Patient Accounts Project Manager

Full Time, 40 hours per week, Day shift

Job Summary:

Under the direction of the Patient Financial Services Manager, this position will obtain and analyze data from various sources to identify trends and areas for improvement and prepare relevant reports for management review. The Patient AccountsProject Managersupports routine hospital revenue functions to ensure maximum reimbursement is obtained for patient services rendered.

Essential Job Duties and Responsibilities

· Ensures effective billing & collections of accounts receivables (AR) using the Epic system by completing charge validation, maintaining error work queues, and communicating the need for correction to the appropriate department in a timely manner.Ability to complete daily/monthly tasks within Epic that affect the AR, active monitoring of Watchlist and Alerts within the system.

· Contributes to teamwork within and between departments. Regularly attends and participates in meetings with co-workers. Provides constructive ideas and feedback in a positive manner. Works collaboratively with colleagues to effectively resolve issues that impact departmental and/or NCH operations.

· Participate when requested in project planning & transition planning. Monitor new processes and changes. Provide feedback to appropriate follow up areas.

· Actively participates in all related Massachusetts General Brigham Revenue Cycle Meetings and acts as a liaison between NCH and MGB various departments (PFS, Revenue Integrity, Coding/,/eCare, Billing, etc.) Collaborates with MGB Teams on data analysis to identify issues/payer trends/denials/etc.

· Compiles and utilizes Dashboard data to assess performance of various MGB departments within Epic system and address/troubleshoot outstanding issues.

· Ability to courteously receive and address patient complaints. Accurately reviews and logs all relative information in RL for Quality Review department.

· Emphasizes the importance of patient satisfaction. Demonstrates a positive demeanor and a professional approach to dealing with patients as well as internal and external customers

· Support the organization with ongoing workflow updates related to No Surprise Billing.

· Shares payer referral and authorization requirements, plan updates and any additional payer information, with Financial Clearance Team.Ability to determine the need for an insurance referral or authorization and obtain prior to scheduled services.

· Performs accurate cash reconciliation and bank deposits. Ability to use and navigate the People Soft System for accurate financial record keeping.

· Order and receive department supplies on eBuy as needed.

· Receive and sort incoming mail to determine the appropriate owning area and disperse accordingly. This includes hospital invoices, insurance payments and other insurance letter correspondence.

· Responds quickly, courteously, and accurately to written, verbal, and telephone inquiries. Answers department telephone calls providing routine information, taking messages, and/or referring calls to the appropriate party.

· Demonstrates the ability to utilize proper procedures in the event of a disaster or threat to security

· Other duties as assigned.

Key Performance Indicators

Insurance Verification

Indicator

Standard

Overall insurance verification rate of scheduled patients

> or = to 98%

Insurance verification rate of unscheduled inpatients within one business day

> or = to 98%

EssentialKnowledge, Skills, and Experience Required for the Position

Knowledge of:

· Working knowledge of Microsoft Office applications

· Knowledge of medical terminology preferred.

· Knowledge of healthcare A/R, collections, insurance, pre-authorizations, pre-registration, registration, financial counseling, and appeals

Skills:

· Must be able to demonstrate adequate technical skills and judgment to function unsupervised during on-call, second shift, and weekend hours.

· Must have computer skills and type 50 WPM.

· Excellent communication skills required.

Ability to:

· Ability to tactfully communicate with both internal and external customers.

· Ability to use fingers and hands to operate all department-related equipment as described on the Department checklist. Additionally, must use, telephone, calculator, fax, and other related office equipment.

· Ability to present themselves in a professional manner.

Credentials and Experience Required

· High School Degree or GED required.

· Prior admitting/patient registration experience in a health care setting of greater than 1 year preferred.

· Must be able to clearly read/write the English language.

Special Requirements

· Must be available to work in the case of a Hospital declared emergency.

· Regular workweek requiring minimal additional hours. Some days, evenings, weekends and holidays required for this position.

Job: Billing

Organization: Nantucket Cottage Hospital (NCH)

Title: Patient Accounts Project Manager

Location: MA-Nantucket-NCH Nantucket Cottage Hospital

Requisition ID: 3308354