Patient Accounts Manager

PN Financial Services

Full Time

Day Shift

8:00am-5:00pm, Mon-Fri

Consistently named best hospital, Lexington Medical Center dedicates itself to providing quality health services that meet the needs of its communities. Ranked #1 in the Columbia metro area by U.S. News & World Report, Lexington Medical Center is the only hospital named one of the Best Places to Work in South Carolina.

The 607-bed teaching hospital anchors a health care network that includes six community medical centers and employs more than 8,700 health care professionals. The network includes a cardiovascular program recognized by the American College of Cardiology as South Carolina’s first HeartCARE CenterTM and an accredited Cancer Center of Excellence affiliated with MUSC Hollings Cancer Center for research and education. The network also features an occupational health center, the largest skilled nursing facility in the Carolinas, an Alzheimer’s care center and nearly 80 physician practices. Its postgraduate medical education programs include family medicine and transitional year.

Job Summary

Plans, organizes and directs the accounts receivable process for specified centers/locations, including the development, interpretation, coordination and administration of the collection workflow processes. Maintains and meets accounts receivable goals set forth by supervisor and reports progress/results.

Minimum Qualifications

Minimum Education: High School Diploma or Equivalent

Minimum Years of Experience: 5 Years of experience in health care finance/patient accounting (hospital or physician practice environment);

3 Years of experience in a health care field, with extensive A/R management.

Substitutable Education & Experience: 5 Years of experience in health care finance/patient accounting can be substituted for a Bachelor's of Science Degree in Finance, Accounting, or related field

Required Certifications/Licensure: None.

Required Training: Must have the ability to manage, direct train and coordinate a revenue cycle team;

Expertise in payer specific billing, coding, reimbursement and compliance guidelines;

Ability to interact with all levels of physicians and management.

Essential Functions

• Responsible for the maintenance and upkeep of computer specific billing system (i.e. monitoring charge master, table maintenance, billing cycles, codes (CPT, revenue codes, transaction, etc.). Will spearhead periodic system upgrades to billing system.
• Plans and directs patient insurance, billing, cash applications and collections and data processing to ensure accurate patient billing and efficient account collection.
• Manages assigned staff and responsibilities within the established budget including annual planning and develops monthly status reports.
• Reviews current status of patient accounts to identify and resolve billing and processing problems in a timely manner.
• Keeps registration well informed of quality data input and makes recommendations for improvement.
• Establishes and implements a system for the effective and timely collection of outstanding accounts receivable.
• Establishes and recommends credit and collection policies. Makes recommendations for improvement.
• Solves difficult payment and associated collections problems.
• Maintains contacts with medical records and other departments to obtain and analyze additional patient information to document and process billings.
• Develops and implements new procedures to improve the quality and quantity of data collections with regard to revenue cycle.
• Assists in developing, implementing, and administering annual capital budget and initiating corrective action to significant variances.
• Supervises, trains, orients and evaluates performance over assigned personnel. Recommends merit increases, promotions, and disciplinary actions. Responsible for hiring and firing of staff.
• Maintains required personnel files.
  
  

Duties & Responsibilities

• Communicates directly with Human Resources staff on daily-related issues that may arise.
• Monitors daily operating activity of staff and makes necessary adjustments in work assignments.
• Prepares and writes reports to communicate progress status of operations to supervisor.
• Maintains knowledge of and complies with established policies and procedures including government, insurance and third-party regulations.
• Attends administrative meetings and participates in committees as requested. Conducts special projects and studies as directed.
• Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.
• Performs all other duties as assigned by authorized personnel or as requested in an emergency, e.g., fire or disaster.
• Maintains an optimistic, professional, career-oriented demeanor (positive role model) as leader within area at LMC and complies with department dress code. Exemplifies excellent customer service relations with patients, visitors, physicians and co-workers. Holds themselves and subordinates accountable for conforming to Service Excellence and LMC policies and procedures.
• Responsible for meeting productivity levels as defined by the critical elements specific to the job.
• Attends corporate compliance in-services and adheres to hospital compliance programs.
• Responsible for monitoring quality in all areas of assigned responsibilities.
• Responsible for identifying potential “quality improvements” and facilitating teams to analyze issues and implement improvements.
• Demonstrates appropriate communication of information to all ages and responds to all customers/patients requests and needs, i.e. hard of hearing, etc.
  
  

We are committed to offering quality, cost-effective benefits choices for our employees and their families:

• Day ONE medical, dental and life insurance benefits
• Health care and dependent care flexible spending accounts (FSAs)
• Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%.
• Employer paid life insurance – equal to 1x salary
• Employee may elect supplemental life insurance with low cost premiums up to 3x salary
• Adoption assistance
• LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment
• Tuition reimbursement
• Student loan forgiveness
  
  

Equal Opportunity Employer

It is the policy of LMC to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. LMC strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. LMC endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee’s desires and abilities and the hospital’s needs.

Nearest Major Market: Columbia

Nearest Secondary Market: South Carolina