Manage the daily operations of inpatient, outpatient, and physician business office functions. Integrate with financial services to ensure the proper presentation of the financial condition of the facility.
ESSENTIAL FUNCTIONS:
- Monitor and report on key metrics such as cash collections, days outstanding, unbilled, denials, daily census, etc., in conjunction with the CFO.
- Establish and maintain controls for all cash collected and posted in the patient accounting system.
- Maintain effective communication with third-party insurance carriers to resolve issues that impede cash flow and impact patient/member satisfaction.
- Provide staff management, including hiring, development, training, performance management, and communication, to ensure effective and efficient department operation.
- Maintain effective communication with the leadership team to ensure compliance with third-party guidelines.
- Select and monitor outside collection vendors engaged in the collection of facility receivables. Review and reconcile agency reports with system reports and approve agency invoices.
- Lead and direct all business office activities related to claims management and collections of facility receivables, ensuring timely and efficient cash collections to support the facility's financial goals.
- Define and support the achievement of departmental goals and objectives.
- Review statistical reports to monitor trends, identify operational deficiencies, and implement corrective actions as needed.
- Collaborate with Utilization Review and Admissions staff to ensure proper authorization of patient insurance coverage.
- Manage and direct subordinate staff to achieve departmental goals and objectives.
OTHER FUNCTIONS:
- Perform other duties and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- High School diploma or equivalent required.
- Some college coursework preferred.
- Minimum of two years’ relevant experience, preferably in behavioral health.
- At least one year of supervisory experience required.
- Strong revenue cycle technical skills required.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
- Valid driver’s license, automobile insurance coverage, and access to a vehicle, if required by the facility.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
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