Job Description

Improving Lives Together

Magruder Hospital offers competitive wages with a comprehensive benefit package available to both full-time and part-time employees. We provide a full health plan and generous time off that includes Holidays, Vacation, Sick, Personal, and even your Birthday! Our culture and family friendly work environment truly set us apart- apply today for an opportunity to join our team and help serve this great community!

Direct all activities related to billing, collections, financial counseling, cash posting, and reimbursement analysis and denial management. Assure accurate maintenance of patient accounts, and that the Hospital/Physicians are compliant with applicable rules, regulations and laws. Serve as resource and advisor to Senior Management, and all departments and staff regarding billing and collection related issues.

Essential Duties & Responsibilities:

• Directs and coordinates all activities within the Patient Financial Services by preparing work schedules, making job assignments, overseeing maintenance of equipment, ordering supplies, etc.
• Assures management of Hospital denials from payers, referring to Utilization Management in a timely manner those denials that are clinically based.
• Assures management of Physician denials from payers, referring to the physician in a timely manner.
• Monitors the Hospital’s and Physician’s accounts receivables and aged accounts, reviews adjustments to account balances, and reviews schedule of delinquent accounts ready for outside collection. Serves as the liaison in the collection process with collection agencies.
• Assure representation in court appearances relative to credit and collections matters.
• Responsible for composition of automated system letters and comments on bills and monthly statements sent to patients/guarantors through the Hospital/Physicians billing systems.
• Participates in the management and control of the Hospital’s and Physician’s charge masters
• Assists in formulating the Hospital’s credit and collection policy. Assures administration of “write-offs” are in accord with the approved policy, and with complete documentation to support logs by financial class, giving particular emphasis to Medicare Bad Debt administration reporting.
• Participates in the Uncompensated Care Program of the Hospital, by assuring that procedures for adherence to the Financial Assistance Policy of the Hospital are in operation and are reflected in all appropriate documentation and patient logs.
• Composes correspondence in response to patient letters of complaint, and inquiries of their party carriers and other agencies, that are referred to the Director of Patient Financial Services for disposition.
• Monitors regulatory environment on an ongoing basis to determine affect upon Hospital operations and propose changes to Hospital policies and procedures as may be required relative to Patient Financial Services.
• Serves on standing and/or ad-hoc committees as needed.
• Complies with federal, state, and local legal requirements by studying existing and new legislation; anticipating legislation; enforcing adherence to requirements; advising management on needed actions; ensures compliance with Joint Commission and other external and internal regulatory agencies.
• Maintains the integrity of confidential patient information in accordance with HIPAA and hospital policy, including accessing, using and disclosing patient information relevant to the individual employee’s job duties. Also maintains confidentiality of other customer and hospital business affairs.
• Adheres to the standards of Magruder Hospital’s corporate compliance policies and seeks guidance and training when necessary to resolve questions about the policies. Reports violations in accordance with corporate compliance and organizational standards.
• Reports to work on time and as scheduled; Shows respect for co-workers by following established break times; Keeps personal conversations and telephone calls to a minimum.
• Travel is primarily local during the business day, although some out-of-area and overnight travel may be expected.
• Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
• Other duties as requested or assigned.

Requirements:

• Bachelor’s degree in Business Administration or related field
• Associate degree in business or related field with increasing levels of experience may be considered in lieu of Bachelor’s degree
• Knowledge of third party hospital and physician billing and collection
• Customer services skills
• Payment analysis and denial management experience
• 5 years billing and collections management experience in an acute care hospital

Magruder Hospital is an Equal Opportunity Employer and provides equal employment and advancement opportunities to all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, veteran status, disability, or any other protected class under the law.

Magruder Hospital is a Tobacco and Drug Free Workplace. Any offer of employment will be contingent upon satisfactory completion of pre-employment drug screening, including screening for the presence of nicotine, satisfactory completion of background verification, and the results of a post-offer medical and physical examination.

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