Job Summary: The Network AVP of Patient Accounts is responsible for all functions relating to the billing and collections of claims for all acute business offices within the WMCHealth Network. This individual will develop and execute financial strategies, systems and processes that optimize current and future performance within patient accounting across the network. This position will manage all acute care billing functions and ensures consistent applications of revenue management reimbursement as well as manages cash flow. The position will be responsible for the coordination and daily management of and oversee daily Cerner and other financial processes. This position will work to integrate best practices across the network.
Responsibilities:
• Oversees the daily operations and performance of the acute care billing for network hospital sites.
• Monitors cash performance for the newtork, including continuous opportunities for improved collections and/or reduced costs.
• Collaborates with all business offices and department managers to resolve billing problems related to the charge master, managed care agreements, or other operational processes
• Oversees performance metrics including file transfers, contractual adjustment processing and automation for all facilities.
• Oversees managed care underpayment processes and performance for the network.
• This includes management of network patient accounts leadership to maximize collection performance.
• Coordinates opportunities found in underpay management with managed care leadership, to improve performance.
• Establishes monitoring tools to reduce late charges.
• Oversees activities in the optimization of Cerner revenue cycle tools, coordinating resources and processes throughout the optimization.
• Leads the implementation of all required regulatory changes and monitor ongoing success.
• Creates, monitors, and performs within established budgets.
• Fosters an atmosphere of professionalism and compliance with all governmental and contractual standards.
• Actively participates in and contributes to programs and/or initiatives designed to maximize the return on organization financial resources through improvements in service delivery, reductions in expenses, and/or optimization of revenues.
• Educates department and executive management on findings related to charging, charge capture, pricing, billing and other financial matters.
• Works with the finance leadership team to identify and manage financial trends (such as bad debts and charity care).
• Works with managed care revenue cycle leadership to develop and implement best practice strategies to reduce billing errors and maximize contract payment.
• Develops business office strategies designed to maximize cash flow and financial performance.
• Lead patient accounts leadership in managing denials.
Qualifications/Requirements:
Experience: A minimum of 10 years healthcare finance experience previously in the areas of revenue cycle and billing and collections, three of which must have been in a supervisory capacity at a large hospital or healthcare facility. Cerner experience a plus.
Education: Bachelor's Degree, required Or Equivalent combination of experience and education maybe substituted for degree requirement.
