Work Status Details: Full Time | 80.00 Hours Every Two Weeks
Exempt from Overtime: Exempt
Shift Details:
Department: Patient Financial Services Admin | Reports To: VP Finance

Summary:

The Director is responsible for all functions of the departments. Plans, directs, coordinates, evaluates, and requires a sound knowledge of the overall Revenue Cycle including Patient Access, Patient Experience, Patient Financial Services, Central Scheduling, Communications, and Health Information Departments. Promotes safety and well-being of all patients and/or staff in the assigned department(s) on a twenty-four-hour basis. The Director will have demonstrable skills in leadership, management, interpersonal relations, conflict resolution, and problem solving.

The functions of the Director include: financial management of the department including budget development and ongoing evaluation; management of human resources; responsibilities and duties as a member of a multi-disciplinary team; leadership as a mentor for staff members; strategic planning; day to day operations; procurement and maintenance of supplies and equipment, including purchasing capital equipment; contract maintenance; maintaining and developing hospital policies and procedures; identifying and implementing performance improvement initiatives and evaluation effectiveness; maintain departmental regulatory compliance; developing and implementing a patient/customer focused staffing plan.

The Director participates in, or delegates appropriate participation in all performance improvement teams, medical staff committees and work teams.

The listing of job duties contained in this job description is not all inclusive. Duties may be added or subtracted at any time due to the needs of the organization.

Responsibilities:

Essential Job Duties and Responsibilities:

1. Performs duties and responsibilities according to job description and VP's direction, following department policies and procedures with the knowledge and understanding of the difference in effective, tactful interaction required for a patient or client as compared to an employee.

1. Record processing & completion, coding, clinical documentation improvement, abstracting, transcription, and release of information, and activities with performance improvement, MR/UR Committee meetings, data/statistics for internal and other medical staff meetings, reports of record delinquency and physician suspension, etc.

1. Ensures compliance with federal and state laws, our company and other applicable regulations related to Medical Records and reporting requirements.

1. Ensures compliance with and HIM department or hospital HIM related policies and procedures are in accordance with requirements of CMS, Joint Commission, Medical Staff Bylaws, Rules and Regulations, and other regulatory agencies as applicable.

1. Ensures the integrity, completeness, and accuracy of medical records.

1. Ensures internal and/or EPIC established HIM goals/targets are met.

1. Provides input for the budgetary process to include both admissions and patient billing needs that reflects department and facility goals in order to maintain department expenses within acceptable limits.

1. Performs leadership of Patient Financial Services and Health Information departments by:

• Interviewing and hiring new personnel as needed to maintain adequate completion of processes within the departments.
• Providing appropriate orientation of new staff to the departmental goals, objectives, policies, procedures and service statement.
• Appraising personnel performance within pre-set guidelines, completing annual and orientation evaluations of all employees in a timely manner.
• Approving weekly payroll for department personnel.
• Implementing appropriate training programs.
• Assigning responsibilities to provide the best outcome, maximizing efficiency of service delivery, as well as developing and implementing contingency plans addressing staff fluctuations.
• Setting effective policy and procedures for day-to-day activities.
• Counseling and assisting staff with problem solving processes.
• Initiating or suggesting plans to motivate employees to achieve work goals.
• Recommending or initiating personnel actions such as promotions, transfers, discharges, and disciplinary measures.
• Providing methods of recruitment, retention, and salary adjustment for departmental staff.
• Assisting in developing continuing education opportunities to assure that the staff is trained in technology, product, procedures, mandatory requirements, and quality improvement.
• Developing and revising job descriptions for Human Resources.
• Interpreting and administering departmental and hospital policies.
• Attending and participating in various committee meetings within the organization.

1. Create, review, revise, and implement departmental policies for Patient Financial Service and Health Information Departments by allowing for timely, accurate generation of claims and receivables to ensure adequate and quality service delivery of the department by:

• Consistently observing current processes.
• Synthesizing, compiling, and analyzing current regulatory changes to keep department services current with the latest billing/collection requirements, as well as for development and expansion of services.
• Considering complaints and compliments from sources within and without the hospital setting.
• Incorporating constructive employee input.

1. Facilitate monthly meetings by:

• Informing employees of changes in hospital policies and procedures, as well as third party payer reimbursement and billing issues.
• Educating staff about trends affecting the department and its processes.
• Training employees on an on-going basis to further enhance their contribution to the overall success of Faith Health.
• Reviewing newsletters that are appropriate to discuss and share with staff.
• Allowing staff to provide input for suggestions on processes and procedures.

1. Reports monthly on departmental progress to the Vice President Finance and/or Chief Financial Officer (CFO) including but not limited to:

• Budget variance analysis, productivity, objectives, goals and concerns, operation issues and statistical information for days in A/R, and other key performance indicators.

