Job Title: Outpatient Accounts Manager
Department: Patient Financial Services
Job Description:
The Outpatient Accounts Manager directs the Outpatient Accounts staff and Reimbursement Services, performing duties personally or through subordinates.
Supervisory Responsibilities:
- Supervise three Outpatient Supervisors and all Outpatient staff.
- Train employees, plan, assign, and direct work, appraise performance, and handle rewards and discipline.
Skills and Abilities:
- In-depth knowledge of medical coding for ER, Outpatient Clinic, Pathology, and Ambulatory Surgery.
- Stay updated on regulatory and industry billing issues.
- Understand business decisions' impact, focus on profitability, and know the market and competition.
- Excellent customer service skills, manage difficult situations, and respond to patient needs promptly.
- Communicate clearly with patients, staff, and other departments.
- Meet deadlines and manage competing demands.
- Motivate and inspire employees, develop their skills, and encourage growth.
- Function as part of a Management Team, aiming for organizational goals.
- Open to feedback, team success-oriented, and adaptable to change.
- Proficient with practice management software and Microsoft Office Suite.
- Experience with electronic medical records and patient hospital systems, such as Epic.
Essential Duties:
- Develop, implement, and enforce billing and reimbursement policies and procedures.
- Supervise Charge Posting, Billing, and Collection operations.
- Ensure practice-wide communication and training.
- Analyze and report Accounts Receivable data, advise on trends, and offer solutions.
- Monitor third-party reimbursement compliance and research variances.
- Maintain internal controls over Accounts Receivable.
- Conduct special projects and studies.
- Enforce practice policies and procedures.
- Approve employee time records and time-off requests, and coordinate staff coverage.
- Conduct staff meetings to discuss procedures.
- Assist in negotiating insurance contracts.
- Review chart documentation for accuracy before submission.
- Handle patient complaints and advanced administrative appeals.
- Approve refunds and invoices.
- Maintain strict confidentiality regarding patients’ accounts, in compliance with HIPAA and other regulations.
Requirements:
- Bachelor's degree in Business Administration, Healthcare Administration, or related field.
- Minimum of 5 years of experience in healthcare financial management.
- Strong knowledge of medical coding and billing.
- Proficiency with Microsoft Office Suite and electronic medical records systems, particularly Epic.
- Excellent communication, leadership, and customer service skills.
- Ability to meet deadlines, manage competing demands, and work effectively as part of a management team.
- Ability to train, supervise, and evaluate staff performance.
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
