Assistant Director Professional Billing at Conway Medical Center – Conway, South Carolina

Position Title: Assistant Director Professional Billing

Position Summary: The Assistant Director of Professional Billing Central Business Office (AD PB-CBO) directs all activities related to physician patient accounting. The AD PB-CBO is responsible for strategic development, compliant operations and operational deployment for all patient financial services performed in the Central Business Office including, but not limited to, billing, follow up, denials management, credit balance management and vendor payment management. Qualifications: *Assessment of overall credit worthiness by review of a consumer credit report is required. * Education:

• Bachelor’s in Accounting, Finance or other closely related field required, or may substitute an additional 5 years of healthcare Central Business Office leadership experience for a total of 15 years.
• Master’s degree preferred.

Experience:

• Minimum of 10 years of experience within a hospital or physician practice group business office.
• Knowledge of elementary principles of management preferred.
• Knowledge of program development and administration preferred.

Certification: CRCE (Certified Revenue Cycle Executive) or CHFP (Certified Healthcare Financial Professional) preferred. Duties & Responsibilities:

• Monitors aged accounts receivable balances and implements procedures as necessary to maintain good cash flow.
Provide high quality, customer focused and cost-effective services with the primary objective of maximizing cash flow.
• Analyze and design strategies to optimize revenue and manage patient accounts.
• Recommends and supports ongoing process improvement activities and policy development within the departments and organization.
• Provides ongoing feedback to upstream operations of issues affecting DNFB efficiency and prompt reimbursement.
• Monitors DNFB credit balances and ensures timely resolution and/ or refunds as appropriate to patient and/ or payor.
• Lead initiatives in identifying, appealing, and proactively reducing denials by payors.
• Staff and team supervision which include hiring, training, and performance management.
• Become an internal change agent and champion where areas of opportunity have been identified.
• Demonstrate leadership qualities and critical thinking through self-direction initiative and effective interpersonal skills and oral/ written communication skills.
• Work effectively and collaboratively with colleagues, physicians, executives, and department heads.
• Effectively utilize strong organizational skills.
• Proficient understanding and use of technology/PC skills required including Microsoft Outlook, Excel, and Word.
• Regularly exercise independent judgement.
• Payer and Contract Management, manage relationships with insurance providers to support contract negotiations and any provider issues with claims or denials and to ensure compliance with payers – specific policies and procedures.
• Proficient in hospital billing to support the DNFB and AR.
• Completes other duties as assigned by department leadership.