Patient Accounting Job Description
Patient Accounting Duties & Responsibilities
To write an effective patient accounting job description, begin by listing detailed duties, responsibilities and expectations. We have included patient accounting job description templates that you can modify and use.
Sample responsibilities for this position include:
Patient Accounting Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Patient Accounting
List any licenses or certifications required by the position: ITIL, CPC, CCS, LA, AAHAM
Education for Patient Accounting
Typically a job would require a certain level of education.
Employers hiring for the patient accounting job most commonly would prefer for their future employee to have a relevant degree such as Associate and Bachelor's Degree in Business, Healthcare, Education, Finance, Communication, Accounting, Health Care, Medical Billing, Computer, Healthcare Administration
Skills for Patient Accounting
Desired skills for patient accounting include:
Desired experience for patient accounting includes:
Patient Accounting Examples
Patient Accounting Job Description
- Conduct timely regular staff performance appraisals in accordance with Institute's policies and pre-determined productivity metrics
- Remain current on industry best practices, update fellow Senior Managers and/or staff of findings, and institute appropriate change to the department, as appropriate
- Being efficient
- Anticipates potential areas of concern within the follow up function
- Provide daily management oversight to all business office functions, including billing, collections, refunds, appeals and payment variances, cash application for the combined business office
- Collaborate with Finance and Physician Practice leaders to establish strategic plans and goals for continued improvement related to accounts receivable and net revenue performance
- Analyze and identify opportunities for process improvement using physician financial services reporting data
- Ensure electric medical records system is utilized to the full potential
- Demonstrate excellence in management of all levels of employees
- Act in the role of Governmental Billing Supervisor, supervise staff members, train, evaluate and discipline staff
- 2-4 years of accounting, financial analysis and decision support experience in a hospital or similar environment
- Knowledge of Cerner ProFit, a plus
- Knowledge of Cerner clinical applications
- Minimum one (1) year experience in a broad medical/surgical background or one (1) year experience in medical auditing is preferred
- Knowledge/build/use of the following o Base Build, Payment Plans, Collection Agencies, Collection Criteria, Work Queues, Rules
- Minimum one (1) year experience in medical auditing or HIM coding is preferred
Patient Accounting Job Description
- Act as the lead advisor in the development of billing and collection strategies for all third-party payors including Medicare, Medicaid, commercial insurers, Veterans Administration, Hospice, and managed care contractors
- Perform monthly audits of outstanding claims not billed
- Work closely with Health Information Management staff for compliant billing
- Attend all seminars and teleconferences in the realm of Governmental Billing
- Ability to work with other departments to resolve issues that affect billing
- Assists with the preparation of assigned monthly account reconciliations and variance documentation
- Assists with payroll, accounts receivable and/or accounts payable functions
- Enters data into and generates reports from the department's information systems/programs
- Retrieves, files, organizes and archives financial records as necessary
- Prepare work papers supporting assigned financial analyses/projects
- A current LVN or RN license, or CCS, CPS certification is preferred
- Bachelors degree required, with a minimum of 10 years experience
- Experience or knowledge of hospital and/or professional operations basic third parties payer requirements
- This position requires a Bachelor's Degree, with five or more years of Information Systems experience and a minimum of three years of physician office experience or Acute Care Registration experience
- A good working knowledge of Acute Care and Physician office Registration and Scheduling processes
- Understands the workflow for registration for acute care facilities and physician offices to include encounter types, Locations, Pre-Registrations, and Eligibility Checking
Patient Accounting Job Description
- Communicate financial problems/issues identified during performance of tasks to Lead/Manager
- Assists the Information Systems department in maintenance of system's data files and implementation of various modules & system functionality
- Direct and evaluate activities of the direct reports to see that all of their duties are carried out at a high level of efficiency and professionalism
- Establish baselines and manage accounts receivable for physician offices to ensure that they are kept at an acceptable level
- Meet with physicians and administration regarding billing, staffing, coding and fee setting issues
- Works directly with users in defining new application requirements and resolving project system issues
- Works directly with users in defining new application requirements and resolving system issues, responding to user problems to explain new technologies and present deliverables
- Collaborates with co-workers to coordinate and complete all system tasks required to support active projects
- Understands the revenue cycle environment that exists at support sites and deliver excellent customer service, cost savings, and fast delivery of technologies to meet the requirements of business needs
- Develops application expertise and knowledge and translate expertise into solutions for customers
- Preferred experience with Cerner Registration and Scheduling Management applications or other Registration and Scheduling applications
- Numerical ability to review statistical data
- Knowledge of Managed Care Contract interpretation
- Knowledge of Patient Accounts Receivable systems and related applications required
- Proactively monitor all work queues and ensure that the proper amount of staff is in place and that turn time expectations are being met
- Ensures all productivity standards are met in a timely manner through measuring and monitoring
Patient Accounting Job Description
- Ensures client Service Desk tickets and other requests/issues are appropriately followed up on and adequately resolved in a timely manner
- Fulfills departmental requirements in terms of providing work coverage, on call coverage, and administrative notification as scheduled including periods of personnel illness, vacation, or time off
- Reviews OneChart to validate and assign diagnoses and procedure codes for outpatient diagnostic services & simple outpatient visits
- Demonstrates the ability to achieve accurate, complete and consistent selection of principle and secondary diagnoses and procedures, identifies signs and symptoms for medical necessity
- Correctly queries physicians for clarification of documentation as directed by Coding Query guidelines, Coding Clinic, and CPT Assistant
- Follows official coding guidelines and directives for all coding and assignment of payment categories
- Serve as a resource to the data management team
- Balance, research and reconcile all deposits posted daily, including daily bank statements and electronic funds transfers and report to appropriate departments
- Reconcile monthly refunds with reporting from all accounting systems against Lawson reports
- Reconcile NSF’s monthly with reporting from all accounting systems
- This position requires two years of technical school or an Associate's Degree, with three or more years of Information Systems experience and a minimum of three years of physician office experience or Patient
- Accounting/Revenue Cycle experience
- Preferred experience with Cerner ProFit application or other Revenue Cycle applications
- Participatory management oriented
- Computer skills include proficiency in e-mail, word processing, spreadsheets and databases
- Regional resource for respiratory Care, sleep diagnostics and cardiac surveillance
Patient Accounting Job Description
- Updates balancing tools as needed to stay current with FMG policies and procedures
- Establishes and maintains a professional relationship with all FMG Leadership in order to resolve issues or concerns
- Interfaces with outside consultants including contract negotiations and third party billing
- Assists with development, monitoring and compliance of departmental budget(s)
- Manages revenue valuation quarterly reviews performed by auditors
- Produces reports measuring financial and operational performance including, but not limited to cash collections, unbilled, denials, volume trends, contract yield, evaluation of predictive models with actual results, financial performance analysis, benchmarking and trend analysis
- Sets and adheres to project budgets and timelines
- Answer patients questions regarding billing
- Provide patients with account information
- Receive payments for patient accounts in Cashiers office
- 5-7 years on charge master knowledge along with national billing standards
- Must possess strong knowledge of hospital AR management and payer claims and EOB reviews
- Understands the workflow for scheduling for physician offices to include appointment types, locations, ancillary department scheduling, Check In and Check Out
- Actively develop direct reports through coaching, feedback, and projects to ensure their success and to create a highly engaged, productive team while meeting all performance objectives
- Must possess strong knowledge of hospital registration, insurance billing, and overall AR management
- Minimum 1 year of hospital payer contract knowledge and adjudication required