Patient Financial Services Representative Lead - York - Days

WellSpan Health

  • York, PA
  • 8 days ago

    Highlights

    Performs various functions to complete and expedite the billing, claims corrections, appeals and/or payment posting/refund process including reviewing and reconciling a variety of reports. Common Expectations: Establishes and maintains communication with ancillary departments/entities to facilitate problem solving and continuous process improvement.

    Numbers & Facts

    LocationYork, PA

    Description

    Duties and Responsibilities

    Essential Functions:

    • Oversees the work of other personnel by training, allocating and monitoring work. Acts as a subject matter expert (SME) and may cover for PFS staff as needed.
    • Maintains oversight of staff-assigned work queues, including volume and activity, payor days in AR, AR metrics, productivity, and performance.
    • Assists with annual performance evaluations by providing feedback to Supervisor or Manager on individual employees.
    • Assists Supervisor or Manager with the interview process, onboarding and training new staff members.
    • Trains new hires and conducts training for existing employees as needed. Completes monthly audits on other staff members' work.
    • Performs various functions to complete and expedite the billing, claims corrections, appeals and/or payment posting/refund process including reviewing and reconciling a variety of reports.
    • May interact with a variety of governmental agencies.
    • Reviews accounts and maintains contact with third parties to ensure timely payments. May assist staff with follow-up and/or resolution of accounts.
    • Acts as a resource for business office staff, Access ED Staff and PAS IT staff.
    • Identifies trends, quantifies impact, and escalates as appropriate for resolution
    • Assumes responsibility to lead projects as requested; may also lead process improvement initiatives for department.

    Common Expectations:

    • Establishes and maintains communication with ancillary departments/entities to facilitate problem solving and continuous process improvement.
    • Assists in developing, establishing and maintaining policies, procedures and standards.
    • Maintains appropriate records, reports, and files as required.
    • Maintains departmental records and reports and collects statistical data for administrative and regulatory purposes.
    • Participates in educational programs and inservice meetings.
    • Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

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