Director, Patient Financial Services, Hospital Billing

About the role

The Director of Patient Financial Services Hospital Billing (HB) will lead a centralized billing, follow-up, and collections department for NorthBay Health hospitals and ambulatory surgery centers. This role collaborates closely with other areas of the NorthBay Revenue Cycle, including front-end and middle revenue cycle operations, ambulatory revenue cycle operations, and non-Revenue Cycle areas.

Responsibilities

• Manages hospital, facility, and technical services billing and revenue collection, follow-up, and accounts receivable.
• Collaborates with the larger Revenue Cycle Team and NorthBay operational, IT teams, providers, administrative teams, and leaders to provide an excellent patient experience and patient care.
• Plans, organizes, and manages all activities of the Patient Financial Services Department.
• Recommends and implements policies and procedures to enhance the billing and collection process.
• Reviews billing, coding, provider billing manuals and regulatory requirements with staff and physicians to ensure required ongoing education is provided and to maintain billing compliance with all contractual and regulatory stipulations.
• Reviews and communicates all managed care and other third-payor contracts to ensure smooth and efficient processing of claims and reimbursements.
• Prepares accurate and timely financial reports in order to measure the effectiveness of billing, compliance, and productivity.
• Develops audit mechanisms to provide enhanced education on coding, reimbursement, and billing compliance.
• Provides accurate and timely operational and program reviews accompanied by reports that reflect analysis and summary conclusions and, as appropriate, outlines recommendations and alternatives.
• Establishes and evaluates work system designs, policies, procedures, standards, and protocols to enhance departmental productivity.
• Administers the administrative and personnel policies of the System in a consistent and uniform manner.
• Achieves system Key Performance Indicators (KPI), Benchmarks, and system goals as established by Revenue Cycle and NorthBay Leadership.
• Works with other departments to ensure billing defects and denials are addressed at the area of origin.

Qualifications

• Bachelor’s degree in Finance, Business Administration, Health Administration, or a related field, or equivalent combination of education and experience.
• Minimum of 8 years in a healthcare setting with directly related Revenue Cycle experience, including at least 3 years in a leadership role within a healthcare setting.
• Comprehensive knowledge of Revenue Cycle operations and reimbursement principles, and of federal and state compliance regulations, HIPAA, Title 22, The Joint Commission regulations, and CMS Audit guidelines.
• Comprehensive knowledge of EHR applications pertinent to health information management and computerized data repository functions.
• Specific experience with either Cerner Millennium or EPIC Systems is preferred.
• Proven track record of driving revenue cycle performance improvements and managing cross-functional teams.

Skills

• Excellent oral and written communication skills.
• Teaching ability and leadership ability.
• Well-organized, prioritizes tasks, works independently, and is an effective team member.
• Word processing skills.
• Demonstrated ability to engender confidence and trust.
• Facilitation, conflict resolution, presentation, and problem-solving skills.
• Experience with computerized HIM, Encoder, and data repository functions.

Benefits

This position is eligible for a bonus and offers a comprehensive benefits package including medical, dental, and vision insurance, life, disability, and long-term care coverage, paid time off, a 403(b) retirement plan with employer match, education reimbursement, professional development and training programs, Employee Assistance Program, wellness programs, recognition programs, shift differentials, and market-based compensation review and increases subject to approval and organizational performance.

Pay

$185,000 to $200,000 annually based on years of experience doing the duties of the role.

Schedule

Not specified.