Director, Patient Financial Services

MAJOR RESPONSIBILITIES/ESSENTIAL FUNCTIONS The primary job duties this position is responsible for achieving are listed in order of importance.

• Demonstrates the ability to plan daily assignments and special projects according to work requirements and staff capabilities.
• Demonstrates knowledge of the Ethics Program and understands that compliance with the Corporate Integrity Program is a condition of employment.
• Develops staff by recruiting and hiring top candidates, performing evaluations and counseling employees that do not meet Medical Center and/or department standards.
• Assists collectors resolving their difficulty accounts.
• Demonstrates the ability to delegate wisely and effectively by understanding the abilities of individuals, specifying outcomes and time frames and providing an appropriate level of independence.
• Assists in the hiring process, performing evaluations and counseling employees that do not meet Medical Center and/or department standards.
• Identifies individual capabilities (strength and weakness), provides positive reinforcement and assignments to improve current skills and develop new ones.
• Reviews collectors activity to ensure timely and appropriate follow up.
• Trains and coaches collectors in their follow up.
• Reviews and approves accounts adjustments, ensuring contractual are posted according to hospital managed care contract/matrix.
• Reviews and documents denied claims on denial log, requesting appeals as necessary to obtain payment.
• Assists Director in responding to request for information.
• Responds to patient issues and complaints.
• Assists in the month end process by performing analysis of accounts receivables for accuracy and accruals.
• Assists in the control of hospital accounts receivables by following standard operating procedures and implementing hospital and corporate specific changes.
• Maintains adequate staffing to ensure effective operations.
• Leads and supports the Director and all team members with setting department goals.
• Develops cost effective strategies.
• Monitors employees productivity to insure quality and quantity objectives are maintained.
• Oversees charge master activities, charge capture, new requests and regulatory updates.
• Oversee all the admitting functions and operation.

JOB QUALIFICATIONS

Minimum Education

• Bachelors Degree or equivalent experience in a hospital setting.

Preferred Education

• Masters Degree preferred.

Minimum Work Experience and Qualifications

• Basic Qualifications: Minimum eight (8) years of previous work experience in accounting, medical records, coding, billing and/or collections in a hospital or medical environment.

Additional Requirements:

• Demonstrated knowledge of business operations, management practices and principles, and human resources management trends and practices.
• Ability to analyze and synthesize complex qualitative and quantitative data.
• Demonstrated ability to identify and implement innovative approaches.
• Strong knowledge of industry practices.
• Must be able to work in a union environment.

Preferred Work Experience and Qualifications

• Prior Management Experience in Billing and Collections
• Prior Management Experience in Admitting, Authorizations, Case Management concurrent review
• Prior experience in charge capture, observation calculations, vendor management on a large scale
• Project Management Experience

Required Licensure, Certification, Registration or Designation

• Fire Card
• Assault Response Competency (ARC) must be obtained by May 31, 2025.

Full-Time, Exempt