12. Assisting departmental staff in various functions required to monitor and collect delinquent patient accounts.

1. Develops short- and long-range goals for the department to give direction and effectively supervise the department develops objectives to meet these goals.

1. Develops and implements mechanisms to ensure compliance with all of the hospital's billing procedures including internal audits to verify claims are accurate and proper.

1. Knowledge of hospital regulatory requirements for revenue cycle functions including Pricing Transparency Policies, No Surprise Billing, and 501r and establish proper policies and procedures to keep the hospital in compliance with all regulatory requirements.

1. Responsible for setting up and running the Quarterly Revenue Cycle meetings.

1. Assists with analysis of payor contracts and negotiations that take place with payors.

1. Assists in formatting the hospital's credit and collection policy and administers "write-offs" in accordance with the board-approved credit and collection policy.

1. Cultivates, maintains, and enhances intradepartmental and medical staff relationships.

1. Supervises preparation of delinquent accounts for collection and acts as liaison for the hospital in the collection process; develops and maintains effective collection processes to minimize accounts receivable turnaround.

1. May be called upon to assist with the hospital's representation in court appearances relative to credit and collection matters.

1. Demonstrates clear, concise communication at all times in order to achieve positive outcomes.

1. Establishes priorities in planning and organizing duties assigned to affect appropriate completion of duties assigned.

1. Responsible for maintaining a departmental climate of openness, fairness, acceptance of feedback, and discussion of ideas within the department.

1. Resolves conflicts both within and outside the department in an appropriate manner.

1. Supports and works effectively with multidisciplinary health care team providing patient-focused care.

1. Actively participates in Performance Improvement/PI efforts and uses information to further enhance the quality of patient care.

1. Validates through CQI/PI that Performance Improvement Services are achieved.

1. Maintains accurate records and Performance Improvement Systems.

1. Demonstrates practices to keep all medical record information protected and confidential.

1. Demonstrates behaviors that promote positive customer relations with physicians, staff, patients, and visitors.

1. Follows Patient's Rights policies at all times.

1. Performs other related duties as assigned or requested in a cooperative professional manner.

1. Actively endorses and promotes performance improvement within all areas of responsibility and on an organization-wide basis.

1. Implements and manages performance improvement activities within all service areas provided by the department.

1. Accountable for attendance at 85% of all Department Director Management Meetings, and at all pertinent committees and work teams as appropriate.

Essential Management/Leadership Duties and Responsibilities:

1. Accomplishes department objectives by managing staff; planning and evaluating department activities.
2. Organizes and oversees the staff by recruiting, selecting, orienting, and training employees. Coaches, counsels, and disciplines employees.
3. Accomplishes staff results by communicating job expectations, planning, monitoring, and appraising job results. Conducts performance evaluations that are timely and constructive.
4. Ensures a safe, secure, and legal work environment.
5. Contributes to team effort by accomplishing related results as needed.
6. Develops, coordinates, and enforces systems, policies, procedures, and productivity standards that will improve day-to-day operations.
7. Establishes strategic goals by gathering pertinent business, financial, service, and operations information.
8. Defines objectives, identifies and evaluates trends and options, chooses a course of action, and evaluates outcomes.
9. Accomplishes financial objectives by forecasting requirements, preparing an annual budget, scheduling expenditures, analyzing variances, and initiating corrective financial actions.
10. Develops personal growth opportunities.
11. Maintains quality service by enforcing quality and customer service standards, analyzing and resolving quality and customer service problems, and recommending improvements.
12. Projects a positive image of the organization to employees, patients, customers, and the community.
13. Using Hardwiring for Excellence tools and techniques; Leadership Evaluation Management (LEM); My Rounding.
14. Accountable for keeping the Vice President (CFO) informed of all critical issues and progress made in process improvement activities.
15. Maintain an attendance of 85% of all Department Director Management Meetings, and at all committees and work teams as appropriate.

Hours will be dependent on patient census and workload. Ability and willingness to work a flexible schedule, to include after-hours and weekends as necessary.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Other information:

Job Requirements:

The requirements listed below must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required.

EDUCATION:

Bachelor's Degree required.

Master's Degree preferred.

EDUCATION FIELD OF STUDY:

Business Administration, Accounting or related discipline required.

Graduate of an American Health Information Management Association (AHIMA) accredited program preferred.

Previous Experience Requirements:

EXPERIENCE:

5 years of experience in management/organization required.

Previous healthcare accounts receivable experience required.

Previous health information experience required.

Skills/Knowledge Requirements:

SKILLS:

Language Skills - Ability to read, write, speak, and understand the English language required.

Strong analytical capabilities preferred.

Working knowledge in Microsoft Office applications, ad hoc query software, electronic health record, image scan/index software and workflow, computer assisted coding (preferably 3M), and encoder software required.

Knowledge in EPIC software preferred.

Other Certifications/Requirements:

Registered Health Information Administrator (RHIA) certification preferred.