HCA Healthcare

Billing Integrity Director

HCA Healthcare • $110K — $130K *
Brentwood, TN 37027In-Person
Healthcare
5 - 7 years of experience
Yesterday
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Job Overview by Ladders

Qualifications

  • Bachelor's Degree in Business or related field required (or equivalent work experience with CEO approval)
  • Minimum 5 years of healthcare management experience, with 3 years in a related area
  • Ability to perform staff evaluations and prepare performance documentation
  • Strong knowledge of regulatory changes impacting charging practices
  • Experience in process improvement methodologies within healthcare operations

Responsibilities

  • Oversee adherence to Billing Integrity functional standards
  • Communicate changes in CMS Notifications and local coverage decisions to staff
  • Maintain knowledge of regulatory changes affecting charging practices
  • Build and maintain relationships with key stakeholders, including hospital management and SSC executives
  • Assess and design process improvements for front and back office operations
  • Consult on daily operations and management of charging processes
  • Perform onsite analyses and follow-up for Revenue Cycle Management and acquisitions

Benefits

  • Comprehensive medical, dental, vision, and telemedicine services
  • Wellbeing support with free counseling and referral services
  • Paid time off, family leave, and disability coverage
  • 401(k) Plan with company match and savings resources
  • Tuition assistance and student loan support
  • Additional benefits for fertility, adoption assistance, and life insurance
Full Job Description
This position is incentive eligible.

Job Summary and Qualifications

The Billing Integrity Director of a Parallon Business Performance Group Shared Services Center (SSC) is accountable for ensuring the integrity of the revenue for the facilities they serve. The Billing Integrity Director has the responsibility to manage the department in an efficient, standardized and cost-effective manner that is consistent with the mission and values of Parallon Business Performance Group. The Billing Integrity Director is responsible for setting the tone for the department and to ensure all BI staff understands that regulatory compliance takes precedence over all other initiatives. The Billing Integrity Director is responsible for the daily operations of all functions and oversight of the BI team members and serves as a liaison between the Billing Integrity Department of the SSC and the facilities they serve. As the leader of the department, this person will serve as a key promoter of the SSC, which strives to meet and exceed the needs of its customers. Supervise staff and organize the structure of the program and coordinate the transition process for staff to become affiliated with the SSC. Establish and maintain relationships with all customers, including: SSC executive staff, BI staff, hospital executive management teams, department directors and others. Consult with hospitals concerning daily operations and general management of their charging processes. This position will involve ensuring that standard approved educational programs are followed, allocating and assigning duties to employees, and monitoring the activities and operations to ensure all regulatory guidelines and established goals are met within required deadlines. Additional responsibilities include conducting onsite visits to facilities, assessing workflows and operations, drafting plans for process improvement and carrying out the implementation and follow up of improvements. Other responsibilities as assigned and/or needed.

What you will do in this role:

  • Primary oversight responsibility to ensure Billing Integrity is following functional standards as outlined in the BI functional standards guidebook
  • Monitor and communicate any changes regarding CMS Notifications, Local Coverage Decisions (LCD) NCD (National Coverage Determinations and HCA Government Regs to Billing Integrity staff
  • Maintain up-to-date knowledge of regulatory changes impacting charging practices
  • Establish and maintain relationships with all customers, including: SSC executive management team, hospital executive management, department directors, Billing Integrity staff and others as needed or required
  • Assess current front/back office operations, design and implement process improvements and conduct follow up review and measurement of changes
  • Consult with management concerning daily operations and general management of the operations
  • Ensure standard and approved educational programs are used to education BI staff and ancillary department, allocate and assign duties to employees, and monitor the activities and operations of assigned facilities, along with staff
  • Perform on-site analysis of processes and Revenue Cycle Management as well as conducting follow up analysis of post-implementation operations for acquisitions
  • Draft summary reports and make presentations to SSC Management Team, Division, Facility Leadership Teams and other staff during and post transition for acquisitions
  • Review and make operational recommendations prior to, during and post transition for acquisitions
  • Interpret and analyze AR Reports, such as, Bill 45, Bill 49, DET Reports across all facilities etc.
  • Work diligently with SSC staff and Compliance to ensure integrity of revenue is maintained
  • Adhere to all current Compliance requirements
  • Maintain strictest confidentiality to ensure that privileged and/or proprietary information is adequately safeguarded against disclosure
  • Establish controls and review mechanisms for SSC policies and procedures
  • Develop specific objectives, budgets, and performance standards for each area of responsibility
  • Identify and implement process improvements to lower costs and improve service to facility customers
  • Assume a lead role for innovation, knowledge sharing and leading practices identification within the SSC and among peer group
  • Perform staff reviews and prepare performance documents for director reports
  • Practice and adhere to the "Code of Conduct" philosophy and "mission and Value Statement"
  • Other duties as assigned


