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Patient Accounts Manager

Description

Position Close Date: April 24, 2025


The PUYALLUP TRIBAL HEALTH AUTHORITY, located in Tacoma, Washington is seeking a Patient Accounts Manager to supervise the billing and claims staff and manage the patient billing functions for PTHA. The Patient Accounts Manager directly oversees payment of outside claims for all PTHA external service operations to ensure timely and accurate payments for health services rendered.


“It is the mission of the Puyallup Tribal Health Authority to provide quality healthcare and promote wellness in a culturally appropriate manner.”


We offer an outstanding workplace, competitive market based salary, and benefits packages including:

  • Monday – Friday schedule
  • Medical/Dental/Vision benefits – monthly premiums paid 100% for employees
  • 18+ annual paid holidays
  • Generous paid sick and vacation accruals
  • 401(k) with annual profit sharing
  • Life & AD&D insurance coverage
  • PTHA is an approved loan repayment site for various programs
  • Employee Assistance Program
  • Excellent work/home life balance


ESSENTIAL FUNCTIONS:

  • Supervise daily activities of the billing, claims, and coders and collections staff. Provide ongoing training and performance evaluations annually or as needed. Ensure staff have access to all necessary resources to complete job functions.
  • Manage and upgrade systems and procedures annually or as needed for processing patient billings, insurance eligibility, claims, and accurate coding of patient services to maximize cash flow and minimize expenses.
  • Responsible for ensuring accurate and timely processing and payment of outside claims for health services, including Purchased Referred Care and Tribal Member Referred Services. Work closely with Third Party Administrator (TPA) to ensure efficient processing and reduce outstanding claims.
  • Manage and upgrade systems to actively support Puyallup Tribal members in avoiding collections on their healthcare claims and assist in resolving any claims currently in collections.
  • Interpret and apply insurance, billing, coding, and financial laws and regulations to ensure compliance. Stay current with changing laws, regulations, and systems as needed.
  • Audit weekly check register for eligibility, referral, accurate payment type, and correct fund.
  • Review and approve checks for external claims.
  • Review weekly Prescription Benefit Manager (PBM) invoices and monthly Third Party Administrator (TPA) statements and request payment. Reconcile Costco statements with invoices monthly.
  • Complete and submit monthly and quarterly statistical, financial, and activity reports.
  • Develop and monitor billing, claims, and coding budgets monthly.
  • Promptly handle sensitive billing issues and external service-related management conflicts.
  • Develop provider training updates annually or as needed in conjunction with the Coding Auditor.
  • Review and track overpayments and payer refund requests. Post refunds in the electronic health record system and request refund checks.
  • Credential billing providers with Medicare, Medicaid, L&I, and any other commercial payer that PTHA is contracted with.
  • Stay current with re-credentialing requirements and facility commercial insurance contracts and updates.

Requirements

  • Bachelor’s degree in medical administration, accounting, or related field.
  • Current/Active Certified Professional Coder (CPC) certification preferred.
  • Five (5) years’ experience working in a family practice medical billing setting.
  • Five (5) years’ experience supervising two (2) or more staff.


Average salary estimate

$77500 / YEARLY (est.)
min
max
$70000K
$85000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Patient Accounts Manager, Puyallup Tribal Health Authority

Are you ready to take your career to the next level as a Patient Accounts Manager at the Puyallup Tribal Health Authority in beautiful Tacoma, Washington? In this key role, you'll be the mastermind behind our billing and claims operations, ensuring that our patients receive the quality healthcare they deserve without the stress of billing nightmares. As the Patient Accounts Manager, you will supervise an exceptional team of billing, coding, and collections staff, guiding them through daily activities while also providing ongoing training and performance evaluations. You'll play a crucial role in managing and upgrading our systems to maximize cash flow and minimize expenses. This position isn't just about numbers — it's about making impactful decisions that benefit our community. From interpreting insurance laws to auditing payment types, your expertise will help keep our services running smoothly. We're dedicated to providing quality healthcare in a culturally appropriate manner, and with your leadership, we’ll continue making a significant difference. Plus, enjoy fantastic benefits such as comprehensive health coverage, generous paid time off, life insurance, and a supportive work-life balance. If you're passionate about healthcare administration and ready to make a meaningful impact, we want to hear from you!

Frequently Asked Questions (FAQs) for Patient Accounts Manager Role at Puyallup Tribal Health Authority
What are the daily responsibilities of a Patient Accounts Manager at Puyallup Tribal Health Authority?

