20 Jan
Director, Enterprise Patient Financial Services
West Virginia, Morgantown , 26501 Morgantown USA

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!


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