* Ensures that appropriate/necessary information is obtained, to include insurance verification and pre-certification,
for patient registration and billing purposes. Conforms with guidelines as specified by hospital and departmental
policy and procedure. 20%
* Monitors daily collection report and In-House Accounts over $25,000.00 (where applicable) to ensure that hospital
and departmental policies and procedures are followed. Works collaboratively with the Manager to correct
deficiencies.15%
* Evaluates work processes/procedures; identifies and resolves problems; and develops, recommends, and
implements process changes to improve productivity and reduce costs. Updates policies and procedures as
needed.10%
* Ensures departmental Quality and Compliance to include the following:
-Evaluate work processes/procedures
-Identify and resolve problems
-Ensures timely submission of audits
-Develop, recommend and implement process changes. 10%
* Develops and maintains work schedule within budgeted parameters. Establishes priorities, assigns work, and
monitors work flow to meet Greenville Hospital System goals for days outstanding and customer service targets.
10%
* Maximizes reimbursement by ensuring compliance with third party requirements, including precertification and
insurance verifications. Keeps abreast of reimbursement requirements and maintains current knowledge of
applicable government, managed care, and/or third party regulations and guidelines. Ensures compliance and
communicates discrepancies to appropriate personnel or departments, i.e., Patient Account Services, Managed
Care. 10%
* Coaches and follows up regularly (either directly or through team leaders) with employees on quality audits,
productivity and customer service to ensure continuous improvements in those areas. 10%
* Selects, trains/orients assigns and supervises department staff (either directly or through team leaders). Develops
standards of performance, evaluates performance, and initiates or makes recommendations for personnel actions.
5%
* Ensures the appropriate utilization of the GHS progressive discipline policy for employees with performance,
behavior, or attendance problems. Ensures appropriate documentation of verbal counseling, warnings/reprimands,
suspensions and for-cause terminations. Reviews personnel actions for compliance with Federal/State laws and
regulations and GHS policies. Demonstrates excellent rapport and the ability to encourage open communication with
staff and resolve interdepartmental problems and conflicts. 5%
* Interprets and implements all hospital policies in addition to those related to admissions/discharge, credit &
collection, disclosure of confidential information and data and cash management. 5%
Supervisory/Management Responsibilities
Job has direct and/or indirect supervision of employees that may include final budget authority, hire/termination/ disciplinary authority, performance appraisal responsibility. Job will be considered a member of the management staff with direct reports.
Minimum Education
High School diploma or equivalent
Minimum Experience
5 years -Banking/finance, billing/collections, healthcare admissions, billing, insurance or credit/collections, including at least 1 year related healthcare and 1 year supervisory or lead level experience.
In lieu of the Above Minimum Requirements
Associates degree in business or related field plus four years in banking/finance, billing/collections, admissions and/or insurance, including 1 year related healthcare experience and 1 year supervisory or lead level experience; OR Bachelor's degree in business or related field plus 3 years banking/finance, billing/collections, admissions and/or insurance, including 1 year related healthcare experience and 1 year supervisory or lead level experience .