Mgr Patient Accounting

Overview

Manager of Patient Accounting

Full Time, 80 Hours Per Pay Period, Day Shifts

Covenant Health Overview:

Covenant Health is the region’s top-performing healthcare network with 10hospitals,outpatient and specialty services,and Covenant Medical Group, our area’s fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area’s largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year.

Covenant Health is the only healthcare system in East Tennessee to be named a Forbes “Best Employer” seven times.

Position Summary:

Provides daily leadership to all personnel within the department to ensure that all duties are performed accurately and efficiently. The Billing Manager monitors all functions of the Billing office and maintains equipment/software, i.e. table files, to ensure promptness and efficiency of all Billing duties. Supervises the Billers, Billing Support Staff and Billing Supervisors on a daily basis. Recruits, selects, develops and motivates a competent staff to ensure the continuance of productivity and positive morale.

This position assists the department Director and the Vice President in establishing and meeting strategic goals and outcomes for the Consolidated Business Office (CBO). The CBO provides Patient Accounting functions for multiple facilities and entities which requires a working knowledge of several service lines and payer requirements.

Integrity

• Maintains accountability for the Billing Unit ensuring that the areas establish targets and goals, and ensure that expectations are consistently met and that accounts are handled in a timely manner.
• Establishes team-based goals and success measurements for the billing unit. Identifies both team contributions that meet established goals and areas of opportunity.
• Provides the motivation and incentive necessary for acceptable productivity from the Billing department.
• Monitors performances at least monthly, and identifies variances to established targets.
• Demonstrates knowledge of State and Federal regulations, CMS guidelines, Tenn Care guidelines and other Third Party Payor requirements assuring departmental billing
• Ability to identify and review problem bills to determine reason(s) for and resolution of problems soliciting input when required from outside resources, and delegates to billers for billing.
• Recognizes situations, which necessitate supervision and guidance, seeks appropriate resources.
• Does not promote or participate in solicitation during working hours within the department.
• Accepts total responsibility for the work performance of the billing area.
• Supports, models and adheres to the desired behaviors of the KBOS Constitution for integrity which are; hold others accountable for living the values and behaviors, protect confidential information, deal with difficult issues honestly, directly, and respectfully, and tell the truth.

Quality

• Supervises the submission of daily claims to ensure the timely and accurate billing of inpatient, outpatient, and ER accounts while maintaining follow‑up procedures to secure necessary supporting documentation for suspended/pended claims.
• Ensures that cross training is incorporated into the billing area so that staff is knowledgeable of multiple payor requirements and billing guidelines.
• Maintains equipment/software, i.e. table files, for the Billing department.
• Provides leadership to the billing area, including but not limited to hiring, training, disciplinary actions, evaluations, establishment of work priorities, and other daily operational duties.
• Proficiently maintains and processes employee time cards and attendance records.
• Professionally deals with patients, physicians, public, and other management personnel concerning Billing matters.
• Trains new personnel in areas of responsibilities and provides in‑service education for existing personnel on new policy and procedures as developed.
• Prepares performance evaluations on a timely basis and…