Department: 100609 Revenue Cycle
Facility: Renown Health
Reno, NV
Schedule: Full Time - Eligible for Benefits
Shift: Day
Hours: 0800-1700
Job Details:
  • Position Purpose:

     

    This position is responsible for ensuring all patients without a payor source are fully screened and assisted with application for government or local assistance or charity application, wherever applicable.  The Director of Patient Financial Assistance will provide for a fully trained, compassionate team to screen and oversee the timely, appropriate qualification of patients for eligible programs.  The Director will coordinate these activities with the vendor liaisons while their contract is in place. The Director will ensure that all patients are respected and treated fairly in the process of these qualifications.  This position is responsible for maintaining departmental standards of excellence as established by Renown Standards of Conduct and the VP of Revenue Cycle.

     

    Nature and Scope:

     

     

    The Director of Patient Financial Assistance must possess an in-depth knowledge of federal, state, and local regulations and programs available to uninsured patients. This leader will be the administrator of the Medical Financial hardship program to ensure adherence and access to this service wherever applicable.  The Director will work closely with the Central Business Office, the Self Pay Business Office, and the Patient Access teams to create strategies to ensure timely, expedient processing of these patient groups.

     

    This position will monitor and evaluate progression of account inventories throughout the eligibility and Medical Financial Hardship programs to ensure adherence to all applicable timelines while determining coverage or payor sources for these patients.  The Director will ensure the CBO Director, Patient Access Director, and other appropriate management staff are kept current on volumes, aging, and issues and in the unit and with the vendor as appropriate.  

     

    This Director will monitor all activities of the vendor group, noting deficiences in process, opportunities missed, and inappropriate handling of receivables while the vendor contract is in place.  The Director will maintain current knowledge of eligibility programs and ensure department policies and procedures reflect those requirements and standards.

     

    The Director will ensure staff in this department are kept current on regulations and procedures and that they have the tools they need to perform their duties at optimal levels.  This department and its staff must be able to maintain the highest level of confidentiality while performing financial screenings and qualifications.

     

    Excellent customer service to our self pay patients will be standard operating procedure for this unit.

     

    KNOWLEDGE, SKILLS & ABILITIES:

     

    1.                    Strong eligibility and government knowledge and skills.

    2.             Strong customer service skills including payment mechanisms for uninsured patients.

    3.             Educated in collection policies, customer service and business application software.

    5.             Possesses the knowledge regarding the importance of self pay patient processing on health system financial impact and accountability for accuracy.

    6.             Knowledgeable regarding information technology tools for information analysis.

    7.             Adopts a philosophy consistent with the RENOWN HEALTH Standards of Conduct.

    8.             Ability to analyze and interpret data, locate record keeping and control deficiencies and initiate corrective action.

    9.             Strong analytical and problem solving skills, as well as the ability to work and communicate effectively with other departmental staff and management.

    12.           Ability to coordinate the activities of subordinates in order to insure the most proficient cycling of screening, billing and subsequent payment of patient accounts.

    13.           Oral and written communication abilities to train and supervise personnel.

    14.           Ability to schedule, meet and maintain daily and monthly routines, assign personnel and maintain integrity of records as it relates to the department orientation, training, QA and annual competency validation process.

    15.           Accomplished knowledge of hospital billing and collection methods and procedures.

    16.           Ability to meet deadlines.

    17.           Excellent written and verbal communication skills

    18.           Leadership skills to promote individual and team excellence in the department.

    19.           Ability to maintain confidentiality.

    20.           Strong organizational skills.

    21.           Working knowledge of health insurance.

    22.           Ability to take appropriate disciplinary action within current RENOWN HEALTH HR guidelines, if necessary.

    23.           Experience in acceptable hiring techniques.

    24.           Ability to evaluate and respond appropriately to delicate situations.

    25.           Knowledge of ICD-9, CPT and HCPC coding.

    26.           Knowledge and commitment to perpetual quality improvement processes and methodology.

    27.           Financial Management / Budgeting Skills.

     

    This position does not provide patient care.  

    The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

    Minimum Qualifications:  Requirements - Required and/or Preferred

    Education:

    Must have working-level knowledge of the English language, including reading, writing and speaking English. Bachelors Degree required or five (5) years experience in Medicaid eligibility in lieu of degree.

    Experience:

    Five years experience in acute healthcare accounts receivable management required with a minimum of two years of eligibility program or processing required.   Training, education and supervisory experience required in all aspects of Business Office functions including registration, billing and follow-up. 

    License(s):

     

    Certification(s):

    HFMA Certification preferred

    Computer / Typing:

    Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.



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