Director, Patient Financial Services Job in Atlanta, Georgia Us
The purpose of this position is to achieve a level of high performance in billing, collections, remittance posting and customer service through directing and managing the entire claims process. This position is responsible for providing leadership in achieving a high level of quality and efficiency in managing the organization's Accounts Receivable, as well as the employees within the department. The Director of Patient Financial Services must provide strategic vision to the department; create a culture of compliance, ethics, integrity and accountability; and, maintain knowledge of and assure adherence to state and federal regulatory requirements and accreditation standards; while orchestrating the daily activities necessary to achieve the organization's critical performance indicators. Additionally, this position must oversee development, modification, implementation and monitoring of policies and processes, and continually seek mechanisms to streamline and automate activities to maximize the effectiveness of the department. This role is a key member of the Revenue Cycle team with involvement in decisions affecting all other departments within the Revenue Cycle.
SUMMARY (ESSENTIAL JOB DUTIES)
Partners with all areas of the revenue cycle to establish and execute a single, strategic, integrated operational business plan
Participates in the identification, design, and implementation of revenue improvement initiatives
Ensures compliance with administrative/legal requirements of government regulations concerning Medicare, Medicaid, Workers' Compensation, and organizational fee schedules
Accountable for the development and adherence to operational controls, particularly in claims submission, payment posting and cash handling.
Accountable for establishing system-wide Patient Financial Services policies and procedures for both hospital and clinics to ensure compliance with laws, regulations, and other standards
Ensures all critical business needs and requirements are identified and met with as much automation as possible, including (but not limited to) workflow enhancements and bolt-on ancillary technology, as necessary
Delegates authority to Managers and Supervisors for management of day-to-day operations and the completion of special projects
Develops staff that can analyze departmental and individual performance, and recommend on-going improvements to processes, procedures, systems and reports based on identified performance gaps
Continually assesses and develops an organizational structure that supports high-performance results during significant system and operational changes
Improves individual and departmental performance through effective use of resources, analysis of key financial, clinical, and productivity indicators, and application of proven, industry best-practice strategies
Develops appropriate reporting to support daily operations, as well as for dissemination to various levels of management, as necessary
Collaborates with the Epic team to ensure that billing software is updated to generate correct billing according to payer requirements and optimized in all areas of the revenue cycle, and to ensure that system monitoring tools to streamline operations and improve receivables are in place
Supports on-going work with community benefit and charity care
Provides information and support during annual audits
Maintains a cost effective operation including timely and appropriate budget preparation, expense control, and effective management of resources
Ensures training activities incorporate all applicable local, state/federal laws and regulations
Supervises assigned staff including interviewing, selecting, training, motivating, evaluating, counseling, disciplining, and terminating in compliance with EEO goals and personnel policies of the organization
Accountable for consistently demonstrating the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive services
Other duties as assigned
JOB REQUIREMENTS
Bachelor's Degree in a business or health care related field or equivalent education, training and/or experience required
Minimum of seven (7) years progressive hospital patient financial accounting/services responsibility
Minimum of five (5) years management experience in patient financial services in an acute care hospital, with oversight responsibility of 25+ FTEs
Prior experience must include a significant role in a redesign project and/or management experience working in a highly automated environment
Expert knowledge of government and non-government payer requirements such as Medicare, Medicaid, Workers' Compensation, Commercial Insurance, and Health Maintenance Organizations (HMOs)
Experience with facility and pro-fee billing
Strong analytical and organizational skills
Ability to adjust to changes in operations in order to meet program needs
Customer Service oriented
Demonstrated ability to work effectively across the revenue cycle, operations and IT environments to affect positive change
Extensive familiarity with standard patient accounting and ancillary systems required. Previous experience with an electronic medical record, Epic, and ePremis preferred
Advanced proficiency with Microsoft Office products (Word, Excel, PowerPoint) necessary
HR Use Only:
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