Patient Financial Services (PFS) Manager

OrthoNebraska creates the inspired healthcare experience all people deserve by giving people a direct path to personalized care and life-enhancing outcomes. With a focus on safety and people, we set the bar high in providing high-quality care with an unmatched experience. Our team members are critical to our success and growth and are rewarded for their dedication and hard work. IF this sounds like the type of team and environment you want to be a part of apply today!

Position Summary: The PFS Manager, oversees the daily operations of billing, collections, and account resolution within the revenue cycle. This role focuses on staff development, process improvement, and performance monitoring to ensure efficient workflows, compliance, and achievement of key financial metrics. The PFS Manager collaborates with internal teams and external partners to support optimal revenue cycle outcomes. Teamwork is key within this department as we are dedicated to ALWAYS TRUE, in promoting trust, respect, understanding and engagement with all our team members.

Position details

Position Requirements

Education: Bachelor's degree in a health-related field or a combination of credentials and equivalent experience required.

Licensure: N/A

Certification: N/A

Experience: 7+ years' experience in a healthcare setting, with a proven track record demonstrating in-depth knowledge of hospital billing and reimbursement, payer contracts, and upfront collection practices required.

Required Knowledge/Skills/Abilities

• Strong time management skills and ability to manage multiple priorities.
• Calm, rational decision-making with the ability to communicate detailed explanations clearly and concisely.
• Ability to meet demands and project deadlines in a dynamic and evolving environment.
• Skilled in staff education and collaboration across departments.
• Strong conflict resolution and problem-solving abilities.
• Effective verbal and written communication skills.
• Sensitivity and professionalism in handling confidential and patient-related matters.

Essential Job Functions

• Coordinate daily activities for staff development, including hiring, training, modifying work standards, documentation, and regular team communication.
• Review patient accounts to identify, resolve, and prevent billing and processing issues in a timely and efficient manner.
• Address patient inquiries while providing high-level customer service and issue resolution.
• Collaborate with IT and other departments to develop and optimize business systems, ensuring timely and accurate system implementation.
• Monitor daily operations and assign resources as needed to achieve department goals and KPIs.
• Develop and manage both short- and long-term business plans for the department.
• Approve, coordinate, and support financial planning, including budgets for each department.
• Analyze statistical indicators and KPIs to identify trends and recommend opportunities for performance improvement.
• Plan, coordinate, and prepare for interactions with public accounting firms and third-party auditors related to accounts receivable operations.
• Perform other duties as assigned, aligned with demonstrated competency and the evolving needs of the department.

Physical requirements: This position is classified as Sedentary Work in the Dictionary of Occupational Titles, requiring the exertion of up to 10 pounds of force occasionally) up to (33% of the time) and/or a negligible amount of force frequently (33%-66% of the time) to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time.