LTC PFS Director

Description

JOB SUMMARY:

Working in collaboration with the Hospital PFS Director and Long-Term Care Administration, the Director is responsible for the coordination and supervision of all the functions and activities related to Nursing Home Business Office and its affilates and maintain relationships with other coordinating departments including Medicaid pending, financial screening, swing bed, and OP services. This individual aids in monitoring and setting goals, priorities, and performance standards for BO functions including: billing, scheduling, pre-registration, insurance verification, prior authorization, financial clearance, admission, Medicaid pending, policy management, regulatory compliance, and registration.

This individual will be involved in departmental and interdepartmental process improvement teams to eliminate waste and improve efficiency. The position requires the ability to independently plan, schedule, organize and respond appropriately on a wide variety of subjects and situations and must be able to initiate new program service lines as the organization grows. The ability to perform the duties of the employees supervised is required. As reimbursement is dependent upon the activities of the BO functions, accuracy is expected, and timely completion of duties and follow-up is critical.

Qualifications

EDUCATION, CREDENTIALS & EXPERIENCE REQUIREMENTS:

· Bachelor’s degree in business, healthcare or related field

· Minimum of five years of experience in patient financial services in LTC, hospital, CAH, or medical office setting.

· LTC and/or CAH experience preferred

· MatrixCare and Cerner experience a plus

· Experience initiating and implementing new service lines