Patient Accounts Manager Job Description Template For Recruiters

In the healthcare industry, patient accounts managers play an essential role in ensuring the smooth financial operation of medical facilities. They are responsible for overseeing the billing and collections process, as well as managing patient accounts and resolving any issues that may arise. With the increasing demand for healthcare services, finding a skilled and experienced patient accounts manager is essential for healthcare organizations.

Patient Accounts Manager Job Description

We are looking for a dedicated Patient Accounts Manager to join our team. You will be responsible for overseeing the financial aspects of a healthcare facility's patient accounts department for our organization. You will need to ensure accurate and timely billing, collections, and revenue cycle management. You will also be responsible for managing and supervising a team of billing and collections staff, as well as developing and implementing strategies to optimize the revenue cycle process.

Patient Accounts Manager Responsibilities

1. Oversee the day-to-day operations of the patient accounts department, including billing, collections, and accounts receivable.
2. Manage and lead a team of billing and collections staff, providing guidance, training, and performance evaluations.
3. Develop and implement policies and procedures to ensure accurate and timely billing, coding, and claims submission.
4. Monitor and analyze key performance indicators (KPIs) to identify areas for improvement and implement strategies to optimize revenue cycle management.
5. Collaborate with other departments, such as coding and compliance, to ensure adherence to coding and billing regulations and guidelines.
6. Handle complex billing and reimbursement issues, including denials and appeals, and work with payers to resolve billing disputes.
7. Develop and maintain relationships with insurers and third-party payers to negotiate contracts and reimbursement rates.
8. Stay up-to-date with changes in healthcare regulations and billing guidelines, and ensure compliance with all applicable laws and regulations.
9. Generate and analyze reports on revenue, accounts receivable, and collections to evaluate department performance and identify trends or issues.
10. Provide excellent customer service to patients and address any billing inquiries or concerns in a timely and professional manner.

Patient Accounts Manager Required Skills

1. Strong knowledge of healthcare billing and collections processes, including coding and claim submission.
2. Proficient in using billing software and electronic health record (EHR) systems.
3. Excellent leadership and team management skills, with the ability to motivate and develop staff.
4. Strong analytical and problem-solving skills, with the ability to identify process inefficiencies and implement solutions.
5. Detail-oriented with excellent organizational and time management skills.
6. Excellent communication and interpersonal skills, with the ability to effectively interact with patients, staff, and insurance companies.
7. Ability to work independently and handle multiple priorities in a fast-paced environment.
8. Proficient in using Microsoft Office Suite, particularly Excel for data analysis and reporting.

Required Qualifications

1. Bachelor's degree in healthcare administration, finance, or a related field. Advanced degree preferred.
2. Minimum of X years of experience in healthcare billing and revenue cycle management, with X years in a leadership or managerial role.
3. Certified Professional Biller (CPB) or Certified Revenue Cycle Representative (CRCR) certification is preferred.
4. In-depth knowledge of healthcare reimbursement systems, including Medicare, Medicaid, and private insurance.
5. Familiarity with coding systems, such as ICD-10 and CPT.
6. Understanding of healthcare regulations and compliance, including HIPAA regulations.
7. Experience with electronic billing and health information systems.
8. Strong knowledge of medical terminology and medical billing coding guidelines.

Conclusion

In conclusion, this job description template provides a comprehensive guide for businesses looking to hire a skilled individual for this important position. With the right qualifications and experience, a Patient Accounts Manager can effectively manage billing processes, handle insurance claims, and maintain strong relationships with patients and healthcare providers. By implementing this template, organiz can streamline their billing operations and ensure financial stability in the healthcare sector.