Regional Director AR

Regional Director of Accounts Receivable

Job Description:

The Regional Director of Accounts Receivable provides leadership in coordinating office services, accounts receivable, records control, marketing, and special projects; organize and administer the business and administrative office; and contribute to effective communication and pleasant working conditions.

The Regional Director of Accounts Receivable directly manages, through proper planning and delegation, the Business Offices of the assigned skilled nursing facilities in a set Region. This includes business office managers, business office coordinators with direct report to the Vice President of Revenue at Home Office. This position is responsible for developing and implementing strategies to ensure corporate Accounts Receivable goals and objectives are achieved. Departments reporting to this position include all initial Billings for primary, secondary and tertiary claims; Follow-up for all payers and claims including single case agreements and managing resident/responsible party relationship for private collections. Responsible for leadership and strategic direction, oversight, coordination and standardization of the Accounts Receivable department. This position will require travel to all skilled nursing facilities.

Responsibilities:

A day in the life of a Regional Director of Accounts Receivable at Harborview Health Systems includes:

• Work closely with the VP of Revenue and Administrators at each facility to ensure Accounts Receivable goals and objectives are achieved.

• Monitors system metrics, including dashboards and accounts receivable reports, and conducts analytical reviews to determine where additional emphasis needs to be placed to ensure the goal of timely and proper account adjudication is accomplished.

• Manages the accounts receivable, follow up, reconciliation, and customer service functions for region assigned.

• Work closely day-to-day with business office managers, business office coordinators, home office billers and Administrators regarding financial system issues, billing guidelines, federal regulatory requirements, state mandates and compliance issues.

• Work closely with Information Technology company and payors to ensure technology needs are met and appropriate for Accounts Receivable and other departments with a negative impact on the facility revenue.

• Overall responsibilities include directing, leading and monitoring day-to-day activities and performance of all Accounts Receivable functions and serving as the subject matter expert for PCC, Ability and Payor Portals to support reimbursement measures for the company.

• Develop and implement clear and concise policies and procedures for end users in Accounts Receivable and, when appropriate, multiple disciplines. The latter includes Admissions, Accounting, and Medical Records.

• Attend and organize any meetings with clinical teams, responsible parties, and Administrators to ensure the exchange of information required for efficient operation of the accounts receivable department.

• Work with practices from all Regions as it related to workflow development for purposes of alignment of processes.

• Manage medical denials by providing timely feedback to appropriate practice leaders. Analyze underlying reasons for denials so they can be resolved and prevented in the future.

• Identifies opportunities for more efficient utilization of staff resources.

• Responsible for overall effectiveness and productivity of operations relating to functions and staff within the accounts receivable departments. Maintain appropriate staffing levels to accommodate optimal workload for the departments.

• Interacts with key personnel at payer organizations, federal and state intermediaries, as well as various professional associations to keep abreast of billing guidelines and rules, state mandates and federal regulatory requirements.

• Determines outsourcing needs and selects external vendors required for Patient Accounting functions.

• Ensures effective corporate compliance plans are developed and implemented for each department reporting to the position.

• Encourages a team environment with active supervisor and staff participation in relevant discussions regarding the performance of the patient accounting department, as well as maintaining open communication and accessibility for the staff, supervisors, and other management.

• Establishes clearly defined productivity targets and goals for the supervisors and staff and reports performance feedback.

• Maintain active participation for all resident and employee satisfaction initiatives.

• Reports to Revenue Operations significant Accounts Receivable compliance, system and other issues that have a negative impact on billing and reimbursement.

• Works with the VP of Revenue to provide timely feedback to Finance Leaders regarding Account Receivables for the region assigned. This includes aged receivables, bad debt reserve, and charity care. Prepares all account receivables analyses for inclusion in monthly financial packages.

• Maintains and, when appropriate, implements federal regulatory, state mandated, and third party guidelines relating to Billing, Registrations and Health Information. Ensures clinical areas take appropriate actions when there are financial implications.

• Other duties and/or projects as assigned.

Education, Knowledge, Skills and Abilities Required:

• Bachelor's degree in Business, Healthcare Administration or Finance preferred but not required. Experience is taken into consideration.

• Minimum of 10 years of management work experience in healthcare receivables or health insurance claims processing with a minimum of 5 years of experience as Manager or above responsibilities.

• Previous experience in a long-term care setting preferred.

• Extensive knowledge of Federal and State regulations and mandates relating to hospital billing and reimbursement.

• Strong leadership skills.

• Good written and verbal communication skills.

• Strong financial management and leadership skills.

• Good project management skills.

• Excellent knowledge of information technology and management information systems and how it can be used to improve operations.

• Good interpersonal and analytical skills.

• Fluent with computer applications.