Director, Billing and Collections

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing!

When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!

Role:
The Director of Billing and Collections provides operational leadership for Billing, Payment Posting, Collections and related Revenue Cycle Systems.

Qualifications:

• Bachelor’s degree in Healthcare Administration, Finance, Business, or related field
• Minimum of eight (8) years in healthcare revenue cycle and systems technical experience
• Minimum of five (5) years of management experience
• Knowledge of clinical and billing application interfacing
• Experience in System Administrator functions as related to revenue cycle
• Knowledge in claims processing and Third Party Administrator claims processing
• Demonstrated expertise and knowledge with third party payors to include Medicaid, Medicare and state and federal regulations for both acute and professional billing rules and regulations
• Ability to manage in a fast-paced environment, remaining proactive, detailed oriented, resourceful and efficient, with a high level of professionalism
• Proven successful experience leading, coaching, and mentoring management and subordinates
• Excellent critical thinking and time management skills, self-starter, and the ability to manage staff on-site and remotely
• Excellent communication (written and verbal) and interpersonal skills
• PC proficient (Word, Excel, Access, PowerPoint, Outlook, Project, Visio, etc.) and multi-system applications

Competencies:

• Satisfactorily complete competency requirements for this position.

Responsibilities of all employees:

• Represent the Company professionally at all times through care delivered and/or services provided to all clients.
• Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.
• Comply with Company policies, procedures and standard practices.
• Observe the Company's health, safety and security practices.
• Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
• Use resources in a fiscally responsible manner.
• Promote the Company through participation in community and professional organizations.
• Participate proactively in improving performance at the, departmental and individual levels.
• Improve own professional knowledge and skill level.
• Advance electronic media skills.
• Support Company research and educational activities.
• Share expertise with co-workers both formally and informally.
• Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.

Leadership Success Factors:

• Communication.  Express thoughts and ideas clearly.  Adapt communication style to fit audience.
• Initiative.  Originate action to achieve goals.
• Management Identification.  Identify with and accept the problems and responsibilities of management.
• Judgment.  Make realistic decisions based on logical assumptions which reflect factual information and consideration of organizational resources.
• Planning, Organizing and Controlling.  Establish course of action for self and/or others to accomplish a specific goal; plan proper assignments of personnel and appropriate allocation of resources.  Monitors results.
• Leadership.  Use appropriate interpersonal styles and methods in guiding others toward task accomplishment.
• Work Standards.  Set high goals or standards of performance for self and others.  Compel others to perform
• Tolerance for Stress. Maintain stability of performance under pressure and/or opposition.
• Innovativeness.  Generates and/or recognizes imaginative, creative solutions in work related situations.
• Delegation.  Allocate decision making and other responsibilities effectively and appropriately.
• Staff Development.  Develop the skills & competencies of subordinates.
• Organizational Sensitivity.  Perceive the impact and the implications of decisions on other components of the organization.  
• Ethics. Model highest standards of conduct and ethical behavior, adopting a strong position against fraud and abuse.
• Regulatory Compliance: Educate and monitor staff regarding their own and the organization's responsibilities for regulatory compliance.

Job Responsibilities:

• Ownership of the Back-End Revenue Cycle process, including, but not limited to: billing, payment posting, and collections.
• Defines and maintains up-to-date documentation of back-end revenue cycle policies and procedures, with an emphasis on scalability and alignment with best practices.
• Identifies and implements operational and strategic goals and objectives.
• Oversees Billing, Collections, Payment Posting team, and related roles.  Responsible for identifying and implementing solutions that support more efficient and effective work performance.
• Oversees, audits, mentors, and trains team members to ensure work is done in accordance with best practice policies and procedures.
• Ensures compliance with Federal and State collections and credit regulations, laws, and guidelines.
• Develops/maintains up-to-date, effective policies and procedures.
• Continuously/proactively communicates and partners with Front End Revenue Cycle team to minimize denials and ensure efficient collections.
• Acts as a liaison with other departments and internal and external stakeholders, achieving positive results.
• Ensures accuracy and integrity of account balances.
• Proactively partners with Corporate Compliance, Care Connect, IT, Clinical, Finance, and other key stakeholders to ensure efficient revenue cycle operations.
• Works with third party vendors to coordinate key activities related to billing, collections, payments, and related functions.
• Proactively engages payers to resolve issues identified.
• Monitors Back-End Revenue Cycle management key performance indicators; identifies and resolves negative performance trends.
• Proactively plans and implements Revenue Cycle systems in alignment with best practices and scalability.
• Responsible for monitoring, identifying, and working with the vendor to resolve EMR/EHR technical issues that negatively affect Revenue Cycle performance.
• Prioritizes, monitors, and optimizes collections activities.
• Oversees the quality assurance (QA) process ensuring that performance issues are identified and rectified in a timely manner.  Engages in continuous process improvement to enhance customer service and Revenue Cycle performance.
• Minimizes bad debts for the Organization; collaborating “upstream,” as needed.
• Ensures that team Key Performance Indicators (KPIs) are met, and quickly identifies variances and implements effective actions plans.
• Monitors revenue and KPIs on a daily/weekly/monthly basis.
• Proactively communicates with VP of Revenue Cycle and Accounting leadership about bad debts and reserves.
• Works closely with the Accounting team to ensure timely, effective resolution of cash discrepancies.
• Performs month-end close duties in accordance with organizational policies and timelines.
• Performs other duties as assigned.

This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.