As a Patient Accounts Manager, your daily responsibilities include supervising billing, claims, and coding staff, ensuring processes are efficient, and ensuring compliance with financial laws. You'll manage patient billing functions, oversee payment processing for outside claims, and work closely with the Third Party Administrator to minimize outstanding claims. Your role is essential in supporting Puyallup Tribal members by guiding them through billing issues and ensuring timely payments.

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What qualifications are required for the Patient Accounts Manager position at Puyallup Tribal Health Authority?

To qualify for the Patient Accounts Manager position at Puyallup Tribal Health Authority, you need a Bachelor’s degree in medical administration, accounting, or a related field, coupled with five years of experience in family practice medical billing. Additionally, it’s crucial to have five years of supervisory experience managing a team. While a Certified Professional Coder (CPC) certification is preferred, it is not mandatory.

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How does the Puyallup Tribal Health Authority ensure accuracy in patient billing?

The Puyallup Tribal Health Authority prioritizes accuracy in patient billing by continuously managing and upgrading systems and procedures related to billing and claims. The Patient Accounts Manager is responsible for training staff on coding, conducting audits, and ensuring compliance with financial regulations. Regularly reviewing and processing claims efficiently reduces errors and enhances the overall billing experience for both staff and patients.

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What benefits does the Patient Accounts Manager role offer at Puyallup Tribal Health Authority?

The Patient Accounts Manager role offers an impressive benefits package, including 100% covered medical, dental, and vision premiums for employees, 18+ annual paid holidays, generous sick and vacation accruals, and a 401(k) with annual profit sharing. PTHA also provides an excellent work-life balance, making it a desirable workplace for professionals in the healthcare field.

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What can one expect during the onboarding process for the Patient Accounts Manager at Puyallup Tribal Health Authority?

During the onboarding process for the Patient Accounts Manager at Puyallup Tribal Health Authority, you can expect comprehensive training that covers office policies, billing systems, and compliance regulations. You'll also receive resources and tools to help you efficiently manage and supervise your team. Support from senior leadership will ensure you have all you need to succeed in your new role.

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Common Interview Questions for Patient Accounts Manager
Can you describe your experience with medical billing and coding in a healthcare setting?

When answering this question, focus on your specific roles and responsibilities in previous positions, highlighting your proficiency in medical billing systems and coding standards. Provide examples of how you've encountered and solved challenges in the billing process.

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How do you handle conflicts within your team when it comes to billing issues?

Emphasize your conflict resolution skills, discussing your approach to open communication and collaboration. Describe a specific situation where you successfully resolved a disagreement and the positive outcome it led to.

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What strategies do you implement to ensure compliance with healthcare billing regulations?

Discuss your familiarity with healthcare regulations and the importance of staying up-to-date with changes in laws. Outline methods you use to educate your team and establish auditing procedures to maintain compliance.

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How do you prioritize tasks in a fast-paced medical billing environment?

Share your time management strategies, such as the use of task lists, prioritizing urgent claims, and delegating responsibilities effectively. Providing an example of a high-pressure situation can demonstrate your skills.

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What experience do you have with insurance claim processing and resolution?

Detail your hands-on experience in processing insurance claims and how you navigate the complexities of claim rejections and resolutions. Mention tools and software you’ve used and your success rate in resolving claims promptly.

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What steps do you take to maintain billing accuracy and efficiency?

Elaborate on your proactive approach to maintaining billing accuracy, such as regular audits, staff training, and efficient use of technology. Providing real metrics regarding your success can further enhance your answer.

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How do you train your team on the latest billing procedures or software?

Explain your approach to training, including onboarding practices, ongoing development, and creating accessible resources. Give an example of a successful training session you conducted and its impact on the team’s performance.

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Can you give an example of a challenging billing issue you faced and your approach to resolve it?

Choose a specific, relevant example that illustrates your problem-solving skills. Discuss the steps you took to address the issue, what you learned, and how it influenced your future approach.

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How do you ensure a positive patient experience regarding billing inquiries?

Talk about the balance of efficiency and empathy in dealing with patients. Provide methods you use to handle inquiries sensitively, ensuring patients feel heard and valued while also keeping the process efficient.

Join Rise to see the full answer
What can you contribute to our organization as the Patient Accounts Manager?

Highlight your unique skills and experiences that align with the goals of the Puyallup Tribal Health Authority. Discuss how your leadership style, knowledge of billing practices, and commitment to community healthcare will contribute positively to the organization.

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EMPLOYMENT TYPE
Full-time, on-site
DATE POSTED
April 12, 2025

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