Overview:
Under the direction of the Manager, plans, directs and supervises the day-to-day operations of the patient accounts collection function in accordance with internal policies and regulations. Coordinates the on-going development and monitoring of operational methods to ensure timely collection of patient accounts receivable. Works within the department to operationalize the departments service goals and objectives.
Responsibilities:
- Explains hospital policies regarding patient rights and billing procedures.
- Assures staff follows proper procedures for patient billing and follow-up, charity care eligibility screening and determination, Medicaid referrals and turnover of accounts to collection.
- Acts as a technical resource to staff and resolves problems or refers to the department head as appropriate.
- Ensures new employees are oriented to the department and receive appropriate training.
- Prepares employee time records and submits to department head for approval within established time frames.
- Effectively performs duties of Office Assistants as needed due to staffing.
- Maintains compliance with IRS 501(R) regulations in internal processes, patient website information and vendor/agency practices.
- Maintains departmental and agency compliance with State of NJ Charity regulations, including patient specific determinations and adjustments; audit preparation and audit response.
- Manages Medicare Bad Debt, including oversight of write-offs, accuracy of policies, preparation of Cost Report filing, audit preparation and audit response.
- Provides Charity and Bad Debt data for Share reports to Reimbursement Department.
- Collaborates with Reimbursement and Access Departments regarding compliance Price Transparency regulations and best practices. Provides pricing information for collection and uninsured patient balances prior to service, reducing the need for vendor services.
- Manages all cash balancing functions for Medical Center receivables as well as other payments received through the Medical Center for other business operations, in collaboration with Accounting. Manages all non-cashier cash posting functions.
- Maximizes receipt of electronic payment transfers and back up Electronic Data (835s) with payors.
- Manages and submits Unclaimed Property filings for the Medical Center and the Long Term Care entities.
- Monitors credit card deposits received in financial and clinical departments, including numerous satellite locations.
- Manages collection agency and outside attorney performance.
- Authorizes legal action against patients and testifies in arbitration and court proceedings.
- Reviews discipline literature and informs senior management of major issues and developments and recommends appropriate action.
- Trains, monitors and disciplines staff as per Medical Center policy.
- Provides input to the department head regarding budgetary needs each year.
- Institutes appropriate procedures and conducts periodic audits to internal and bank records
- Maintains data tables as required to ensure accuracy and consistency of patient data between departments and computer systems.
- Communicates with IS Department to resolve data processing problems and/or improve processes. Implements new systems technically and operationally.
Qualifications:
- Bachelor's degree required
- 5 years of experience working in a customer service/call center
- Experience with NJ Charity program, computerized accounts receivable functions, major payor billing requirements and collections regulations required. Previous supervisory experience preferred. Strong customer service skills.
- Bilingual Strongly Preferred
About Us:
CentraState Healthcare System, a partner of Atlantic Health System, is a fully accredited, not-for-profit, community-based health system that provides comprehensive health services in the central New Jersey region. In addition to offering a full range of leading-edge diagnostic and treatment options, CentraState serves as a valuable health partner focused on the latest ways to prevent disease, promote healthy behaviors, and help people of all ages live life well. Based in Freehold, CentraState is comprised of a 284-bed acute-care hospital, a vibrant health and wellness campus, three award-winning senior living communities, a charitable foundation, and convenient satellite health pavilions offering primary care and specialty physician practices, along with access to outpatient services, such as lab and physical therapy. The system also offers a family medicine residency and geriatric fellowship training program in affiliation with Rutgers Robert Wood Johnson Medical School. Among its many honors and accreditations, CentraState is one of less than two percent of hospitals nationwide to earn Magnet designation for nursing excellence four times and was designated a Great Place to Work-Certified Company by Great Place to Work for the second consecutive year.
When you bring your talent to CentraState, you are joining a trailblazing healthcare facility, committed to providing high-quality, patient-focused care. Join us in making incredible strides in health care, and making a difference in our community. We believe in enriching the lives of our employees through work/life balance initiatives, tuition assistance, career advancement opportunities and much more.
Find out why our employees love their jobs and being part of the CentraState family!
What We Offer:
- Highly competitive compensation
- Excellent benefits package and rewards program
- 403(b) retirement plan with company match
- 401(a) retirement plan with employer contribution
- Life Insurance
- Tuition Reimbursement Program
- Profit Sharing Program
- Growth Opportunity and Workforce Development Initiatives
- Continuing Education / Onsite Training
- A warm, welcoming company culture based upon mutual respect and a collaborative goal of providing excellent patient care
- Concierge Services with Work & Family Benefits
- Magnet recognized healthcare facility