- Directs, administers, and recommends policies for all operations, programs, and activities related to the hospital patient financial services. Reviews processes to achieve best practice standards and meet department’s goals.
- Oversees the timely completion of all essential business office functions, including billing, collections, cash posting, and accounts receivable management; investigates and addresses inefficiencies.
- Monitors work queues to ensure that accounts are being followed-up on a timely basis, prioritizes job functions to meet deadlines, and identifies any issues.
- Reviews aged and high-balance accounts on a regular basis and provides direction to management and staff on how to resolve difficult accounts.
- Monitors staff productivity and performance, compares results to established goals and makes recommendations for improvement.
- Develops, monitors, coaches and manages managers. Builds employee morale and motivation and fosters a team-like environment.
- Coordinates with leaders of other departments, such as medical records, coding, CDI, and clinical staff to ensure timely and accurate billing and collections.
- Analyzes data and prepares monthly reports on collections performance, payer reimbursement, payment arrangements, cash posting, credit refunds, and more.
- Responds to, investigates, and assists with resolving complaints/concerns and suggestions.
- Provides expertise and serves as a liaison to internal departments, third-party agencies/vendors, and payers.
- Pinpoints improvement opportunities and contributes to the testing of system modifications; works closely with IT staff and department managers to ensure proper implementation.
- Builds relationships and maintains contact with existing business partners that support business office functions.
- Drives continuous improvement activities by identifying and implementing strategic vendor partnerships that enhance department operations.
- Evaluates vendors and technological solutions; assists in creating RFPs and works with external parties to facilitate prompt implementation.
- Coordinates and monitors the performance of outside agencies, including periodic onsite visits.
- Assists in the development of the annual budget of the Capitation, Commercial and Government Program departments
- Monitors expenditures to ensure efficient use of resources to maintain budget.
- Maintains in-depth knowledge of and ensures compliance with regulations and standards issued by applicable governmental/regulatory agencies or third-party payers.
- Acts as a role model verbally and behaviorally.
- Promotes positive customer relations.
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