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Central Business Office Director

Accounting/FinancePosted 19 days 19 hours 43 minutes ago. Viewed: 36 times.

Description

Facilitates administrative functions and operational systems of Business Services in accordance with the policies, goals and objectives established for the hospital.

The Position will be responsible for coordinating and providing support and direction to the collections team in regards to the submission, tracking, collections and reporting of Insurance, Managed Care, Work Comp and other third party liability accounts, including underpaid and denied accounts. Must be able to analyze accounts based on managed care contract language, ERISA guidelines, Texas Department of Insurance’s rules and regulations and the laws governing Texas Corker’s compensation to ensure that the account is being pursued and paid in accordance with the appropriate guidelines or contract language. Responsible for monitoring the collector work lists and ensuring accounts are followed up on timely and accurately. Responsible for providing assistance and direction on handling of accounts and for training new collectors on the follow up processes. Analyzes aged accounts to determine if write off or additional follow up is appropriate. Review and analyze collection and denial reports for trending. Responsible for ensuring that Billing and Government Collections staff meet productivity standards and have the tools and skills to complete their job functions. Ensures that all claims are billed timely and correctly and are received by payers. Ensures claims are clean and any issues creating delays in billing process are communicated to CFO in a timely and consistent manner. Participate in weekly Revenue Cycle meetings and provide payer and facility issues resulting in delayed or denied payments to Appeals Collector and Managed Care Contracting Department on a consistent basis. Responsible for creating and implementing Accounts receivable policies and procedures. Responsible for Charge Master review and additions to ensure charges are appropriate and billed correctly according to CMS Guidelines.

Customer Focus
- Dedicated to meeting the expectations and requirements of internal and external customers. Works with customers to identify problem areas and recommend solutions.

Functional/Technical Skills
- Has functional and technical knowledge and skills to perform the job a height level of accomplishment. Open to and actively seeks to improve and apply new skills. Shares skills and knowledge with others.

Peer Relationships/Teamwork
- Resolves personal conflicts in a timely and professional manner. Viewed as a team player; easily gains trust and support. Encourages collaboration, does not undermine the efforts of others.
- Interacts with Medical Staff, Administrative Staff, and Key Managers as appropriate to facilitate services and assure efficient interdepartmental relations.
- Participates on committees and project task forces as appropriate
- Ensures compliance with regulatory requirements for all Business Services

- Promotes hospital goals and objectives and coordinates Business Services goals and objectives with hospital goals and objectives.
- Actively participates in and promotes departmental and hospital Service Excellence/Continuous Quality Improvement Program
- Ensures consistent training and communications to all personnel through regular meetings, in-services, and workshops.
- Prepares reports, analyzes data and makes recommendations based upon available data
- Maintains cost control in utilization of supplies, equipment, and personnel within budgetary guidelines
- Adheres to all employment policies of the hospital and maintains open line of communication with staff members
- Interact with patients/families as appropriate to ensure good public relations
- Achieves Accounts Receivable Management goals as established and mutually agreed upon with facility CFO
- Maintains satisfactory financial condition and operating results for the department. (Controls departmental expense including staffing so as not to exceed the approved budget level. Budget preparation/analysis to be completed and submitted by budget calendar due dates. Reviews statistical analysis information and correct or initiate correction of any error or problems.)
- Responds to patient complaints. (Reviews, investigates, and resolves patient complaints within 72 hours.)
- Handles other duties and special projects as assigned

Experience Requirements
Minimum of 5 years experience in a hospital setting of 90 beds, plus at least 5 years experience as a Director of Business

Major Challenges:
- Problem Solving: Uses logic and methods to solve varied and complex problems. Probes all possible sources for answers. Looks beyond the obvious and is able to identify hidden problems.
- Managerial Courage: Says what needs to be said. Provides action-oriented feedback to others. Confronts situational problems directly and quickly. Makes unpopular decisions when necessary.
- Organizational Agility: Able to get things done through both formal and informal channels. Understands logic behind key policies and programs. Possesses a high degree of “culture” sense.
- Business Acumen: Keeps up with industry events, trends and related information that may affect business unit. Knows competition and particulars of individual market place.
- Interpersonal Savvy: Relates well to diverse groups of people throughout the organization. Able to build rapport and form constructive relationships. Is characterized by diplomacy and tact. Able to diffuse tense situations.
- Compliance: Assures departmental thresholds are met for compliance issues.

Decision Making:
- Hiring and Staffing: Hires the best available either internal or external. Is not afraid to select strong candidates. Assembles talented mix of skills and abilities.
- Developing Direct Reports: Provides challenge and stretch in project and task assignments. Maintains an awareness of employees’ personal career goals. Encourages direct reports to accept greater responsibility; provides necessary support and authority. Creates aggressive development plans and then implements and monitors them regularly.
- Directing Others: Provides clear directions. Distributes workload appropriately. Maintains an on-going dialogue with employees to ensure continual progress. Brings out the best in employees.
- Innovation Management: Able to present new and original ideas. Exercises good judgment regarding what, how and when to make major changes. Encourages and facilitates effective brainstorming.
- Ethics and Values: Knows and communicates an appropriate set of values. Adheres to these values even when in conflict with other goals.
- Decision Making: Collects sufficient information to make timely and effective decisions. Does not succumb to “analysis paralysis”. Consults with appropriate subordinates, peers and senior managers before making decisions. Does not procrastinate when making difficult decisions.

Industry: Healthcare IT
Discipline: Accounting & Controls
Experience: 5 - 7 Years
Level: Director
Compensation: $115K - $K
Company: Hospital

Contact information

Apply Online at TheLadders.com