Qualifications:

  • Bachelor's Degree in Business or related field required. Degree requirement may be substituted by current enrollment in a Bachelor Degree program or equivalent work experience with CEO approval
  • Minimum 5 years healthcare management experience with three of these years in the related area for the position. Relevant education may substitute experience requirement with SSC Executive approval


Benefits

Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
  • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
  • Wellbeing support, including free counseling and referral services
  • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
  • Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
  • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
  • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

If you find this opportunity compelling, we encourage you to apply for our Billing Integrity Director opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing - apply today!

About HCA Healthcare

HCA Healthcare Careers

Join the dedicated team at HCA Healthcare, a leading provider in the medical field, and be part of a company known for its exceptional care and commitment to innovation. At HCA Healthcare, we offer a variety of job opportunities that allow professionals to grow their careers in a supportive and diverse environment.

Work You’ll Do

At HCA Healthcare, you will contribute to a culture that values patient care above all. Our team members are equipped with the skills and resources needed to provide outstanding healthcare services. With positions ranging from nursing to administrative roles, HCA Healthcare is actively hiring and offers a dynamic workplace where leadership and professional growth are encouraged.

Innovate and Lead

Join a team where innovation is at the heart of everything we do. HCA Healthcare is a place where you can lead efforts to improve patient outcomes using the latest technologies and practices in the healthcare industry. Our leadership is committed to fostering a culture of diversity and inclusion, ensuring all team members can thrive.

Professional Growth and Development

HCA Healthcare believes in nurturing the growth of its employees through robust professional development and training programs. Whether you are just starting your career or are a seasoned professional, we provide the tools and training necessary to advance your skills and take on new challenges. Explore our wide range of career paths and find the position that best suits your skills and passions.

Benefits and Culture

Our employees enjoy a range of benefits designed to support their physical, financial, and emotional well-being. From comprehensive health insurance to retirement plans and employee wellness programs, HCA Healthcare takes care of its team. Our inclusive culture and commitment to work-life balance make HCA Healthcare a desirable place to work.

Internship and Networking Opportunities

For those new to the healthcare field, HCA Healthcare offers internship programs that provide real-world experience and a pathway to full-time employment. Additionally, our extensive professional network allows for endless networking opportunities, helping you to build relationships and advance your career.

Join Our Team

Search open positions that match your skills and interests. We look for passionate, curious, creative, and solution-driven team players. Ready to start your journey with HCA Healthcare? Prepare your resume, sharpen your interview skills, and apply today to become part of a team that’s dedicated to improving lives.

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Personalize your subscription to receive job alerts, latest news, and insider tips tailored to your preferences. Discover the exciting and rewarding career opportunities that await at HCA Healthcare. Explore the possibilities with HCA Healthcare, where your career is nurtured, and your contributions are valued. Join us in our mission to deliver high-quality patient care through innovative practices and a compassionate approach.
Learn more about HCA Healthcare
Size
204,000 employees
Market Cap
$67.9 billion
Industry
Healthcare
Net Income
$3.7 billion
Founded
1968
5 Year Trend
+7.2%
Revenue
$51.5 billion
NASDAQ
HCA
* Ladders Estimates

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