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Patient Financial Services REQ # 2623984
Under the supervision of a PFS Manager, responsibilities include various aspects of the receivable management for the Patient Financial Services (PFS) Department. This includes supervising and monitoring staff of specific area
- Responsible for staff of assigned work area. This includes the hiring, firing and disciplining in addition to providing the annual performance appraisals as well as compliance with performance expectations.
- Responsible for the attendance and performance of all staff.
- Ensures the productivity of staff and makes suggestions for changes in procedures and staffing to enhance the performance in the area.
- Responsible for Inpatient and Outpatient unbilled accounts receivables. This includes the communication to various internal departments (e.g. medical records, admitting etc.).
- Monitors and adheres to all third party billing regulations.
- Interfaces with all third party agencies to determine the effectiveness/accuracy of claim submission/processing.
- Interacts and participates with third party payers meetings (includes off site visit and preparation of account issues).
- Responsible for Inpatient and Outpatient billed accounts receivables.
- Monitors the follow-up of all billed accounts, including the compliance with hospital collection policies, completeness of follow-up activities and accuracy of account information.
- Must have the ability to work in a Stratified Processing Environment (SPE). Stratified Processing Environment includes working in the TRAC and On-TRAC applications.
- Responsible for conducting weekly unit meets and participation in all daily/weekly/monthly PFS SPE meetings.
- Responsible for the reconciliation and application of all patient account remittance processes.
- Responsible for the reconciliation and application of all patient account receipts collected through B1 Cashiers.
- Responsible for the reconciliation and application of all manual charge posting into the patient accounts system.
- Responsible for implementing and tracking Medicaid applications.
- Responsible for the financial screening of inpatient and ambulatory surgery accounts.
- With the direction of the Manager, implements all new processes and procedures.
- Reviews all denials for proper procedures and corrective measures.
- Creates and implements daily, weekly and/or monthly reports and keeps required statistics and records for the department.
- Coordinates with other departments on all open outpatient visits.
- Responsible for the referral of self-pay accounts to collection agencies.
- Monitors the effectiveness and service performance of the collection unit. Ensures all staff has been instructed in proper customer service techniques.
- Responsible for the monitoring and responses to the mail and correspondence received in department.
- Implements realistic goals for their area. (e.g. $’s billed, $’s received, lags, AR days, etc.)
- Attends workshops and seminars as required.
- Ensures timely completion of required reports, assignments and projects.
- Performs other related duties as required and assigned by the manager, director and/or vice president.
- HS/GED; specialized training; degree and discipline)
- Medical/hospital accounts receivable experience helpful.
- Accounts receivable knowledge (hospital/third party).
The Mount Sinai Health System believes that diversity is a driver for excellence. We share a common devotion to delivering exceptional patient care. Yet we’re as diverse as the city we call home- culturally, ethically, in outlook and lifestyle. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education and advancement as we revolutionize medicine together.
We work hard to acquire and retain the best people, and to create a welcoming, nurturing work environment where you can develop professionally. We share the belief that all employees, regardless of job title or expertise, can make an impact on quality patient care.
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Over 38,000 employees strong, the mission of the Mount Sinai Health System is to provide compassionate patient care with seamless coordination and to advance medicine through unrivaled education, research, and outreach in the many diverse communities we serve.
Formed in September 2013, The Mount Sinai Health System combines the excellence of the Icahn School of Medicine at Mount Sinai with seven premier hospital campuses, including Mount Sinai Beth Israel, Mount Sinai Beth Israel Brooklyn, The Mount Sinai Hospital, Mount Sinai Queens, Mount Sinai West (formerly Mount Sinai Roosevelt), Mount Sinai St. Luke’s, and New York Eye and Ear Infirmary of Mount Sinai.
The Mount Sinai Health System is an equal opportunity employer. We promote recognition and respect for individual and cultural differences, and we work to make our employees feel valued and appreciated, whatever their race, gender, background, or sexual orientation.