Director, HospitalProfessional Billing & Follow Up

Site: Mass General Brigham Incorporated

Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

Responsible for the efficient and effective oversight of Hospital and Professional Billing and Follow-Up activities. Monitors overall accounts receivable clean claims denial resolution and payment trends to report on performance and implement best practice partnership with key stakeholders the Director HB/PB Billing & Follow-Up operationalizes the strategic direction for Patient Financial Services and continuously works to improve staff processes and technology approaches across the functions.

Does this position require Patient Care
No

Essential Functions:

• Provide leadership and guidance to staff including training supervision and performance management.
• Develops and implements efficient and effective operational policies processes and best practices.
• Manages day-to-day operations of Hospital and Professional Billing and Follow-up teams including identifying and monitoring team success metrics and activities related to PFS functions.
• Identifies analyzes and follows up on payer issues and denial trends interacting with MGB entities and practices payer representatives and others to ensure accurate and timely billing appeals and claims processing.
• Oversees continual improvement efforts to maximize revenue capture while ensuring compliance with all regulatory requirements.
• Identify operational impacts of and oversee the adoption of rapidly changing technology and regulatory aspects of health care and health care billing to ensure compliant operations.
• Implement the strategic direction for Hospital Billing and Follow-up and Payment Posting teams and collaborate with direct reports functional leaders and on/offshore resources to drive alignment.

Education:
Bachelors Degree Finance preferred or Bachelors Degree Business Administration preferred or Bachelors Degree Healthcare Administration preferred or Bachelors Degree Related Field of Study preferred

Can this role accept experience in lieu of a degree
Yes

Licenses and Credentials:

Experience:
Hospital patient accounts hospital finance or related revenue cycle operations 3-5 years required and Management experience in Hospital patient accounts hospital finance or related revenue cycle operations 3-5 years required and EPIC revenue cycle application experience 3-5 years required

Knowledge Skills and Abilities:

• Excellent personnel management and organizational management skills.
• Manage change with proven success in leading executives physicians managers and staff to achieve positive outcomes.
• Must be an engaged and approachable leader.
• Demonstrated ability to manage change.
• Ability to lead and motivate a team to achieve goals and objectives.
• Ability to lead manage and prioritize multiple projects and tasks.

Remote

399 Revolution Drive

40

Regular

Day (United States of America)

Pay Range

$124342.40 - $180897.60/Annual

Grade

9

At Mass General Brigham we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive and any offer extended will take into account your skills relevant experience if applicable education certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however it does not encompass all elements contributing to your total compensation addition to competitive base pay we offer comprehensive benefits career advancement opportunities differentials premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religious creed national origin sex age gender identity disability sexual orientation military service genetic information and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process to perform essential job functions and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973 the Vietnam Veterans Readjustment Act of 1974 and Title I of the Americans with Disabilities Act of 1990 applicants who require accommodation in the job application process may contact Human Resources at .