Director, Patient/Financial Services

• Position Summary
  • The Director of Patient Financial Services reports to the Vice President of Revenue Cycle and is responsible for directing, supervising and coordinating the functions of Patient Accounts (Billing, Follow-up, and Cash Posting), Customer Service, and Denial Management/Prevention in accordance with health system policies and regulatory requirements. The Director of Patient Financial Services provides leadership and establishes/promotes achievement of goals to improve the revenue cycle for all services provided by the hospitals. Completes and maintains managers and co-worker schedules making changes according to the needs of the company, patient flow, volumes, and financial goals. This position will work closely with the VP of Revenue Cycle and other management to set and achieve department goals and document process flow improvement opportunities to improve overall revenue cycle key performance indicators (KPI's). Monitor co-worker productivity, quality, track department goals, and ensure appropriate follow-up procedures are in place for co-worker education. Administer departmental incentive plans by establishing and communicating clear measurable goals. Collaborate with Human Resources and the management team during the new hire process, evaluating performance, and administering employee corrective action. Responsibly that all policies are procedures are well documented and adhered to. Ensure that Centers of Medicare & Medicaid Services (CMS) and State Government regulations are followed and adhered to including Health Portability and Accountability Act (HIPAA) laws. This role will work closely with members of the revenue cycle leadership team to ensure operation efficiency and ensure that all patient financial services departments meet compliance requirements.
• Education
  • Bachelors of Business - Preferred
• Experience
  • 5-7 Years Hospital Revenue Cycle Management - Required
• License & Certification
  • None Required
• Core Job Functions
  • Develops, evaluates, and monitors processes to maintain net days in accounts receivable and the percentage of accounts receivable over 90 days at or below established levels. Maintains cash receipts cash receipts at 100% or more of the prior month's net revenue. Develops, implements and maintains billing, collection, and financial assistance policies to ensure compliant and efficient collections.
  • Evaluates denied and underpaid claims for best possible approach to facilitate resolution. Works with Payment Data Analyst to ensure correctness of denials and underpayments.
  • Oversee the process and posting of payments to assure contractual obligations are met. Reconcile batch, payment collections, A/R reports to assure departmental targets are met. Supervise the insurance representative and front office team members.
  • Meets monthly departmental goals for recovery of denials/underpayments. Reports denial/underpayment specifics and identifies trends. Improves methods for tracking, monitoring and appealing claim denials/underpayments.
  • Plans, prepares, implements and evaluates departmental operating and capital budgets; manages departments within planned budgets. Reviews monthly financial performance reports and prepares variance reports. Collaborates with appropriate health system personnel to maintain accurate charging and billing processes for department.

Salary : $56 - $87