JOB SUMMARY

The Director of Patient Financial Services, under direction of the AVP of Finance, provides leadership, direction, and administrative oversight to all hospital leadership for revenue cycle functions such as: Facility and Professional billing, Credentialing, Accounts Receivable and collections process. Strives for superior performance by consistently providing a product or service to leadership and staff that is recognized as ultimately contributing to the patient and family experience. Recognizes and demonstrates understanding of patient and family centered care.

PRIMARY JOB RESPONSIBILITIES

1. Plans and directs the activities of the Patient Financial Services Department and the Professional billing services department.
2. Manages and directs the credentialing area which includes physicians, APPs, practice locations, Home Health, Hospice and the main hospital.
3. Creates and implements policies and procedures to promote effective patient account processes to ensure customer satisfaction and overall revenue cycle operational effectiveness.
4. Responsible for oversight of the billing processes for the organization
5. Evaluates and ensures appropriate and compliant collections policies and procedures along with Director of Pre-Services
6. Assists in the managing of revenue cycle vendors to optimize the financial impact of the facility.
7. Responsible for determination of personnel requirements for Patient Financial Services.
8. Assesses, identifies and defines areas of opportunity for reengineering processes to improve the management of the entire revenue cycle and cash flow.
9. Provides direction and oversight for the implementation of key internal controls and procedures supporting the integrity of the revenue cycle and other business operations.
10. Responsible for assessing and implementing appropriate training programs to meet organizational and customer expectations.
11. Develops and provides, in conjunction with IT, adequate and accurate reporting tools for monitoring and validating revenue cycle performance.
12. Responsible to maintain Accounts receivable at appropriate levels for both hospital and professional billings
13. Maintains a close working relationship with the finance department of the hospital and the facility and professional health information management departments.
14. Develops and maintains strong interpersonal relationships with members of the Leadership team
15. Works independently and manages multiple projects simultaneously.
16. Demonstrates knowledge of and supports hospital mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality statements, corporate compliance plan, customer service standards, and the code of ethical behavior.

DEPARTMENTAL AND ADDITIONAL JOB RESPONSIBILITIES

1. Leads/participates/represents the department in internal organizational meetings and external meetings within the medical industry.
2. Other duties as assigned.

JOB SPECIFICATIONS

EDUCATION

1. Associate’s Degree in Accounting, Finance, Business Administration, or Healthcare Administration is required. Bachelors preferred.
2. 5 years of experience or greater in Management position within billing or revenue cycle required.
3. Certified Healthcare Finance Professional (HFMA), Certified Revenue Cycle Professional (HFMA) or Certified Revenue Cycle Specialist (AAHAM) preferred

EXPERIENCE

1. Minimum of five (5) years’ experience working within hospital and or physicians practice accounts receivable highly preferred.
2. Minimum of three (3) to five (5) years’ experiences in medical claims billing and follow up functions
3. Have a working understanding of insurance contracts, explanation of benefits, coding methods and other medical billing methodology.
4. Knowledge of CMS and third-party payor regulations and policies related to revenue cycle operations preferred.
5. Experience and knowledge of patient financial services reporting and KPIs used to measure performance
6. Experience with Microsoft Excel and Word required
7. Experience working with Hospital EMR systems such as Epic, Meditech preferred
8. Demonstrates experience in leadership with exercising judgement in problem solving

ESSENTIAL PHYSICAL ABILITIES/MOTOR SKILLS

1. Able to travel independently throughout all Memorial Healthcare facilities.
2. Small motor skills required for operating modern computer, office, and telephone equipment as utilized by Memorial Healthcare (MHC).

ESSENTIAL TECHNICAL ABILITIES

1. Proficiency using modern office, computer and telephone equipment as used by Memorial Healthcare.

ESSENTIAL MENTAL ABILITIES

1. Ability to adapt and maintain focus in fast paced, quickly changing or stressful situations.
2. Ability to read and interpret a variety of documents including, but not limited to policies, operating instructions, white papers, regulations, rules and laws.

ESSENTIAL SENSORY REQUIREMENTS

1. Able to see for the purpose of reading information received in formats including but not limited to paper, computer, reports, bulletins, updates, manuals.
2. Able to hear for work-related purposes.

INTERPERSONAL SKILLS

1. Ability to interact with co-workers, hospital staff, administration, patients, physicians, the public and all internal and external customers in a professional and effective, courteous and tactful manner, at all times, physically, verbally and in all written and electronic communication.
2. Required to remain calm when adversity is encountered.
3. Open, honest, and tactful communication skills.
4. Ability to work as a team member in all activities.
5. Positive, cooperative and motivated attitude.