Manager of Patient Financial Services

sjgov•Stockton, CA

About The Position

This examination is being given to fill 1 vacancy in San Joaquin General Hospital and to establish an eligible list to fill future vacancies. Resumes will not be accepted in lieu of an application. A completed application must be postmarked or received online by the final filing deadline. NOTE: All correspondences relating to this recruitment will be delivered via e-mail. The e-mail account used will be the one provided on your employment application during time of submittal. Please be sure to check your e-mail often for updates. If you do not have an e-mail account on file, Human Resources will send you correspondences via US Mail. PLEASE NOTE: This is a departmental promotion. Qualified applicants must currently be employed with San Joaquin County General Hospital and meet the promotional eligibility requirements as stated in Civil Service Rule 10, Section 3-Eligiblity for Promotional Examinations. CLASS CHARACTERISTICS An incumbent in this single position, management-level class has significant responsibility for contributing to the overall revenue cycle for San Joaquin General Hospital by assuring that billing, collections and other Business Office activities are performed in an efficient, effective and appropriate manner. The incumbent may also serve as a resource to other Health Care Services divisions by helping to coordinate and evaluate revenue processes and maximize reimbursements/cash flow. TYPICAL DUTIES Plans, organizes, coordinates, staffs and directs the clerical, technical and administrative work of the Business Office; through subordinate supervisors, provides appropriate guidance and administrative expertise to staff performing various patient billing, credit/collections, and related services; develops workload and productivity standards; assures that Business Office activities are performed in a manner that meets organizational needs while maintaining positive customer service and patient satisfaction. Assures adequate and appropriate Business Office staffing; selects, assigns, trains and evaluates subordinate personnel; takes appropriate action on disciplinary matters; verifies and assures staff proficiency; ensures that staff development needs are met and directs training and education activities as required; manages Office personnel and policy-related issues. Develops and implements goals, policies, strategies, and procedures for the effective and efficient management of activities in the Business Office and other areas of assignment; develops and implements action plans when changes are needed; coordinates and cooperates with other Health Care Services managers/staff, insurance providers, outside agencies, and others as needed to maximize revenues, cash flow, and billing compliance while minimizing accounts receivable days, bad debts, and write offs. Develops and implements quality control and quality improvement programs for the Business Office and other assigned areas; monitors work in progress as well as completed work to verify accuracy and efficiency; reviews, analyzes and interprets various complex reports and documents to evaluate and improve activities in assigned areas and ensure compliance with federal, state and other regulations; responds to complaints and seeks appropriate remedies. Prepares and administers the Business Office budget(s); monitors, evaluates and authorizes expenditures; oversees procurement of outside services as needed and coordinates with outside vendors as required to facilitate reimbursement; analyzes the cost/benefit of utilizing new procedures, products and/or equipment; plans and estimates future costs, including capital expenditures; justifies requests for equipment and personnel. Assures appropriate utilization of information technology and related tools to support assigned operations; participates in the planning, development and testing of new and/or upgraded computerized revenue cycle systems. Oversees the preparation and maintenance of various records and reports; resolves patient account discrepancies and negotiates settlements within limits of authority; assures that necessary communication of patient information is done appropriately and confidentially. Represents the Health Care Services agency to individuals and groups as assigned; attends meetings and conferences and participates on committees as assigned.

Requirements

Two (2) years as an Assistant Manager of Patient Financial Services in San Joaquin County.
Graduation from an accredited four-year college or university with a major in business or public administration, accounting, economics, finance, mathematics, health science or a closely related field.
Four years of supervisory experience in a health care setting within the last five (5) years including at least one year of direct Hospital Business Office experience supervising billing and follow up for at least three of the following payers – Medicare, Medi-Cal, Commercial and Contract Insurance, Third Party Liability and Self Pay collections.
Principles and practices of management, supervision and administration
Principles and practices of quality control, budgeting and fiscal analysis in a health care business setting
General hospital business practices and procedures
Advanced principles, methods, materials, techniques, and terminology related to health care services billing/collections
State and federal regulations related to the health care billing and reimbursement process
Current Medicare, Medicaid and insurance billing/collections practices
Current standards and requirements for medical bill coding
Medical CDM management
Medical managed care practices
Accreditation standards for hospital business office activities
Revenue cycle computer information and reporting systems
Data analysis and report writing techniques
Manage the revenue cycle activities of a hospital business office
Supervise staff in the performance of supervisory, paraprofessional, technical, and clerical hospital billing, collections and related work
Interpret complex health care billing regulations and ensure compliance with such regulations
Develop and administer budgets and perform related general management activities
Establish and maintain effective working relationships with third party payers, physicians, health care managers, patients, and others
Work cooperatively with others
Influence positive process changes
Utilize complex information technology to maximize the efficiency and quality of revenue cycle activities
Analyze and interpret complex data and draw logical conclusions to develop and address revenue cycle operational processes
Communicate effectively, orally and in writing

