Job Responsibilities:

• Understands and is knowledgeable of all work role responsibilities of the Patient Account Representative.
• Participates in and oversees the processes relating to the charge capture, coding, charge entry and financial counseling processes, including the supervision of any assigned staff and/or resources.
• Works with Corporate and Department management to develop and maintain policies and procedures relating to and in support of the Departments and Corporations Compliance Program for Professional Fee Reimbursement.
• Works with assigned staff to make sure they have appropriate access and training for the electronic and manual systems deemed necessary as part of their role.
• Assists in ensuring that appropriate guidelines and forms exist and are sufficient for accurate and comprehensive charge capture and coding purposes.
• • Assists in auditing work of assigned employees to ensure accuracy.
  • Monitors the effectiveness of charge capture and coding processes.
  • Works to develop controls and reconciliations that assist in ensuring that all charges and performed services are captured in assigned area(s).
• Provides various reports, both monthly and ad-hoc, as defined and requested utilized either the practice management system or an available external reporting solution.
• Supports and/or supervisors the precertification process for scheduled procedures as necessary, including communication of any balances due to the patient.
• Researches, monitors and implements payer regulations and guidelines related to revenue cycle activities within assigned area(s).
• Manages assigned staff and resources accordingly, consistent with both UP&S and Departmental guidelines and expectations.