Assistant Director

Position Summary:

Responsible for planning directing and managing all aspects of Accounts Receivables management for the Patient Financial Services department; including commercial managed care workers compensation ERISA selffunded and all other indemnity health plans. Ensures standards of unit operations are in compliance with all state and federal healthcare regulatory agencies. Participates on organizational performance improvement projects. Analyze denial trends and publish organizational reports to improve first pass yield. Incumbent has overall responsibility for training unit performance resolution of operational and personnel issues evaluations hiring and disciplinary action. Serves as a role model and resource to colleagues staff and others. Interacts with all levels within the organization including senior leaders managers directors as well as insurance companies third party payers vendors and regulatory agencies.

Required Qualifications:

Ability to motivate staff to achieve desired results.

Sound understanding of Joint Commission and other applicable regulatory requirements to be able to monitor for compliance.

Ability to maintain a work pace appropriate to the workload.

Excellent written and verbal communication skills in English

Demonstrated experience building competency and developing skills of others.

Must have experience in working with contracts applying terms and conditions to claims and performing split billing as required by Contracted Payers and DOFRs.

Working knowledge of billing commercial claims workers compensation managed care and all other thirdparty payers.

Detailed understanding of billing technical elements such as standard forms and data elements coordination of benefit and thirdparty liability billing and collection electronic billing data edit programs reimbursement methodologies such as Diagnosis Related Groups (DRGs) Case Rate Percent of Charges capitation.

Thorough knowledge of healthcare billing finance and compliance and strong understanding of facility billing systems.

Extensive knowledge of governmental compliance rules and issues as it pertains to health care billing collection and other reimbursement.

Self directed and organized with superior analytical and problemsolving skills.

Five (5) years experience in a revenue based health care related industry such as admissions registration billing/collections or contracting.

Five (5) years experience in management of Patient Financial Services

Experience in PFS Operations in an Academic Medical Center organization or complex teaching environment.

Working knowledge of billing follow up and denial management of commercial claims workers compensation managed care and all other thirdparty payers.

Must possess the skill knowledge and ability essential to the successful performance of assigned duties.

Bachelors Degree in related field

Preferred Qualifications:

Masters degree in health care management Business Finance or Accounting

Experience in PFS Operations University and medical center organizations policies procedures and forms.

Prior management experience of unionrepresented staff

Knowledge of University and medical center organizations policies procedures and forms