Outpatient Accounts Manager - JAMAICA HOSPITAL MEDICAL CENTER : Job Details

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