Director, Billing and Collections

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing!

When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!

Role:

The Director of Billing and Collections provides operational leadership for Billing, Payment Posting, Collections and related Revenue Cycle Systems.

Qualifications:

Bachelor’s degree in Healthcare Administration, Finance, Business, or related field

Minimum of eight (8) years in healthcare revenue cycle and systems technical experience

Minimum of five (5) years of management experience

Knowledge of clinical and billing application interfacing

Experience in System Administrator functions as related to revenue cycle

Knowledge in claims processing and Third Party Administrator claims processing

Demonstrated expertise and knowledge with third party payors to include Medicaid, Medicare and state and federal regulations for both acute and professional billing rules and regulations

Ability to manage in a fast-paced environment, remaining proactive, detailed oriented, resourceful and efficient, with a high level of professionalism

Proven successful experience leading, coaching, and mentoring management and subordinates

Excellent critical thinking and time management skills, self-starter, and the ability to manage staff on-site and remotely

Excellent communication (written and verbal) and interpersonal skills

PC proficient (Word, Excel, Access, PowerPoint, Outlook, Project, Visio, etc.) and multi-system applications

Competencies:

Satisfactorily complete competency requirements for this position.

Responsibilities of all employees:

Represent the Company professionally at all times through care delivered and/or services provided to all clients.

Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.

Comply with Company policies, procedures and standard practices.

Observe the Company's health, safety and security practices.

Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.

Use resources in a fiscally responsible manner.

Promote the Company through participation in community and professional organizations.

Participate proactively in improving performance at the, departmental and individual levels.

Improve own professional knowledge and skill level.

Advance electronic media skills.

Support Company research and educational activities.

Share expertise with co-workers both formally and informally.

Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.

Leadership Success Factors:

Communication. Express thoughts and ideas clearly. Adapt communication style to fit audience.

Initiative. Originate action to achieve goals.

Management Identification. Identify with and accept the problems and responsibilities of management.

Judgment. Make realistic decisions based on logical assumptions which reflect factual information and consideration of organizational resources.

Planning, Organizing and Controlling. Establish course of action for self and/or others to accomplish a specific goal; plan proper assignments of personnel and appropriate allocation of resources. Monitors results.

Leadership. Use appropriate interpersonal styles and methods in guiding others toward task accomplishment.

Work Standards. Set high goals or standards of performance for self and others. Compel others to perform

Tolerance for Stress. Maintain stability of performance under pressure and/or opposition.

Innovativeness. Generates and/or recognizes imaginative, creative solutions in work related situations.

Delegation. Allocate decision making and other responsibilities effectively and appropriately.

Staff Development. Develop the skills & competencies of subordinates.

Organizational Sensitivity. Perceive the impact and the implications of decisions on other components of the organization.

Ethics. Model highest standards of conduct and ethical behavior, adopting a strong position against fraud and abuse.

Regulatory Compliance: Educate and monitor staff regarding their own and the organization's responsibilities for regulatory compliance.

Job Responsibilities:

Ownership of the Back-End Revenue Cycle process, including, but not limited to: billing, payment posting, and collections.

Defines and maintains up-to-date documentation of back-end revenue cycle policies and procedures, with an emphasis on scalability and alignment with best practices.

Identifies and implements operational and strategic goals and objectives.

Oversees Billing, Collections, Payment Posting team, and related roles. Responsible for identifying and implementing solutions that support more efficient and effective work performance.

Oversees, audits, mentors, and trains team members to ensure work is done in accordance with best practice policies and procedures.

Ensures compliance with Federal and State collections and credit regulations, laws, and guidelines.

Develops/maintains up-to-date, effective policies and procedures.

Continuously/proactively communicates and partners with Front End Revenue Cycle team to minimize denials and ensure efficient collections.

Acts as a liaison with other departments and internal and external stakeholders, achieving positive results.

Ensures accuracy and integrity of account balances.

Proactively partners with Corporate Compliance, Care Connect, IT, Clinical, Finance, and other key stakeholders to ensure efficient revenue cycle operations.

Works with third party vendors to coordinate key activities related to billing, collections, payments, and related functions.

Proactively engages payers to resolve issues identified.

Monitors Back-End Revenue Cycle management key performance indicators; identifies and resolves negative performance trends.

Proactively plans and implements Revenue Cycle systems in alignment with best practices and scalability.

Responsible for monitoring, identifying, and working with the vendor to resolve EMR/EHR technical issues that negatively affect Revenue Cycle performance.

Prioritizes, monitors, and optimizes collections activities.

Oversees the quality assurance (QA) process ensuring that performance issues are identified and rectified in a timely manner. Engages in continuous process improvement to enhance customer service and Revenue Cycle performance.

Minimizes bad debts for the Organization; collaborating “upstream,” as needed.

Ensures that team Key Performance Indicators (KPIs) are met, and quickly identifies variances and implements effective actions plans.

Monitors revenue and KPIs on a daily/weekly/monthly basis.

Proactively communicates with VP of Revenue Cycle and Accounting leadership about bad debts and reserves.

Works closely with the Accounting team to ensure timely, effective resolution of cash discrepancies.

Performs month-end close duties in accordance with organizational policies and timelines.

Performs other duties as assigned.

This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.

R246602