JOB SUMMARY
Under general direction of the senior financial officer/director, develops departmental policy; is responsible for the financial counseling, billing, collection, and cash management and reconciliation process; manages and coordinates resources and activities of teams to ensure departmental goals are met; performs trend analysis and produces reports; identifies and resolves problems, for the purpose of achieving the departmental goal of ensuring maximum revenue and cash flow beneficial to the hospital.
Reports To: Finance Director
Classification: Exempt
Supervises: Billers, Payment Posters, Cashiers, Collectors
QUALIFICATIONS
- Bachelor’s degree in accounting or business preferred and 5-7 years management experience in healthcare revenue cycle and billing management.
- Thorough knowledge of federal, state and local laws, rules, regulations and policies as they are related to the financial operation of a high-volume hospital.
- Strong knowledge of payer (Medicare, Medicaid and Commercial) requirements relative to charging, coding, billing & compliance.
- Thorough knowledge of the principles and practices of billing, accounts receivable, denial management, coding/compliance and cash management in hospital/health system.
- Strong computer system skills including revenue cycle management systems.
- Experience in areas such as business process improvement and transformation.
- Communicate effectively orally and in writing.
- Demonstrates ability to coach and motivate.
- Demonstrates goal-oriented behavior and ability to effectively plan and execute plans.
- Experience maintaining a budget and ability monitor expenditures in compliance with budgetary guidelines.
- Display flexibility with multiple work demands and short time frames.
OCCUPATIONAL EXPOSURE
Category III, office environment.
RESPONSIBILITIES
- Supervision of all office functions including billing and accounts receivable management. Responsible for staff adherence to all Business Office Policies and Procedures.
- Holds regular staff meetings to ensure coordination of efforts.
- Conducts periodic performance reviews on all Business Office Staff.
- Provides leadership to department and to hospital.
- Effectively oversees day-to-day operations of department.
- Monitors workload and personnel needs of Business Office and delegates work effectively.
- Trains, develops and motivates Business Office Staff.
- Prepares and provides analysis of monthly financial and management reports.
- Assists accounting department with monthly analysis.
- Responsible for daily cash management procedures.
- Reviews insurance contracts.
- Maintains good working relationships with insurance payors.
- Maintains good working knowledge of insurance payors reimbursement requirements.
- Maintains inventory of forms and office supplies.
- Resolves problems with billings, collections and medical records.
- Prepares analysis reports for annual outside audit.
- Maintains all office computer systems and programs.
- Maintains all business procedures and recommends adjustments to senior financial officer/director on an as-needed-basis and as required by regulatory standards.
- Serves as charge-master coordinator.
- Ensures that yearly coding changes have been made in the computer CPT data file.
- Assists senior financial officer/director in development of annual budget.
- Assumes any other responsibilities that may be assigned by senior leadership on an as needed basis.
- Ensuring daily that patients and their relatives are dealt with in a professional and courteous manner.
- Successfully manages physician, employee, interdepartmental and patient satisfaction and/or engagement.
- Comply with facility Standards of Behavior and complete all required education assignments within the designated timeline.
PHYSICAL DEMANDS
- The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- While performing the duties of this job the employee is frequently required to sit, converse, and listen; use hands to touch, handle, or feel objects, tools or controls; and to reach with hands and arms. Specific vision abilities required by this job include close vision and the ability to adjust focus.
- The employee must be able to lift and/or carry over 20 pounds on a regular basis and be able to push/pull over 25 pounds on a regular basis.
- The employee must be able to stand and/or walk at least two hours per day
WORK ENVIRONMENT
1. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.