5 years of prior management in Hospital A/R billing, A/R follow up, and collections.
Must possess strong knowledge of hospital registration, insurance billing, and overall AR management.
Strong written and verbal communication skills.
Ability to supervise, organize and multi task and achieve results through others.
Strong interpersonal skills. Requires contract knowledge and interpersonal skills.
Must interface with departments of patient concerns and/or charging matters.
The Patient Financial Service (PFS) Collections Lead will be responsible for assisting the Collections Supervisor to organize and manage the daily activities for the team. The lead will monitor and ensure the daily productivity and quality of work goals are achieved by staff. Perform frequent and thorough quality assurance audits to ensure accounts are worked in accordance with the department work standards. Provide feedback and training to staff to reduce errors found during the audit process. Assist team supervisor with training new hires, and perform weekly chairside training with all staff.The Patient Financial Service (PFS) Collections Lead will also assume duties as a collector as needed such as, but not limited, to, manage patient accounts from the point of initial claim submission through final resolution. Identify and address denials by writing appeal letters and ensure account balances are correct based on payer contract terms. Possess and maintain knowledge of payer specific rules and guideline related to collection requirements. Perform necessary follow-up to obtain the appropriately owed reimbursement for hospital services. Responsible for all accounts with a contracted insurance as the primary or current payer
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