Responsibilities

Plans, organizes, coordinates, staffs and directs the clerical, technical and administrative work of the Business Office
Develops workload and productivity standards
Assures adequate and appropriate Business Office staffing
Selects, assigns, trains and evaluates subordinate personnel
Develops and implements goals, policies, strategies, and procedures for the effective and efficient management of activities in the Business Office and other areas of assignment
Develops and implements quality control and quality improvement programs for the Business Office and other assigned areas
Prepares and administers the Business Office budget(s)
Assures appropriate utilization of information technology and related tools to support assigned operations
Oversees the preparation and maintenance of various records and reports
Represents the Health Care Services agency to individuals and groups as assigned

Benefits

Health Insurance : San Joaquin County provides a comprehensive benefits package to employees of this bargaining unit. The benefits include the option of three medical plans: a Kaiser Plan, a Select Plan, and a Premier Plan. Employees pay a portion of the cost of the premium. Dependent coverage is also available.
Dental Insurance : The County provides employees with a choice of two dental plans: Delta Dental and United Health Care-Select Managed Care Direct Compensation Plan. There is no cost for employee only coverage in either plan; dependent coverage is available at the employee’s expense.
Vision Insurance : The County provides vision coverage through Vision Service Plan (VSP). There is no cost for employee only coverage; dependent coverage is available at the employee’s expense.
Life Insurance : The County provides eligible employees with life insurance coverage as follows: 1 but less than 3 years of continuous service: $1,000 3 but less than 5 years of continuous service: $3,000 5 but less than 10 years of continuous service: $5,000 10 years of continuous service or more: $10,000 Employees may purchase additional term life insurance up to a maximum of $200,000 at the group rate. Regular employees in this unit shall be provided with a supplemental life insurance policy with a face value up to $75,000.
125 Flexible Benefits Plan : This is a voluntary program that allows employees to use pre-tax dollars to pay for health-related expenses that are not paid by a medical, dental or vision plan (Health Flexible Spending Account $2550 annual limit with a $500 carry over); and dependent care costs (Dependent Care Assistance Plan $5000 annual limit).
Retirement Plan : Employees of the County are covered by the County Retirement Act of 1937.
Deferred Compensation : The County maintains a deferred compensation plan under Section 457 of the IRS code. You may annually contribute $22,500 or 100% of your includible compensation, whichever is less. Individuals age 50 or older may contribute to their plan, up to $30,000. The Roth IRA (after tax) is also now available.
Vacation : Maximum earned vacation is 10 days each year up to 3 years; 15 days after 3 years; 20 days after 10 years; and 23 days after 20 years.
Holiday : Depending on date of hire into the unit, employees earn either 10 or 14 holidays per year.
Administrative Leave : Each fiscal year, department heads grant 10 days of administrative leave to eligible salaried employees. Administrative leave may not be carried beyond to the next fiscal year.
Sick Leave : 12 working days of sick leave annually with unlimited accumulation.
Sick leave incentive : An employee is eligible to receive eight hours administrative leave if the leave balance equals at least one-half of the cumulative amount that the employee is eligible to accrue. The employee must also be on payroll during the entire calendar year.
Bereavement Leave : 3 days of paid leave for the death of an immediate family member, 2 additional days of accrued leave for death of employee’s spouse, domestic partner, parent or child.
Merit Salary Increase : New employees will receive the starting salary, which is the first step of the salary range. After employees serve 52 weeks (2080 hours) on each step of the range, they are eligible for a merit increase to the next step.
Educational Reimbursement Program : Eligible employees may be reimbursed for career-related course work up to a maximum of $850 per fiscal year. Eligible employees enrolled in an approved four (4) year College or University academic program may be reimbursed up to $800 per semester for a maximum of $1600 per fiscal year.
Parking Supplemental Downtown Stockton : The County contributes up to $20 per pay period for employees who pay for parking and are assigned to work in the Downtown Core Area.
School Activities : Employees may take up to 40 hours per year, but not more than eight (8) hours per month, to participate in their children’s school activities.