What are the responsibilities and job description for the Director-Patient Accounting position at Summit Healthcare Mgmt?
About the Job:
PURPOSE STATEMENT:The Patient Accounting Director is responsible for the day-to-day operation of the CBO. Leads and provides operational directives for all Business Office activities related to the claim management and collections of the facility receivables and ensures timely, efficient cash collections to support the overall financial goals of the facility. Plans, develops, organizes, implements, evaluates and supervises business office activities including the billing, collections and cash posting functions for all service lines.
Roles and Responsibilities:
ESSENTIAL FUNCTIONS:
Owns Patient Accounting Roadmap along with VP which includes strategies and tactics to achieve success.
Establishes and maintains controls for all cash collected and posted in patient accounting system. Monitors bank activity and collects revenue/completes deposits in a timely manner.
Monitors outstanding claims with managed care organizations (MCO) and other agents on a consistent basis. Manages actions relating to delinquent accounts and collection agencies.
Maintains effective communication with third party insurance carriers to resolve issues that impede cash flow and detract from patient satisfaction.
Selects and monitors outside collection vendors engaged in the collection of facility receivables. Reviews and balances agency reports to system reports and approves agency invoices.
Works closely with Utilization Review and Admissions staff to ensure proper authorization of patient insurance coverage.
Communicate effectively with the leadership team to ensure that all third-party compliance guidelines are met.
Assists in various audits and preparation of any special reports that may be necessary.
Assists in month-end close.
Maintains knowledge of Revenue Cycle best practices ensuring high productivity and proficiency standards are met.
Performance Monitoring/Improvement: Works collaboratively with departments to understand the impact of facility operations and workflows on Revenue Cycle performance. Has a working knowledge of revenue cycle projects and performance metrics, howe they relate to best practice and industry standard benchmarks and the operations changes necessary to ensure top tier performance.
Monitors performance KPIs and routine reports including, but not limited to: POS Collections, Denial Rate, DNFB, Cash Collections as % of Net Revenue, Aging of AR. Reviews all statistical reports to monitor trends and determine operational deficiencies and implements corrective action plans, as necessary. Assures that KPI’s meet industry standards for behavioral health.
Leading Teams – Inspires and sustains team unity and engagement by developing, motivating, and guiding the team to achieve results together through productive relationships and work.
Program/Project Management – Demonstrates high accountability and responsibility for projects and programs from inception through completion/implementation manages budget and resource planning and awareness to ensure maximized output, reduce waste and exceptional results.
Understands RCM concepts including automation, artificial intelligence, robotic process automation, outsourcing, and other emerging trends.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
Bachelor’s degree in business administration or related field required.
At least five years of Business Office experience required with at least three of those years in healthcare office management, preferably in behavioral health.
Knowledge of Government payer requirements and regulations.
Excellent written and oral communication skills.
Proficiency in financial software and Microsoft Office Suite.
Detail-oriented with strong analytical skills.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
HFMA CRCR certification if not presently certified needs to be achieved within 90 days of hire.
SUPERVISORY REQUIREMENTS:
Five or more years’ supervisory/management experience required.
Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.
