Director, Patient Financial Services Full Time Exempt

CHA Hollywood Presbyterian Medical Center; Los Angeles (CA); On-site; USD 90,000 - 130,000; Full time

Job summary

CHA Hollywood Presbyterian Medical Center (HPMC) is a leading acute care facility in Los Angeles with a long-standing commitment to quality, compassionate care. This role leads accounts receivable operations, staff development, and compliance initiatives within a union environment.

The position requires eight years of healthcare accounting/collections experience and relevant certifications, with focus on process improvement and operational efficiency.

Qualifications

• Bachelor's Degree or equivalent experience in a hospital setting.
• Minimum eight (8) years of previous work experience in accounting, medical records, coding, billing and/or collections in a hospital or medical environment.
• Demonstrated knowledge of business operations, management practices and principles, and human resources management trends and practices.
• Ability to analyze and synthesize complex qualitative and quantitative data.
• Demonstrated ability to identify and implement innovative approaches.
• Must be able to work in a union environment.
• Los Angeles County Fire & Safety Card (required within 30 days of hire)
• Assault Response Competency (ARC) (required within 30 days of hire)

Responsibilities

• Demonstrates the ability to plan daily assignments and special projects according to work requirements and staff capabilities.
• Demonstrates knowledge of the Ethics Program and understands that compliance with the Corporate Integrity Program is a condition of employment.
• Develops staff by recruiting and hiring top candidates, performing evaluations and counseling employees that do not meet Medical Center and/or department standards.
• Assists collectors resolving their difficult accounts.
• Demonstrates the ability to delegate wisely and effectively by understanding the abilities of individuals, specifying outcomes and time frames and providing an appropriate level of independence.
• Identifies individual capabilities (strength and weakness), provides positive reinforcement and assignments to improve current skills and develop new ones.
• Reviews collectors' activity to ensure timely and appropriate follow up.
• Trains and coaches collectors in their follow up.
• Reviews and approves accounts adjustments, ensuring contractual are posted according to hospital managed care contract/matrix.
• Reviews and documents denied claims on denial log, requesting appeals as necessary to obtain payment.
• Assists Director in responding to request for information.
• Responds to patient issues and complaints.
• Assists in the month end process by performing analysis of accounts receivables for accuracy and accruals.
• Assists in the control of hospital accounts receivables by following standard operating procedures and implementing hospital and corporate specific changes.
• Maintains adequate staffing to ensure effective operations.
• Leads and supports the Director and all team members with setting department goals.
• Develops cost effective strategies.
• Monitors employee’s productivity to insure quality and quantity objectives are maintained.
• Oversees charge master activities, charge capture, new requests and regulatory updates
• Oversee all the admitting functions and operation

Education

Bachelor's Degree or equivalent experience in a hospital setting

Master's Degree preferred

Job description

Job Summary

CHA Hollywood Presbyterian Medical Center (HPMC) is an acute care facility that has been caring for the Hollywood community and surrounding areas since 1924. The hospital is committed to serving local multicultural communities with quality medical and nursing care. With more than 500 physicians representing virtually every specialty, HPMC strives to distinguish itself as a leading healthcare provider, recognized for providing quality, innovative care in a compassionate manner.

Job Summary

CHA Hollywood Presbyterian Medical Center (HPMC) is an acute care facility that has been caring for the Hollywood community and surrounding areas since 1924. The hospital is committed to serving local multicultural communities with quality medical and nursing care. With more than 500 physicians representing virtually every specialty, HPMC strives to distinguish itself as a leading healthcare provider, recognized for providing quality, innovative care in a compassionate manner. HPMC is part of a global healthcare enterprise which owns and operates general hospitals throughout Korea, numerous research centers in the U.S. and Korea including a medical university, and CHAUM (a premier anti-aging life center).

Major Responsibilities/Essential Functions

Position Summary: Demonstrates the ability to plan daily assignments and special projects according to work requirements and staff capabilities.

Duties

• Demonstrates knowledge of the Ethics Program and understands that compliance with the Corporate Integrity Program is a condition of employment.
• Develops staff by recruiting and hiring top candidates, performing evaluations and counseling employees that do not meet Medical Center and/or department standards.
• Assists collectors resolving their difficulty accounts.
• Demonstrates the ability to delegate wisely and effectively by understanding the abilities of individuals, specifying outcomes and time frames and providing an appropriate level of independence.
• Assists in the hiring process, performing evaluations and counseling employees that do not meet Medical C enter and /or department standards.
• Identifies individual capabilities (strength and weakness), provides positive reinforcement and assignments to improve current skills and develop new ones.
• Reviews collectors' activity to ensure timely and appropriate follow up.
• Trains and coaches collectors in their follow up.
• Reviews and approves accounts adjustments, ensuring contractual are posted according to hospital managed care contract/matrix.
• Reviews and documents denied claims on denial log, requesting appeals as necessary to obtain payment.
• Assists Director in responding to request for information.
• Responds to patient issues and complaints.
• Assists in the month end process by performing analysis of accounts receivables for accuracy and accruals.
• Assists in the control of hospital accounts receivables by following standard operating procedures and implementing hospital and corporate specific changes.
• Maintains adequate staffing to ensure effective operations.
• Leads and supports the Director and all team members with setting department goals.
• Develops cost effective strategies.
• Monitors employee’s productivity to insure quality and quantity objectives are maintained.
• Oversees charge master activities, charge capture, new requests and regulatory updates
• Oversee all the admitting functions and operation

Job Qualifications

Minimum Education

• Bachelor's Degree or equivalent experience in a hospital setting.

Preferred Education

• Master's Degree preferred.

Minimum Work Experience And Qualifications

• Minimum eight (8) years of previous work experience in accounting, medical records, coding, billing and/or collections in a hospital or medical environment.

Additional Requirements

• Demonstrated knowledge of business operations, management practices and principles, and human resources management trends and practices.
• Ability to analyze and synthesize complex qualitative and quantitative date.
• Demonstrated ability to identify and implement innovative approaches.
• Strong knowledge of industry practices.
• Must be able to work in a union environment.

Preferred Work Experience And Qualifications

• N/A

Required Licensure, Certification, Registration Or Designation

• Los Angeles County Fire & Safety Card (required within 30 days of hire)
• Assault Response Competency (ARC) (required within 30 days of hire)

Status: Full-Time Exempt

Shift: Varied Exempt

Hours: 8hrs Exempt

Weekly/Bi-Weekly Hours: 40hrs/80hrs

FTE: 1.0