>Experience
<ul><li>1-3 years of experience preferred.
</li><li>Experience working within a multi-facility hospital business office environment preferred.
</li><li>College education, previous Insurance Company claims experience, and/or health care billing trade school education may be considered in lieu of formal hospital experience.
</li><li>Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred.
</li><li>Experience with Medicare &amp; Medicaid billing processes and regulations preferred.
</li><li>Understanding of Medicare language.
</li><li>Knowledge in locating and referencing CMS and/or Medicare Regulations preferred.
</li></ul>Licenses, Registrations, or Certifications
<ul><li>None required.</li></ul> 

Work Schedule: 
8AM - 5PM Monday-Friday
Work Type: 
Full Time</div>

Patient Financial Specialist - Patient Financial Services

Door County Medical Center

<div>The Customer Service Representative assists patients in meeting their financial obligation with DCMC. Completes follow-up activity for accounts with an insurance balance; Calls patients to perform collections on their self-pay balance; Assists incoming callers regarding their accounts.

Minimum Education Required: Associate degree or bachelor&rsquo;s degree preferred

Minimum Related Years of Experience (per minimum education) Required: Two years&rsquo; healthcare experience preferred; One-year related experience required.

Credential/Licensure Required: Certified Application Counselor within one year of employment.

Skills Required: Excellent Customer Service skills; Strong communication skills; Ability to analyze issues and solve them creatively; Ability to handle multiple priorities. Epic experience preferred.

Shift: Working 40 hours a week, Monday - Friday.</div>

Customer Service Representative - Patient Financial Services - 1.0 FTE (40 hours a week)

Jarrell Family Dentistry

<div>Company:
<div></div>
Overview:
<h2 class="jobSectionHeader">Dental Office Manager &ndash; Job Description</h2>
Job Title: Dental Office Manager
Location: Jarrell, Texas 
Employment Type: Full-Time<h3 class="jobSectionHeader">
Job Summary</h3>
The Dental Office Manager is responsible for overseeing the daily administrative operations of the dental practice. This role ensures efficient office workflow, excellent patient experience, proper staff coordination, and financial performance of the practice. The Office Manager serves as the primary point of contact for administrative staff and supports clinical staff to ensure smooth practice operations.<h3 class="jobSectionHeader">
Key Responsibilities</h3>
Office Operations<ul><li>
Manage daily operations of the dental office to ensure efficiency and organization.</li><li>
Oversee appointment scheduling, patient flow, and front desk operations.</li><li>
Maintain office policies and procedures.</li><li>
Ensure compliance with HIPAA, OSHA, and other regulatory requirements.</li></ul>
Staff Management<ul><li>
Supervise and support front office staff and administrative team.</li><li>
Coordinate hiring, onboarding, training, and performance evaluations.</li><li>
Create and manage staff schedules and coverage.</li><li>
Foster a positive, professional work environment.</li></ul>
Patient Relations<ul><li>
Ensure high levels of patient satisfaction and customer service.</li><li>
Handle patient concerns, complaints, and escalations professionally.</li><li>
Monitor patient communication including calls, emails, and reminders.</li></ul>
Financial Management<ul><li>
Oversee billing, insurance verification, and claims processing.</li><li>
Monitor accounts receivable and collections.</li><li>
Manage office budgets, financial reporting, and supply costs.</li><li>
Coordinate with insurance companies and ensure accurate patient billing.</li></ul>
Administrative Duties<ul><li>
Maintain patient records and office documentation.</li><li>
Manage vendor relationships and order office supplies.</li><li>
Track productivity metrics and prepare operational reports.</li><li>
Implement systems to improve office efficiency and profitability.</li></ul><h3 class="jobSectionHeader">
Qualifications</h3><ul><li>
High school diploma or equivalent required; Associate or Bachelor&rsquo;s degree preferred.</li><li>
2&ndash;5 years of experience in dental office management or healthcare administration.</li><li>
Knowledge of dental practice management software.</li><li>
Understanding of dental insurance, billing, and coding procedures.</li><li>
Strong leadership, organizational, and communication skills.</li></ul><h3 class="jobSectionHeader">
Skills &amp; Competencies</h3><ul><li>
Leadership and team management</li><li>
Patient service and conflict resolution</li><li>
Financial and billing knowledge</li><li>
Multitasking and time management</li><li>
Attention to detail</li><li>
Problem-solving and decision-making</li></ul><h3 class="jobSectionHeader">
Work Environment</h3><ul><li>
Fast-paced dental office setting</li><li>
Primarily desk and administrative work with occasional interaction with clinical staff and patients</li><li>
Standard office hours with occasional extended hours if needed</li></ul><h3 class="jobSectionHeader">
Benefits</h3><ul><li>
Health, dental, and vision insurance</li><li>
Paid time off</li><li>
Retirement plan</li><li>
Continuing education opportunities</li><li>
Employee discounts on dental services</li></ul>
Essential Functions: 
<div></div>
Additional Eligibility Qualifications: 
<div></div>
Pay Range: USD $35.00 - USD $40.00 /Hr.</div>

Office Manager

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