Director Patient Financial Services 01159200032

Under the general supervision of the Vice President for Finance/Chief Financial Officer, or designee, provides vision and leadership in the development and implementation of the patient financial services program inclusive of all administrative functions that contribute to the capture, management, and collection of patient service revenue.
Core Job Responsibilities:
1. Patient Financial Services Leadership: The Director, Patient Financial Services will provide vision and leadership for the full scope of PFS services, including but not limited to:
a) Revenue Capture: In consultation with the Vice President Finance/CFO, establishing, implementing and evaluating revenue capture capabilities, ensuring ongoing updating of the charge master and continuously reviewing work performed for appropriate revenue capture opportunities.
b) Revenue Cycle Management: Establishing, implementing and evaluating patient billing and patient account processes, including ongoing improvements to key revenue cycle indicators including but not limited to accounts receivable days, cash collection goals and posting, bad debt, denials and underpayments recovery, accounts receivable and vendor reconciliation activities. Establishing and maintaining controls for all cash collected and posted in Patient Accounting system. Monitoring unbilled account reports (DNFB/ CRC Reports) to determine necessary actions required to minimize the number and dollar value of accounts being held for bill production. Reports findings weekly. Develops, in concert with other department heads, corrective actions necessary to clear accounts held for bill release.
c) Reporting: Reviews all statistical reports to monitor trends and determine operational deficiencies and implements corrective action plans as necessary. Routinely produces Age Trial Balances to monitor reimbursement patterns and investigate any cash flow issues for needed corrective actions to assure timely collection of accounts and achievement of established KPI's.
d) Contract Management: Selecting, negotiating and managing ongoing relations with outside vendors, monitoring and ensuring vendor effectiveness, conducting annual vendor evaluations.
e) Regulatory Compliance: Keeping abreast of all regulations and standards to ensure compliance with orders or directives issued by duly constituted governmental/regulatory agencies or third-party payers in areas such as billing, reporting procedures and development of data to meet the requirements of bill and cost reporting for all payers. Establishing hospital and departmental policy that ensures processes and outcomes compliant with regulatory requirements.
f) Confidentiality/Privacy: Ensuring the privacy and security of all PFS information, including developing policy and procedures to ensure the protection of FPS assets and the integrity, security and privacy of information housed within the organization or stored with third party data storage services and applications, conducting risk assessments and analyses, identifying safety/security/privacy risks and implementing action plans, conducting forensic investigations as necessary in the wake of safety/security/privacy breaches, in consultation with IT maintaining proactive and industry standard levels of system security against system/network intrusion.
g) Project Management: Effectively managing multiple concurrent PFS/revenue cycle projects of varied complexity, prioritizing projects and allocating appropriate resources to meet project specifications and outcomes, implementing accountability systems to ensure project deliverables are timely met, effectively addressing anticipated and unanticipated project barriers so that barriers do not impose a project lag in meeting project timeframes, costs or outcomes, successfully completing projects on-time, within project costs and meeting all project specifications and requirements including follow up monitoring.
2. Human Resources Management: Manages patient financial services department staff to maximize performance, productivity and achievement of business objectives and outcomes, including but not limited to:
a) Carrying out supervisory responsibilities in accordance with the organization's policies and applicable laws including interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
b) Designing continuing educational programs to maintain technical competency of staff and utilize a team work approach to task completion through employee involvement and motivation. Confers with and advises subordinates on administrative policies and procedures, technical problems and priorities and methods.
3. Fiscal Management: Responsible for PFS budget development and ongoing fiscal management of the patient financial services department and hospital-wide PFS program, including but not limited to:
a) Developing and achieving budgetary objectives, including capital, supply and expense budgets (labor and non-labor), maintaining a history of staffing requirements to account for current costs and accurate prediction of future costs as they relate to new products and/or technology.
b) Approving, coordinating, and controlling all projects related to selection, acquisition, development, and installation of major information systems for Brooks Memorial Hospital.
c) Providing consultation on evaluation, selection, implementation, and maintenance of information systems, ensuring appropriate investment in strategic and operational systems
d) Reviewing all hardware and software acquisition and maintenance contracts, soliciting involvement and participation of other management team members as appropriate.
4. Department Quality and Service Administration: Monitors, measures, reports and acts on ongoing departmental quality and service measures, including but not limited to:
a) Defining key departmental quality performance indicators and leads PFS staff to meet or exceed standards, sharing with the team process and outcome data relative to the quality indicators and making course corrections as the process or outcome metrics indicate.
b) Defining key PFS quality performance indicators across multiple departments and hospital domains, working in an interdepartmental and multidisciplinary manner to achieve defined, measured and reported process and outcome standards.
c) Evaluating, monitoring and continuously working with the PFS department staff to elevate customer satisfaction ratings of PFS services.
Education Requirements:
Required: Bachelor's degree in Accounting, Finance, Business Administration, or related field
Preferred: Master's degree in Accounting, Finance or Business Administration or related field
Licensure/Certification Registration Requirements:
Required: None.
Preferred: Certification in healthcare revenue cycle management (e.g., CHFP, CRCP), FHFMA, FACHE or other related master-level designation
Required: Five years' progressive management experience in healthcare accounts receivable, business office or patient financial services
Preferred: Seven years of director-level experience managing healthcare patient financial services

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