Senior Director - Patient Financial Services

Responsibilities

• Develops and implements departmental procedures, techniques to effectively process claims and pursue collections, maintain charge capture, cash posting for the hospital and professional environments, and report on effective denial management.
• Oversees the training and monitoring of departments, financial planning, billing and collections processes to measure overall performance against appropriate benchmarks, appropriately maximizing cash collections and reducing days in accounts receivable.
• Analyzes and presents data to the VP Revenue Cycle and VP Financial Operations and occasionally other Executive management regarding the revenue cycle.
• Defines and implements long term strategies that allow the organization to sustain efficient and best practice payment and collection processes.
• Develops policies and procedures, and operational benchmarks for system-wide standardization for best practice standards.
• Manages cost reporting and other gov’t reporting annually.
• Negotiate, manage, and monitor outside contracts with vendors, as well as, internal relationship with key divisions such as IT, Financial Services, Managed Care, and Compliance.
• Manages personnel/subordinate directors, managers and supervisors assigned to these departments.
• Plans, establishes and revises work assignments.
• Interviews, selects and recommends hiring of personnel.
• Initiates changes in classification, salary action, promotion, demotion, transfer and termination.
• Setstles employee problems and administers appropriate discipline action.
• Interfaces with all system revenue departments to ensure compliance with all applicable policies and procedures.
• Serves as a resource to all levels of management throughout the system regarding recent enactments and contract requirements necessitating changes in the registration and billing process.
• Coincides closely with the Managed Care Department to preview contract language prior to signing, providing recommendations and revisions as deemed necessary, in addition to implementing new contracts.
• Develops, implements and monitors procedures and policies in place to ensure compliance.
• Interacts with Information Systems to develop, evaluate and maintain information systems for electronic billings, corporate compliance and collections to maximize reimbursement, provide peak performance and reporting.
• Interacts with Information Systems to develop and enhance information systems for health information management, transcription, and coding needs.
• Manages EPIC contractual system to ensure appropriate and timely contractuals; as well as maintain Pricing Transparency requirements as directed by local, state and federal government.
• Develops key indicators reports for all depts. and provides trend data to Managed Care dept to enhance contracting effectiveness.
• Directs Cash posting initiatives, ensuring EFT effectiveness.
• Proposes, recommends and develops strategies for the System to address changes in the payer community to maximize operational efficiency and reimbursement.
• Supports the Corporate Compliance efforts through investigation, policy/procedure development and monitoring.
• Develops the budget for the assigned departments, allocating funds within budget limits to accomplish departmental and system objectives and goals.
• Maintains accurate daily/monthly statistical and financial reports.
• Presents key monthly statistics and indicators to financial and system leadership.
• Initiates, prepares and implements process improvement and other projects to maximize system-wide effectiveness.
• Directs subordinate directors, managers and supervisors.
• Oversees the interview, selection and hiring process.
• Initiates changes in classification, salary action, promotion, demotion, transfer and termination.
• Resolves employee problems/issues and administers appropriate disciplinary action.

Qualifications

• Bachelor's or 10 years' related experience - Business/Finance/Other Required
• Masters or Certified Public Accountant Preferred
• Experience in Patient Financial Services and Revenue Integrity Required