BravoTech
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http://www.bravotech.com
http://www.bravotech.com
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Director Patient Financial Services
Job Description
The Director Patient Financial Services (PFS) is the operational leader responsible for effectively managing accounts receivable according to company policies, goals and objectives. This includes the billing, collections, and denial management of all hospital accounts receivables. The Director is responsible for the day-to-day operations ensuring all departmental policies and procedures are executed timely and effectively. This role will establish strong relationships across the Revenue Cycle, maintain visibility, and foster a culture focused on quality, operational improvement and accountability. This position will work closely with Revenue Cycle leadership as well as cross functional areas including clinical and non-clinical to execute on the strategic direction and achieve established goals and outcomes related to revenue cycle metrics and operations while providing exceptional financial results, and an excellent patient and employee experience.
Essential Job Function and Accountabilities:
• Aligns revenue cycle operations across multiple units within the hospital to achieve maximum revenue, consistent accounts receivable outcomes, and high functionality of all revenue cycle processes.
• Develop and implement processes to achieve strategic initiatives, priorities and goals of the PFS departments. Ensure the initiatives align with the overall mission and vision of the Revenue Cycle.
• Drive execution and transformational change with in PFS teams to ensure effective, efficient, sustainable, compliant, and leading edge operations to contribute to the financial success of the Health Network.
• Build and maintain relationships with stakeholders, creating an environment where the Health Network values are continuously exceeded.
• Ensure metrics, goals, and projects are executed, tracked, and accomplished for the department.
• Lead standardization, creating and sustaining a common culture and high performing operation aligned with the Health Network priorities while serving the needs of our internal customers and patients.
• Motivate, facilitate, mentor, and coach team members to deliver high-quality, cost-effective services. Facilitates the ongoing learning, well-being, professional satisfaction and development of staff through training, work assignments, increased responsibility, and mentoring.
• Evaluate performance of direct reports and teams. Make recommendations for personnel actions
and motivate employees to achieve peak productivity and performance.
• Responsible for directing and overseeing all accounts receivable management staff to include: cashier services, customer service, accounts receivable follows up, claims/billing, cash collections, and denial management with the goal of meeting and/or exceeding cash budget, industry and organizational benchmarks while managing cost and efficiency.
• Develop department budgets for staffing, operations, and capital resources. Manage actual costs to budget and proactively address any unfavorable budget variances.
• Manage vendors to ensure effective and high-value services are delivered to the Health Network and that all contractual requirements are met.
• Oversee new systems, products, and business implementations for PFS. Assess organizational strengths and weaknesses to recommend enhanced operational model.
• Develop procedures and policies for the operation of department, process and team members.
Required Qualifications:
• Bachelor’s Degree from an accredited college or university.
• 5 plus years of experience managing healthcare revenue cycle functions.
• 5 plus years of experience using multiple healthcare information system applications and
platforms.
Preferred Qualifications:
• Degree emphasis in Healthcare Administration, Finance or related field of study.
• Master’s Degree in Healthcare Administration, Finance, or related field of study.
• Lean and 6 sigma methodologies into process improvement initiatives.
• Healthcare Finance Management Association Certification
• Certification in relevant hospital systems, preferably EPIC
Knowledge, Skills & Abilities:
• Thorough knowledge of all Revenue Cycle processes and standards related to billing, collections, and cash posting. Above average knowledge of patient registration, finance, and data analytics.
• Knowledge of regulatory requirements related to revenue cycle, including a solid understanding of Medicare, Medicaid and all third party payers.
• Ability to work and communicate effectively with a diverse group of people including other department managers, staff, physicians, patients, and the public.
• Ability to read, analyze and interpret financial reports, contracts, and other legal documents.
• Data driven analytics are required to manage, trend, and target opportunities for improvement.
• Ability to present detailed information to leadership in an effective, organized manner that is highlevel and easy to understand.
• Ability to work independently to achieve results.
• Ability to set and maintain priorities when dealing with multiple demands and interruptions.
• Strong analytical and problem solving skills.
• Ability to establish and control an operating budget.
• Dedication to the development of others and willingness to coach and mentor people as necessary to promote their personal and professional growth
Essential Job Function and Accountabilities:
• Aligns revenue cycle operations across multiple units within the hospital to achieve maximum revenue, consistent accounts receivable outcomes, and high functionality of all revenue cycle processes.
• Develop and implement processes to achieve strategic initiatives, priorities and goals of the PFS departments. Ensure the initiatives align with the overall mission and vision of the Revenue Cycle.
• Drive execution and transformational change with in PFS teams to ensure effective, efficient, sustainable, compliant, and leading edge operations to contribute to the financial success of the Health Network.
• Build and maintain relationships with stakeholders, creating an environment where the Health Network values are continuously exceeded.
• Ensure metrics, goals, and projects are executed, tracked, and accomplished for the department.
• Lead standardization, creating and sustaining a common culture and high performing operation aligned with the Health Network priorities while serving the needs of our internal customers and patients.
• Motivate, facilitate, mentor, and coach team members to deliver high-quality, cost-effective services. Facilitates the ongoing learning, well-being, professional satisfaction and development of staff through training, work assignments, increased responsibility, and mentoring.
• Evaluate performance of direct reports and teams. Make recommendations for personnel actions
and motivate employees to achieve peak productivity and performance.
• Responsible for directing and overseeing all accounts receivable management staff to include: cashier services, customer service, accounts receivable follows up, claims/billing, cash collections, and denial management with the goal of meeting and/or exceeding cash budget, industry and organizational benchmarks while managing cost and efficiency.
• Develop department budgets for staffing, operations, and capital resources. Manage actual costs to budget and proactively address any unfavorable budget variances.
• Manage vendors to ensure effective and high-value services are delivered to the Health Network and that all contractual requirements are met.
• Oversee new systems, products, and business implementations for PFS. Assess organizational strengths and weaknesses to recommend enhanced operational model.
• Develop procedures and policies for the operation of department, process and team members.
Required Qualifications:
• Bachelor’s Degree from an accredited college or university.
• 5 plus years of experience managing healthcare revenue cycle functions.
• 5 plus years of experience using multiple healthcare information system applications and
platforms.
Preferred Qualifications:
• Degree emphasis in Healthcare Administration, Finance or related field of study.
• Master’s Degree in Healthcare Administration, Finance, or related field of study.
• Lean and 6 sigma methodologies into process improvement initiatives.
• Healthcare Finance Management Association Certification
• Certification in relevant hospital systems, preferably EPIC
Knowledge, Skills & Abilities:
• Thorough knowledge of all Revenue Cycle processes and standards related to billing, collections, and cash posting. Above average knowledge of patient registration, finance, and data analytics.
• Knowledge of regulatory requirements related to revenue cycle, including a solid understanding of Medicare, Medicaid and all third party payers.
• Ability to work and communicate effectively with a diverse group of people including other department managers, staff, physicians, patients, and the public.
• Ability to read, analyze and interpret financial reports, contracts, and other legal documents.
• Data driven analytics are required to manage, trend, and target opportunities for improvement.
• Ability to present detailed information to leadership in an effective, organized manner that is highlevel and easy to understand.
• Ability to work independently to achieve results.
• Ability to set and maintain priorities when dealing with multiple demands and interruptions.
• Strong analytical and problem solving skills.
• Ability to establish and control an operating budget.
• Dedication to the development of others and willingness to coach and mentor people as necessary to promote their personal and professional growth
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