Director, Billing and Collections

The Director, Billing and Collections is responsible for planning, organizing, directing and controlling all functions of the billing and collections processes; to ensure the final resolution of the hospitals' accounts receivable within the Central Business Office. Ensures that established goals, to include A/R Days, Cash Collections, and other metrics assigned by Senior Leadership are met or exceeded in a positive manner.

Key Accountabilities:

• Ensures that areas of responsibility operate within the established budgeted guidelines, to include managing FTE's, overtime, external vendor costs and miscellaneous internal costs required to operate the department.
• Directs the daily functions of the collection department to ensure that all outstanding patient accounts are reviewed and worked to resolve any outstanding balances. Ensures that staff utilizes the current technology to prioritize accounts for follow up and that all collection activity is properly documented in accordance with established guidelines. Ensures that cash collection and outstanding A/R goals are met or positively exceeded.
• Actively participates in the CFB process, to include regular attendance of the CFB meetings. In this role, the Director must work with pertinent PFS members, other departments and their Directors, to ensure that claims are allowed to progress through the billing cycle in a timely and compliant manner.
• Directs the daily functions of the billing department to ensure that claims are distributed to the appropriate payers on a timely basis as mandated by the billing requirements for all governmental and nongovernmental agencies. Ensures that cash collection and outstanding A/R goals are met or positively exceeded.
• Works with the Collections management team to ensure that the goal for recovery of Denials is met or exceeded in a positive manner.

Required:

• Five years healthcare patient accounting in a leadership role
• Bachelor Degree

Desired:

• One year CBO or large hospital setting
• Master Degree