Primary Function:
- Oversees the patient accounting functions to include billing, collections, and cash postings. Additionally, this position ensures that the Hospital complies with all federal and state regulatory requirements relating to billing and collections.
Essential Duties and Responsibilities:
- Oversees various departmental functions to ensure that Wills Eye Hospital adheres to established policies and ensures AR days are 55 or less.
- Confers with other department heads and supervisory personnel, on policy, procedures, and personnel; plans and implements coordinated staff development and training programs.
- Assures that all hospital billing is coordinated in a timely fashion and that bills are issued promptly.
- Demonstrates competency in skills necessary to coordinate and direct all the daily operations relating to billing, accounts receivable, insurance and billing processes and financial reporting.
- Remains abreast of third party insurances and their billing regulations and requirements.
- Interfaces with affiliated vendors such as patient accounting system, clearinghouse, etc.
- Researches and resolves credit balances and account issues in a timely manner.
- Schedules, supervises, and evaluates work performance of assigned staff.
- Strives to uphold the rights of all employees without regard to race, religion, marital status, creed, sex, age, handicap, national origin or financial status.
- Formulates and maintains effective working relationships with peers and management and functions as an effective team member.
- Receives constructive feedback in a positive self-developmental manner and is receptive and approachable.
- Performs other duties as assigned.
Qualifications
Educational requirements:
- High school diploma or GED required
Licensure/Certification(s):
- Completion of AAO certification as an Ophthalmic Coding Specialist (COS) preferred
- ASOA certification as an Ophthalmic Executive (COE) preferred
Experience:
- 5 - 7 years of management experience in a hospital patient accounting office, responsible for all aspects of billing and accounts receivable, is required.
- In-depth knowledge of hospital insurance billing requirements/practices required.
- Excellent customer service skills and strong attention to detail required.
- Ability to work effectively and efficiently under tight deadlines, high volumes and multiple interruptions required.
- Possesses familiarity with Microsoft Office (Word, Excel, PowerPoint, etc.).
Working conditions
Works in a clean, well-lit, and ventilated work area.
Physical requirements
Walking and standing; stooping, bending, balancing and sitting. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.