Corporate Business Office Director

The Corporate Business Office Director is responsible for leading the Business Office in achieving hospital financial and clinical goals. This includes managing the business office staff and related functions such as billing and collection/follow-up.

Responsibilities

• Develop the Business Office department to support hospitals' cash collection and accounts receivable goals.
• Manage inpatient collection efforts to meet organizational and business office objectives.
• Ensure appropriate in-house amounts due from clients are collected before discharge.
• Establish and monitor collector goals and timetables.
• Provide client financial counseling to resolve account problems, including disputed amounts and credit balances.
• Maintain an effective exchange of account information between business office staff, other hospital departments, and external agencies.
• Recommend benchmarks for measuring business office performance.
• Comply with local, state, and federal government reporting requirements.
• Manage cash collection and maintain accurate journal and receipts.
• Ensure maximum reimbursement through measures including writing appeals and initiating retro reviews.
• Assure all adjustments are posted accurately and timely; maintain administrative adjustment logs and documentation.
• Assist HR Department with hiring and selection processes through screening, interviewing, and making recommendations for hire.
• Provide feedback to staff on performance, reinforce desired behaviors, and intervene promptly in deficiencies to reduce turnover rate and formal performance measures.
• Manage personnel management activities including direct staff supervision, orientation/training/development, performance management, and employee relations functions.
• Complete performance evaluations for staff in a timely manner, including initial and 90-day competencies, and annual performance evaluations.
• Screens insurance information to identify patients requiring pre-admission approval from third-party payors and verifies that approval has been obtained.
• Develops relationships with insurance companies.
• Serves as the lead point of contact for all patient account management issues, investigating requests/appeals from inside and outside the company for complex cases and special patients.
• Maintains knowledge of medical claims payment policies and procedures relative to medical claims payments and adjustments, including Medicare, Medicaid, and Commercial plans.
• Communicate/collaborate with patient accounts, utilization review, intake, and any/all other needed departments/agencies/payers to ensure the appropriate and timely handling of patient claims.
• Maintain confidentiality of information as legally required or otherwise directed.
• Communicate/collaborate with the CFO on all issues and concerns.
• Comply with federal and hospital requirements in the areas of protected health information and patient privacy.
• Understand and adhere to NPH’s compliance standards as they appear in NPH’s Corporate Compliance Policy, Code of Conduct, and Conflict of Interest Policy.
• Keep abreast of all pertinent federal, state, and hospital regulations, laws, and policies as they presently exist and as they change or are modified.

Requirements

• A Bachelor's degree in Finance, Business Administration, or Management field is required, with a Master's degree preferred.
• Significant relevant experience in business office leadership (7+ years) may be considered in lieu of a degree.
• Minimum of 5 years of experience in hospital business office operations, including billing, collections, and revenue cycle management.
• 3+ years of supervisory experience required.
• Experience working across multiple facilities is highly preferred.
• Strong revenue cycle technical skills are required.
• Knowledge of billing forms (i.e., UB-82, 1500), billing procedures, and regulations for Medicare, Medicaid, and Managed Care is essential.
• Must be able to resolve and reconcile traditional Medicare claims through the DDE system.
• Possess extensive knowledge of Healthcare systems and operations.