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Director, Patient Financial Services
- GENERAL SUMMARY
- The Director of Patient Financial Services is responsible for overseeing the daily operations in key Revenue Cycle, Patient Access, and assigned physician billing areas, including the management and supervisory positions within the respective areas (including but not limited to registration, pre-registration, insurance verification, cash collections, and eligibility) in Patient Access as well as billing, follow-up and collection activities, credit resolution and customer service in Revenue Cycle. A high level of independence in performance of the role and/or solution of problems is expected, however, demonstrated cooperation and collaboration is equally essential for successful functioning. Reports to a member of senior leadership.
- ESSENTIAL DUTIES AND RESPONSIBILITIES
- Provides leadership for the central business office, access areas including inpatient admitting and surgery, emergency department, urgent and minor care, offsite ambulatory centers and other decentralized registration areas.
- Accountable for teams providing outstanding customer service to external and internal customers.
- Provides oversight to ensure responsible areas are at best practice standards for key performance metrics and provides (or develops where necessary) monthly statistical and financial key performance metric report cards.
- Ensures collaboration with all staff members with varied backgrounds to form a cohesive, unified team and promote the professional growth of team members through mentoring and in-services.
- Ensures the courteous, customer-centered, prompt, and accurate registration and admission of patients to various areas within the health system.
- Works closely with ancillary departments, and physician clinics to ensure all responsibilities are met in a collaborative team manner.
- Develops and consistently meets key performance indicators that include pre-collections, pre-registration, insurance verification, denials and registration accuracy.
- Monitors productivity and quality of work performed by all staff.
- Identifies and implements measurable staffing changes to increase departmental productivity.
- Responsible for employee satisfaction and staff retention through practices that promote communication, rewards/recognition, teamwork and administration of effective employee relations practices.
- Analyzes, communicates and implements government and payer reimbursement and other regulatory changes to ensure continued compliance.
- Serves as the department liaison to ensure customer needs are being addressed at all locations.
- Effectively communicates upstream and downstream throughout the organization.
- Independently carries out and is accountable for daily operations and other activities as assigned.
- Leads, manages, coaches, and trains a team or department, provides guidance, support, and mentors to ensure optimal performance and productivity.
- Oversees the recruitment, hiring, team/department orientation, performance appraisals and disciplinary actions including up to termination processes for a team or department.
- LICENSES AND/OR CERTIFICATIONS
- None
- MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS
- Bachelor’s degree in business administration, accounting, healthcare administration, finance or other related degree. Master’s degree preferred.
- Requires approximately seven to ten years progressively more responsible related work experience, five to seven of which were in a management role.
- Thorough knowledge of hospital revenue cycle, registration and admitting processes/procedures, a broad working knowledge of managed care and insurance requirements and a vision to constantly challenge and improve the core processes while ensuring that the organization, patient and clinical needs are not only being met, but exceeded.
- Must possess a strong working knowledge of continuous process improvements and customer service improvements.
- Demonstrates expertise in end-to-end revenue cycle management; experience preferred performing or managing projects in business office, denials management, healthcare billing and compliance.
- Experience inpatient accounting processes, charge capture integrity, healthcare billing practices and collection practices are essential.
- Demonstrates knowledge of third-party and insurance company access requirements, operating procedures, regulations and billing requirements and government reimbursement programs.
- Extensive knowledge of Medicare, Medicaid, Insurance and Program eligibility required.
- Previous experience with computerized patient access systems required.
- EPIC systems experience preferred.
- Proficiency in MS Office required.
- Ability to function independently and as a team member in a fast-paced environment required.
- Strong communication (written and verbal), interpersonal and collaboration skills a must.
- Ability to interact effectively with a variety of people within and outside the organization.
- Must be detail-oriented and organized, with good analytical and problem solving ability.
- Must possess a valid Virginia driver’s license and be able to meet the insurance requirements of the hospital, if required by position.
- WORKING CONDITIONS
- Normal office environment with little exposure to excessive noise, dust, temperature and the like.
- PHYSICAL REQUIREMENTS
- Click here to view physical requirements.
Location: Childrens Hospital of The Kings Daughters · Patient Financial Services PFS
Schedule: Full-Time, Days
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