Director Central Business Office

Driscoll Children's Hospital; Corpus Christi (TX); On-site; USD 120,000 - 180,000; Full time

Job summary

Driscoll Children's Hospital in Corpus Christi seeks a Director of Patient Financial Services and Central Billing Office to oversee insurance billing, claims follow-up, accounts receivable, and outsourcing. The role focuses on maximizing cash collections, aging metrics, and compliance with state and federal guidelines while leading the CPSST credentialling team.

The director will interact with executive management, payers, physicians, and families, manage multiple projects, ensure

Qualifications

• Bachelor's degree required; minimum two to three years' experience in Manager and/or Director position preferred.

Responsibilities

• Oversee all aspects of Patient Financial Services and Central Billing Office including insurance billing, claims follow up, credit balances, collections and outsourcing to extended business offices to ensure financial viability and compliance with state/federal guidelines.

Education

Bachelor's degree (B.A./B.S.)

2-3 years in Manager/Director role

Job description

General Purpose of Job

Oversee all aspects of Patient Financial Services and Central Billing Office including insurance billing, insurance claims follow up, credit balances, collections and any outsourcing to the extended business offices to ensure the financial viability of the organization in accordance with state and federal reimbursement guidelines. Responsible for achieving cash collections and the aging of Accounts Receivable percentage goals. The Director is over the CPSST credentialling team to ensure the providers get enrolled with federal and state payers in accordance with mandatory guidelines. The Director of PFS & CBO will routinely interact with various internal and external contacts including executive management, patient families, department directors, third party payers, government agencies, fiscal intermediaries, vendors, and physicians. Therefore, this position requires a candidate who demonstrates strong technical knowledge and expertise as well as excellent written communication skills and professional appearance and approach. The candidate must be able to manage multiple projects and handle potentially stressful situations. A verifiable background in medical accounts receivable management in a director or Manager position and a demonstrated record of achievements are required for this position.

Essential Duties and Responsibilities

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; employees will perform other reasonably related business duties as assigned by the CFO or VP of CPSST as required. Maintains utmost level of confidentiality at all times. Adheres to hospital policies and procedures. Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines. The Director of PFS & CBO will be responsible for effective performance of both departments. Responds to all customer inquiries in a timely and professional manner to ensure customer satisfaction. Customer is defined as all individuals requiring service from DCH (ie: patients, providers, payers, and other DCH associates). Demonstrates a positive attitude and serves others with personal service 100% of the time. The Director is often the last contact the DCH patient has with the institution; therefor this position requires a candidate who demonstrates a positive demeanor, good verbal and written communication skills, and is professional in both appearance and approach. The Director must demonstrate strong interpersonal and persuasive abilities in order to establish and maintain a positive relationship with other department leadership and staff at all levels. Oversee the hiring of all personnel with the departments Ensures compliance with DCH and all state and federal guidelines regarding patient billing, insurance billing, and outsourcing accounts. Oversee developing and revising policies and procedures for both departments. Ensure performance standards are achieved as described in each individual job description Ensure annual reviews are done timely and accurately. Monitor and track accounts receivable performance including: Monthly cash collections, Accounts Receivables Aging, Monthly bad debt write-offs, Monthly contractual and other adjustments, Billing productivity, Collection agency performance, Returned claims/billing rejections, Third party denials Answer leadership questions and provide appropriate guidance on actions to be taken. Develop or evaluate training plans for staff development for both departments Accountable for implements and monitoring activity related to the financial budget Monitor credit balance totals and return overpayments identified within state and federal guidelines Attend and participate in at least 16 hours of compliance-related training annually in addition to the annual hospital-wide compliance training. Ensure maximization of collection dollars from payers and in coordination with the contract manager Develop and monitor specific objectives, budgets, and performance standards for each area of responsibility to evaluate opportunities for cost savings and quality improvement. Participates, supports, and completes all DCH training activities. The Director must be a positive role model for staff The Director must develop procedures, organize personnel and flow and prioritize department initiatives. Actively searches for solutions to problems and streamline work processes Holds staff accountable for achieving performance measures Understanding of compliance, managed care, insurance contractual arrangements, inpatient, outpatient and rehabilitation billing and follow up, electronic and manual billing requirements and appeals process required. Analytical skill required to address complex issues

Supervisory Responsibilities

Effectively administers performance management system including: developmental feedback, goal setting, assesses competency, progressive discipline Strong knowledge of and effective in administering policies and procedures. Responsible for sound management of human resources. Makes and implements decisions compatible with organizational goals. Maintains composure, effectiveness, and flexibility under pressure.

Education and/or Experience

Bachelor's degree (B. A.) from four-year college or university; or three to five years related experience and/or training; or equivalent combination of education and experience. Minimum two to three years' experience in Manager and or Director position preferred. Until all children are well.

Driscoll Children's Hospital

Driscoll Children's Hospital and its specialty centers, urgent care centers, and after-hours facility serve a vast area covering 31 South Texas counties. The hospital is a 191-bed tertiary care center offering 32 medical and 13 surgical specialties. Combined with our non-profit, community-based Health Plan, Driscoll Health System is an exceptional workplace for anyone with a big heart and a drive for success. Smiles, hugs and a soothing touch are as much a part of Driscoll's approach to treating children as is its advanced medical treatments and technologies.

Core Values

Compassion

Advocacy

Respect

Excellence

Stewardship

These values are exemplified through every position - from treating the most critical patients hands-on, to maintaining a clean environment, to keeping the organization running from behind the scenes. We invite you to learn about Driscoll's rich history and explore the laidback lifestyle South Texas has to offer.