• Job Description

  Req#: 3937

  ABOUT SHERIDAN MEMORIAL HOSPITAL

  At Sheridan Memorial Hospital, we proudly rank in the top 13.6% of U.S. hospitals, recognized by the Centers for Medicare and Medicaid Services. With over 850 dedicated employees and 100+ expert providers across 25 specialties, we are committed to exceptional, patient-centered care. Set in northern Wyoming’s stunning Big Horn Mountain foothills, Sheridan offers outdoor adventure and community charm. Our hospital combines cutting-edge technology with a collaborative, innovative culture. Join a team that values your skills, fosters growth, and empowers you to impact lives meaningfully. Apply today and be part of Sheridan Memorial Hospital’s mission of excellence!

  Summary
  
  
  
  Service excellence and a culture of kindness are priorities for Sheridan Memorial Hospital. The Patient Accounts Manager must have strong leadership and managerial skills to directly oversee the staff supervision and daily operations of the Patient Account department. The Patient Account Manager works in a strong team environment to provide exceptional customer service on all levels. This manager oversees patient account departments for the hospital and clinics, and financial clearance, including but not limited to pre-registration and insurance verification. The vision of the Patient Account department is to create a patient centered experience that focuses on meeting patient’s needs at the moment they are realized to stay in the forefront.

  
  
  Essential Job Functions

  
  
  • Develop the department’s operational plan and direct/support staff in execution of departmental goals.
  
  
  • Develops, implements, and maintain the annual operating budget, ensuring that operations are managed within established guidelines
  
  
  • Ensure accuracy of patient data and fiscal information by reviewing audits and other reports of patient data and fiscal information to provide recommendations for continual process improvement.
  
  
  • Stays current with changes imposed by Medicare, Medicaid, and Commercial Insurances as well as Federal and State laws affecting health care and assisting hospital staff in utilizing the clearinghouse and 3M; recommends process improvements or policy changes accordingly as appropriate.
  
  
  • Offers guidance to employees related to Point-of-Service collection activity and helping to educate patient. Ensures timely education of staff as to how to identify patient liability, collect, and record payments in appropriate system. Supervises billing and collection activity and serves as a resource person for billing matters and for issues involving reimbursement from third party payers.
  
  
  • Supervises and evaluates staff within the Patient Accounts Department.
  
  
  • Demonstrates the ability to direct and coordinate the patient accounting function in order to consistently produce accurate bills that are paid in a timely manner.
  
  
  • Monitors activities continually with collection agencies, insurance companies, admitting, and health information.
  
  
  • Monitors daily the GL Default Error Report in Cerner Revenue Cycle, correct transactions as needed at the encounter level and makes appropriate changes to the Cerner GL Set up as necessary.
  
  
  • Reviews and approves refunds.
  
  
  • Effectively utilizes and understands Cerner Revenue Cycle software in order to realize its optimal potential and to be able to evaluate and answer staff member questions regarding the mechanics of the system.
  
  
  • Coordinates with other departments in review of appeals for payment, gathering added documentation to support pursuit of an appeal as needed. Works effectively with auditors as required; demonstrates cooperation and responsiveness.
  
  
  • Has good working knowledge of APCs, DRGs, CPT, HCPCS, ICD-9-CM, ICD-10 and other coding classification systems and their impact on billing processes.
  
  
  • Maintains a current awareness of third-party reimbursement regulations and contractual arrangements with third party payors.
  
  
  • Holds staffing levels in the billing/collection areas at a functional minimum. Oversees staff productivity and efficiency.
  
  
  • Oversees and monitors patient accounts referred to outside collection agencies for the collection of outstanding patient account balances.
  
  
  • Identify areas of opportunity through education and formal training of the team.
  
  
  • Participates in ongoing quality monitoring, policy review, and process improvement activities.
  
  
  • Maintains professional and technical knowledge by attending educational workshops and conferences; reviewing professional publications; establishing personal networks; and participating in professional societies.
  
  
  • Provides information and ideas regarding strategy, operational initiatives, and policies to Senior Leadership. Demonstrates experience with billing.
  
  
  • Demonstrates experience developing and implementing team and process improvements.
  
  
  

  
  
  LEADERSHIP AND HUMAN RESOURCE MANAGEMENT

  Demonstrates consistent leadership performance and behavior by actively being engaged in making SMH/BHHN a five-star provider of quality care by being a positive force within the organization and actively promoting teamwork and harmony. Delegates effectively and supervises follow-through. Persuasive, fair, impartial, sets high standards, and ensures clear focus and direction. Achieves desired results with support, confidence and integrity. Regularly recognizes achievements of others. Leads others to success, supporting individual and team accomplishments.
  
  
  
  Supervisory duties and responsibilities include:

  
  
  • Writes and conducts annual performance appraisals and ensures regular feedback, coaching, and communication with group.
  
  
  • Ensures high level of performance standards and achievement to meet organization needs and business goals.
  
  
  • Provides development opportunities for staff to broaden and enhance skills and abilities.
  
  
  • Administers organization policies and procedures.
  
  
  • Ensures compliance with safety policies and good housekeeping.
  
  
  • Manages initial training of new employees and ongoing training as required.
  
  
  • Promotes an environment that fosters team work and commitment to satisfy customer requirements.
  
  
  

  POSITION QUALIFICATIONS

  Education / Experience / License and Certifications

  
  
  • Minimum of 3 years supervisory experience, preferred.
  
  
  • Minimum of 3 years of related experience, preferred.
  
  
  • Associates degree business or equivalent related experience, required; BA Bachelor degree preferred. Minimum of two years of experience leading a team in a Health Care environment, required.
  
  
  

  Additional Skills

  
  
  • Basic computer knowledge
  
  
  • Proficient in the use of Lean management practices.
  
  
  • Excellent written and verbal communication; proficient use of English language. Exercises a high degree of initiative, judgment, and discretion.
  
  
  • Demonstrates solid abilities to analyze situations accurately and taking effective action.
  
  
  • Establishes and maintains effective work relationships establishing and maintaining effective working relationships.
  
  
  • Proficient in organizing work, delegating and achieving goals and objectives.
  
  
  • Demonstrates high level of judgment and discretion in developing, interpreting, and implementing policies and procedures.
  
  
  • Works effectively with physicians, other medical staff, and external agencies.
  
  
  • Demonstrates excellent customer relations skills.
  
  
  

  
  
  Disclaimer: The above description has been designed to indicate the general nature of work performed within this position.
  
  

  Specific demands not listed: Possible exposure to blood and or body fluids / infectious disease / hazardous waste requiring the use of Personal Protective Equipment. Exposure to odorous chemicals / specimens and Latex products.

  Pre-employment drug and alcohol screening is required.

  Sheridan Memorial Hospital is an equal opportunity/Affirmative Action employer and gives consideration for employment to qualified applicants without regard to race, color, religion, age, sex, national origin, disability or protected veteran status. If you would like more information about your EEO rights as an applicant under the law, please click here.

• About the company

  Offering quality health care, Sheridan Memorial Hospital serves all residents in Sheridan, Wyoming We offer primary care, cardiology services and more.

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