UF Health
Assistant Manager Patient Financial Services | Government Team | Full Time | Day
UF Health, Gainesville, Florida, us, 32635
Overview
FTE- 1.0
Mon-Fri
8:00 am - 5:00 pm
Provides direct supervision to staff responsible for financial counseling for inpatients, ambulatory surgical patients, and their guarantors.
Responsibilities Key Responsibilities
Patient Financial Counseling:
Secures appropriate socio-economic data for each account.
Establishes and/or confirms medical record identification numbers and patient registration information.
Conducts detailed financial screenings and analyses.
Verifies insurance or other third-party coverage.
Obtains necessary signatures and supporting documentation from patients and guarantors.
Coordinates financial issues with internal and external departments.
Resolves or refers non-financial patient concerns to the appropriate department or agency.
Billing Coordination:
Coordinates billing processes by assisting in the preparation and management of clean, accurate, and complete claims and bills for patients and third-party payers.
Accounts Receivable Management:
Manages assigned payer mix accounts receivable by ensuring clean claims are submitted, followed up on in a timely manner, and denials are properly addressed.
Ensures maximum reimbursement is collected from third-party payers within payer or contracted time frames.
Issue Communication:
Communicates outstanding claim issues to Leadership and the Managed Care Department for review during monthly Joint Operating Committee meetings with third-party payers.
Reimbursement and Credit Balance Oversight:
Manages assigned payer mix accounts to take appropriate action on credit balances and/or variances.
Ensures accurate reimbursement has been received and initiates refunds to third-party payers as necessary.
Qualifications Minimum Education and Experience Requirements
Education:
High school graduate or equivalent required.
Experience:
Minimum of five (5) years of experience in hospital billing, insurance collections, or other healthcare revenue cycle positions.
Minimum of two (2) years of supervisory or team leader experience in a healthcare setting, including staff selection, evaluation, and termination.
Knowledge, Skills, and Abilities:
Knowledge of HIPAA regulations, third-party billing, insurance follow-up, account reconciliation, and managed care contracts.
Familiarity with federal, state, and local laws governing hospital bill collections.
Strong analytical abilities and proficiency in mathematical calculations.
Excellent verbal and written communication skills, including the ability to compose professional correspondence.
Basic computer, internet, and spreadsheet competencies required.
Motor Vehicle Operator Designation:
Will operate vehicles for assigned business purposes as a non-frequent driver.
Licensure/Certification/Registration:
None required.
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Mon-Fri
8:00 am - 5:00 pm
Provides direct supervision to staff responsible for financial counseling for inpatients, ambulatory surgical patients, and their guarantors.
Responsibilities Key Responsibilities
Patient Financial Counseling:
Secures appropriate socio-economic data for each account.
Establishes and/or confirms medical record identification numbers and patient registration information.
Conducts detailed financial screenings and analyses.
Verifies insurance or other third-party coverage.
Obtains necessary signatures and supporting documentation from patients and guarantors.
Coordinates financial issues with internal and external departments.
Resolves or refers non-financial patient concerns to the appropriate department or agency.
Billing Coordination:
Coordinates billing processes by assisting in the preparation and management of clean, accurate, and complete claims and bills for patients and third-party payers.
Accounts Receivable Management:
Manages assigned payer mix accounts receivable by ensuring clean claims are submitted, followed up on in a timely manner, and denials are properly addressed.
Ensures maximum reimbursement is collected from third-party payers within payer or contracted time frames.
Issue Communication:
Communicates outstanding claim issues to Leadership and the Managed Care Department for review during monthly Joint Operating Committee meetings with third-party payers.
Reimbursement and Credit Balance Oversight:
Manages assigned payer mix accounts to take appropriate action on credit balances and/or variances.
Ensures accurate reimbursement has been received and initiates refunds to third-party payers as necessary.
Qualifications Minimum Education and Experience Requirements
Education:
High school graduate or equivalent required.
Experience:
Minimum of five (5) years of experience in hospital billing, insurance collections, or other healthcare revenue cycle positions.
Minimum of two (2) years of supervisory or team leader experience in a healthcare setting, including staff selection, evaluation, and termination.
Knowledge, Skills, and Abilities:
Knowledge of HIPAA regulations, third-party billing, insurance follow-up, account reconciliation, and managed care contracts.
Familiarity with federal, state, and local laws governing hospital bill collections.
Strong analytical abilities and proficiency in mathematical calculations.
Excellent verbal and written communication skills, including the ability to compose professional correspondence.
Basic computer, internet, and spreadsheet competencies required.
Motor Vehicle Operator Designation:
Will operate vehicles for assigned business purposes as a non-frequent driver.
Licensure/Certification/Registration:
None required.
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