Director, Enterprise Patient Financial Services
Vacancy expired!
Directs service delivery for all
business office processes, practices, and system support across all WVUHS
hospital facilities located at locations throughout West Virginia. Responsible for the management of accounts
receivable for inpatient and outpatient billing, impacting a major source of
revenue for the system and individual system hospitals. Develops and controls
all tasks necessary to ensure all business office activities are completed
on-time, including building relationships with internal and external clients
throughout WVU Medicine. Utilizes
internal resources and analytical skills to make decisions in fast-paced,
fluid environment. Accountable for
making strategic decisions guided by organizational issues, trends, and
business implications, keeping in mind that decision may have regional/local
implications. Recognizes
cross-function interdependencies of decision. May challenge decisions where
precedents have been set and communicates rationale with stakeholders to gain
consensus. Supports the success of a
high-performing business office by helping to champion and drive long term
success, achieving results comparable to national best practices. Achieves highest standard of customer
service while maximizing resolution of patient and insurance balances. This
position will be based out of Morgantown, WV.
MINIMUM
QUALIFICATIONS:EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1.
Bachelors
Degree OR High school diploma AND Ten (10) years of experience in
healthcare accounts receivables management, billing, and collections.
EXPERIENCE:
1.
5 years management experience
required
2.
Five (5) years of experience in
healthcare finance
PREFERRED
QUALIFICATIONS:EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1.
Bachelors Degree in Accounting, Finance, Business
2.
Masters Degree, CPA, Certified Healthcare Financial Professional
(CHFP) of HFMA
EXPERIENCE:
1.
Experience developing standards,
processes, policies and procedures for a diverse organization
2.
Record of success managing complex
projects with multiple, diverse stakeholders.
CORE DUTIES AND RESPONSIBILITIES: The
statements described here are intended to describe the general nature of work
being performed by people assigned to this position. They are not intended to be constructed as
an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
1.
Assures
the accurate and timely billing and collection of patient revenue by managing
inpatient and outpatient billing, collections, customer service, cashier, and
all support areas to these functions for all WVU Medicine Hospitals at
business office sites throughout West Virginia.
2.
Directly
supervises Patient Financial Services leadership team for each region.
3.
Interprets
and communicates healthcare payment policies and practices and devises
strategies to maximize reimbursement to maintain cash flow at established
levels.
4.
Analyzes
financial policies and procedures as they relate to patient financial
services and implements changes to achieve best practice levels for revenue
cycle metrics.
5.
Directs
cashier posting functions to ensure accurate and timely posting of cash
transactions.
6.
Plans and
implements billing strategies regarding the appropriate disposition of accounts
deemed uncollectable.
7.
Analyzes
collection criteria and practices to optimize account collection before bad
debt.
8.
Assures
cost reimbursement criteria followed and maintained to ensure correct
reporting and cost reimbursement. Ensures close cooperation, planning and
strategic alliances with all areas affecting reimbursement outcomes.
9.
Continually
monitors and optimizes service functions based on changing environment and
customer requirements.
10.
Maintains system
level patient collection policies that are compliant with State and Federal
regulations.
11.
Analyzes
and manages accounts receivable variables that are very complex due to
constantly changing rules and regulations imposed by managed care companies,
third party payers, and governmental agencies. Develops payer relationships to assist in
resolution of complex payment and billing issues as they arise.
12.
Interprets,
writes, adapts and enforces Hospital and departmental policies as needed with
management, employees and third party payers and customers.
13.
Ensures
financial reporting for state, federal and hospital record keeping and
reporting regulations are met.
14.
Provides
support and advice on the design and practically of HMO, PPO, etc. billing
arrangements, collection procedures, and compliance of managed care
contracts.
15.
Functions
as primary resource for all Patient Financial Services decisions related to
information technology, patient access, medical records, utilization management,
ancillary revenue departments, etc. for the West Virginia University Health
System.
16.
Plans and
sets goals with all related areas to ensure decisions are optimal for
organizational goals and consistent with missions, administrative philosophy
and guidelines.
17.
Ensures
physician relationships are developed and maintained to reflect collaborative
environments.
18.
Sets goals
and standards with regional leadership to ensure standardization, quality,
and timeliness of patient financial services operations throughout the
system.
19.
Ensures
that local and regional issues are resolved in a timely manner and
consistently with the operations of other regions within the system.
20.
Acts as a
primary conduit for the EPIC HB module, ensuring that all system implications
of change requests are reviewed keeping local and regional impacts in mind at
all times.
21.
Serves as
Representative of Department and Team Within the Organization. Integrates department
operations into clinical hospital operations where needed.
22.
Ensures
employee evaluations are objective, address employee performance and
timely.
23.
Prepares
and administers annual operating and capital budgets for department, reporting
variances where required.
24.
Responsible
for managing billing and customer service functions for any contract billing
functions within the department.
Current contract billing arrangement exists with University Medical
Labs.
PHYSICAL REQUIREMENTS: The
physical demands described here are representative of those that must be met
by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities
to perform the essential functions.
WORKING ENVIRONMENT: The work
environment characteristics described here are representative of those an
employee encounters while performing the essential functions of this job. Reasonable
accommodations may be made to enable individuals with disabilities to perform
the essential functions.
1.
Office
work which includes sitting for extended periods of time
2.
Travel to
all business office sites required
SKILLS AND ABILITIES:
1.
Must have
strong oral, written and analytical abilities.
2.
Must be
able to supervise personnel to effectively represent the department and
hospital in interactions with payers, patients, physicians and other
departments.
3.
Must also
have ability to perform a variety of duties, ranging from direct involvement
in various procedures to coordination of activities of many subordinates.
4.
Experience
with Microsoft Office required.
5.
Experience
with EPIC or similar system preferred.
6.
Experience
managing complex/ large scale/ transformational projects, including
demonstrated success in coordinating major projects.
7.
Experience
developing standards, processes, policies, procedures and service level
agreements.
8.
Demonstrates
leadership in planning new or expanded services, managing projects and
coordinating multi-department task forces.
9.
Demonstrates
mastery in Patient Financial Services
10.
Understanding
and experience with performance metrics.
11.
Ability to
establish, develop and manage collaborative professional relationships.
12.
Experience
developing and managing department budgets.
13.
Aptitude to
conceptualize, plan, and implement stated goals and objectives.
Date Reviewed/Revised: November 2016
Vacancy expired!