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Position: Patient Financial Services Manager
Company: My Left Foot Children’s Therapy
Location: Las Vegas, NV
Job Type: Full-time, Salaried
Schedule: M-F, On-Site * NOT remote *
Salary: $50,000-$58,000
Relocation: $6,000 (out of state)
About Us:
My Left Foot Children’s Therapy was founded 18 years ago, with the same mission that we still hold dear today – “to make a REAL difference in the life of EACH child who walks through our doors.” At My Left Foot Children’s Therapy, we provide outpatient pediatric physical therapy, occupational therapy, and speech therapy to thousands of children every week. We currently have 7 pediatric outpatient clinics located in Las Vegas, NV, and the surrounding cities and communities of Henderson, North Las Vegas, Summerlin, and Green Valley. The success and continual growth we have achieved over the past 18 years is due to 1.) Our unwavering focus on providing our patients with the highest quality of care and 2.) Treating our employees the way WE would want to be treated.
About the Position:
My Left Foot Children’s Therapy is currently seeking a Patient Financial Services Manager to strengthen our management team. The major roles of the Patient Financial Services Manager at My Left Foot Children’s Therapy will be to lead, manage, and support a dynamic team of Patient Financial Service representatives, under the leadership of the Revenue Cycle Manager, in the day-to-day operations of our Patient Financial Services department, and to serve as an expert in matters pertaining to eligibility and insurance verifications, authorizations, coding, charge entries, payment postings, denials, follow-ups, appeals, claim resubmissions, researching claims, disputing underpayments and denials, and all laws and regulations related to all functions of the PFS department. This is a full-time, salaried position, working onsite daily.
Your Responsibilities as our Patient Financial Services Manager:
To lead, manage, and support a dynamic team of Patient Financial Service representatives, consisting of 2-4 supervisors leading a team of 14-19 PFS coordinators and specialists, in the day-to-day operations of our Patient Financial Services department
To serve as an expert in matters pertaining to eligibility and insurance verification, authorizations, coding, charge entries, payment postings, denials, follow-ups, appeals, claim resubmissions, researching claims, and disputing underpayments and denials
To continually stay abreast of the ever-changing Medicaid and 3rd party payor-specific regulations and ensure that My Left Foot Children’s Therapy is compliant with all regulations, including all billing and documentation requirements
To ensure that all PFS staff are up-to-date and well-informed of all required codes, billing forms, electronic claims processing tools, and documentation rules, and that they are adhering to all regulations, guidelines, statutes, and contract requirements
To ensure that all PFS staff are well-trained by PFS department supervisors, and equipped with the knowledge, skills, tools, and systems to perform their jobs efficiently
To ensure that all areas of the Patient Financial Services department are fully staffed, and all vacant positions are filled with qualified personnel
To review resumes of applicants for vacant Patient Financial Services positions, to select qualified candidates for interviews, to interview qualified candidates, and to hire the best candidates based on their skills, knowledge, experience, and abilities
To maintain PFS department work schedules, and to monitor attendance, punctuality, & performance
To receive time-off requests from Patient Financial Services staff, to approve or deny time-off requests per company policy, and to coordinate adequate coverage for all approved time-off requests
To ensure and coordinate adequate coverage for employee call-outs within the Patient Financial Services department
To conduct semi-annual performance reviews for all PFS coordinators and specialists, to prepare formal performance evaluations, to submit those evaluations to HR, and to set individualized personal performance goals and objectives for each PFS coordinator and specialist based on their evaluations
To ensure sufficient internal controls to maintain the integrity of all data processing activities and regular monitoring of all third-party reimbursement changes, denials, appeals, and unbilled revenue
To continually monitor and document key performance indicators within the Patient Financial Services department and to immediately report anomalies to the Revenue Cycle Manager
To prepare weekly, monthly, and annual Patient Financial Services departmental reports with specified KPIs, and submit them to the Revenue Cycle Manager
To conduct routine audits to ensure that all Patient Financial Service systems are functioning properly, and to identify and communicate any possible system problems or inefficiencies to the Revenue Cycle Manager
To proactively identify problems and provide appropriate solutions to all issues surrounding authorizations, claims, reimbursements, denials, or appeals with Medicaid or our commercial payors
To foster a culture of inclusivity, equality, and respect between our employees, our management, our patients, and our community
Will report directly to the Revenue Cycle Manager
Education:
Bachelor’s degree in Healthcare Administration, Business Administration, or a related field
Qualifications:
A thorough understanding of the complete Revenue Cycle including eligibility and insurance verification, coding, charge entry, payment posting, denials follow-up, appeals, claim resubmission, researching claims, and disputing underpayments and denials
Knowledge of medical terminology, medical insurance, Medicaid, electronic medical records, CPT codes, ICD-10 coding, and HIPPA compliance requirements
Experience with current healthcare and analytic technologies and systems
Experience:
Must possess a minimum 2 years’ experience in Healthcare Revenue Cycle Management
Must possess a minimum of 2 years’ experience in management/supervision of employees in a healthcare setting
Benefits:
Group Health Insurance (we pay 50% of base plan premiums)
Dental Insurance (including Orthodontics)
Vision Insurance
AFLAC Coverage option (Hospital, Accident, Vision, Life Insurance, and Short-Term Disability)
Paid Vacation/Personal Time
Employee 401(k) Retirement Plan w/Company Match (After 1-Year of Service)
Free Counseling Visits, Free Financial Consultation, Free Legal Consultation, and Free Crisis Consultation through our EAP Program (for employees enrolled in our medical plans)
EEO Statement:
My Left Foot Children’s Therapy provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
