Position Summary:

　　The System Manager of Patient Financial Services is responsible for assisting other leaders and supervisors with planning, directing, organizing, monitoring and staffing the department subject to policies, budgets, objectives and directives mandated by regulatory agencies, DNV and the executive team. Supports Patient Financial Services supervisors in maintaining team discipline for all elements of established standard processes (work management, tools, team briefings, metrics tracking and prompt resolution of issues, problems and opportunities). Directs and coordinates all functions of Patient Financial Services that relate to billing and payment activities for Bozeman Health and all related entities. Researches and creates education for all department functions regarding billing and payment related issues. Educates, reports, and provides information to organization regarding billing and payment progress.

　　Minimum Qualifications:

　　Bachelor's degree in business-related field or the equivalent of five successful years’ business experience

　　Three (3) years of experience prior experience in healthcare administration, revenue cycle, or management of accounts receivable

　　Five years of managerial experience

　　Knowledge of electronic healthcare payment transactions

　　Prior experience with Epic

　　Regulatory knowledge required for PPS and CAH Hospital, Provider-Based, Free-Standing Clinic, and Swing Bed Billing

　　Preferred: Master’s degree in healthcare administration or business administration or related field.

　　Preferred: Prior Patient Finance Services management experience

　　Essential Job Functions:

　　Ensure the accurate development and submission of claims to support reimbursement, including timely filing requirements

　　Monitor PFS billing and payment key performance indicators, i.e. collection rates, denial rates, clean claim rates, accounts receivable days, candidate for billing, undistributed payments, credit balances, and unposted payments

　　Develop reports/dashboards to summarize billing and payment trends to the applicable committees, work groups, and department leaders

　　Analyze, track, and trend payer reimbursement behavior and collaborate with payers to mitigate underpayments and facilitate timely reimbursement

　　Conduct research regarding billing denials as directed

　　Maintain knowledge of State and Federal Regulations including, Medicare Conditions of Participation, Medicare Billing and Reimbursement regulations, Commercial payor billing rules, and Bozeman Health Payer Contracts

　　Assists Director with broad operations to ensure the provision of comprehensive departmental services in compliance with all regulatory agencies and healthcare system requirements

　　Collaborates with the director to ensure a departmental approach to long-range strategic operational planning, care and service design and development of organizational policies, which reflect the mission of the organization and best practices

　　Coordinates and oversees the organization-wide departmental services. Continuously assesses, measures and improves departmental performance through mutually agreed upon and already approved metrics for success

　　Demonstrates responsible management of all departmental resources

　　Demonstrates clinical/technical and managerial competency. Ensures staff professional needs are met

　　Assesses current staffing model to determine if billing and payment functions are resourced appropriately

　　Leads, teaches, inspires, helps and consistently demonstrates hospital healthcare system standards

　　Knowledge, Skills and Abilities

　　Strong leadership managerial skills; ability to plan, delegate, monitor and improve work performance

　　Demonstrates sound judgement, patience, and maintains a professional demeanor at all times

　　Ability to escalate issues to director and provide possible issue resolution

　　Ability to work in a fast-paced environment

　　Strong interpersonal, verbal and written communication skills

　　Creativity, problem analysis and decision making

　　Exercises tact, discretion, sensitivity and maintains confidentiality

　　Detail oriented, organizational skills and the ability to prioritize

　　Standard office equipment and computer applications; MS Office, EMR, internet applications etc.Ability to work varied shifts

　　The above statements are intended to describe the general nature and level of work being performed by people assigned to the job classification. They are not to be construed as a contract of any type nor an exhaustive list of all job duties performed by the personnel so classified.

　　77211370 Patient Financial Services

　　Working at Bozeman Health is more than just a job--it's a commitment to caring for the communities of Southwest Montana by being their partner in health and wellness, compassionately delivering the best care for each person, every time. In every role, our employees are inspired by their ability to care for our community and our Culture of Excellence guides each employee to be a high performer, engage in transparent and timely communication, demonstrate dynamic learning and teaching, excel through change, express gratitude and experience joy.