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.