Patient Financial Services Representative Lead - York - Days bei WellSpan Medical Group

Duties and Responsibilities

Essential Functions:

• Oversees the work of other personnel by training, allocating and monitoring work. Acts as a subject matter expert (SME) and may cover for PFS staff as needed.
• Maintains oversight of staff-assigned work queues, including volume and activity, payor days in AR, AR metrics, productivity, and performance.
• Assists with annual performance evaluations by providing feedback to Supervisor or Manager on individual employees.
• Assists Supervisor or Manager with the interview process, onboarding and training new staff members.
• Trains new hires and conducts training for existing employees as needed. Completes monthly audits on other staff members’ work.
• Performs various functions to complete and expedite the billing, claims corrections, appeals and/or payment posting/refund process including reviewing and reconciling a variety of reports.
• May interact with a variety of governmental agencies.
• Reviews accounts and maintains contact with third parties to ensure timely payments. May assist staff with follow-up and/or resolution of accounts.
• Acts as a resource for business office staff, Access ED Staff and PAS IT staff.
• Identifies trends, quantifies impact, and escalates as appropriate for resolution
• Assumes responsibility to lead projects as requested; may also lead process improvement initiatives for department.

Common Expectations:

• Establishes and maintains communication with ancillary departments/entities to facilitate problem solving and continuous process improvement.
• Assists in developing, establishing and maintaining policies, procedures and standards.
• Maintains appropriate records, reports, and files as required.
• Maintains departmental records and reports and collects statistical data for administrative and regulatory purposes.
• Participates in educational programs and inservice meetings.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Qualifications

Minimum Education:

• High School Diploma or GED Required

Work Experience:

• 3 years experience in Healthcare Revenue Cycle/Billing Required

Licenses:

• Certified Patient Accounts Technician within 1 year Required or
• Certified Compliance Technician - AAHAM within 1 year Required or
• Certified Healthcare Access Associate within 1 year Required or
• Certified Revenue Cycle Executive within 1 year Required or
• Certified Revenue Cycle Professional within 1 year Required or
• Certified Revenue Cycle Specialist within 1 year Required or
• Certified Revenue Integrity Professional within 1 year Required

Courses and Training:

• Cross-trained in the department; training as a PAS II or Financial Caseworker II Upon Hire Required

Knowledge, Skills, and Abilities:

• Excellent customer service, communication, and interpersonal skills
• Familiarity with ICD-10 and CPT codes
• Strong Knowledge of payer rules and policies
• Computer skills
• Healthcare billing systems (Epic preferred)

Benefits Offered:

• Comprehensive health benefits
• Flexible spending and health savings accounts
• Retirement savings plan
• Paid time off (PTO)
• Short-term disability
• Education assistance
• Financial education and support, including DailyPay
• Wellness and Wellbeing programs
• Caregiver support via Wellthy
• Childcare referral service via Wellthy