Job Summary – The Vendor Collections Management Director is responsible for daily operations of agency and charity functions. The Director interprets policies and procedures, recommends changes as appropriate, and provides relevant feedback to SSC leadership. In this leadership role, this person also serves as a key promoter of the SSC as a service organization which strives to meet and exceed the needs of its customers.
Duties (included but not limited to):
- Oversee SSC operations and functions as they pertain to the Uninsured/Under Insured such as monitoring agency placements and recoveries, reviewing and approving charity applications, bad debt reporting (including bad debt, charity and uninsured discount projections Pending Medicaid Reconciliation process and reporting, eRequest, eTran, pool completion and settlement campaign management, etc.
- Manage Medicaid Conversion, Early Out, Primary, and Secondary collection agency vendors to ensure goals are met.
- Approve settlements of motor vehicle accidents.
- Oversee management of SSC charity process ensuring compliance with state specific guidelines.
- Oversee management of Estate and Bankruptcy process
- Monitor self-pay inventory to ensure placements to the agency are occurring timely and appropriately.
- Monitor aged agency inventory to ensure accounts are moving through the collection cycle timely.
- Reviews vendors invoices and resolves reconciliation issues with vendor Provide relevant guidance for the VCM Manager and other SSC Directors to resolve internal and external issues.
- Approve charity write-offs based on threshold by reviewing account notes for appropriateness.
- Inform SSC Back Office COO of any significant issues in the Agency area (e.g., vendor issues, etc.)
- Stay abreast of regulatory requirements and company compliance policies, ensuring timely staff education.
- Inform VCM and staff regarding payer requirements, significant changes and developments.
- Review Agency performance to ensure timeliness, accuracy, compliance ad standards fulfillment as defined in SSC Service Level Agreements
- Develop and monitor trends and communicate significant shifts in Medicaid Vendor performance to SSC Back Office COO and the Medicaid Vendor Follow overall market trends and communicate significant shifts to SSC Leadership and others as appropriate.
- Oversee management of VCM personnel, providing recommendations for hiring, promotion, salary adjustment and personnel action where appropriate
- Oversee the management of vendor’s onboarding and terminating, ensuring access is created and suspended in a timely manner.
- Ensure all VCM policies and procedures are adhered to by VCM staff Develop reporting tools to track and review Uninsured / Under Insured accounts.
- Establish controls and review mechanisms for SSC policies and procedures
- Actively participate in the annual Internal and External Audits of SOX, Bad Debt and other processes to submit all required documentation in a timely manner.
- Collaborate with the Collections Director to perform Agency Sweeps 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.
KNOWLEDGE, SKILLS & ABILITIES
- Technical Expertise – Some understanding of healthcare including knowledge of healthcare terms and accounts receivable processes.
- Strategic Analysis - Analytical Review skills and ability to make decisions based on analysis.
- Leadership - guides individuals and groups toward desired outcomes, setting high performance standards and delivering leading quality services.
- Tactical execution - oversees the development, deployment and direction of complex programs and processes.
- Financial management - applies tools and processes to successfully manage to budget.
- Project Management - assesses work activities and allocates resources appropriately.
- Organization - proactively prioritizes needs and effectively manages resources.
- Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately. The ability to communicate with staff, Parallon Management, Division and Group Executives.
- Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
- Interpersonal skills - able to work effectively with other employees, patients and external parties.
- PC skills - demonstrates proficiency in Microsoft Office applications and others as required.
- Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems.
- Basic Skills – demonstrates ability to organize, perform and track multiple tasks accurately in short timeframes, have ability to work quickly and accurately in a fast-paced environment while managing multiple demands, ability to work both independently and collaboratively as a team player, adaptability, analytical and problem solving ability and attention to detail and able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly. Spell correctly and transcribe accurately.
- Bachelor’s Degree in Business or related field required.
- 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.