Hybrid Director of Patient Financial Services bei Hunt Regional Medical Center

POSITION SUMMARY
⦁ Supports and is responsible for all aspects of the Patient Financial Services department to include Patient Access and Patient Accounting (Business Office).  Focus is placed on the entire Revenue Cycle, customer service, day to day operations, management of PFS leadership, staffing challenges, the Charge Master, quality management, pre-service and registration functions, billing, accounts receivable aging and cash flow, reimbursement, collection strategies, bad debt activity and system functions.  A/R and denial management responsibility is for Hunt Regional Medical Center, Hunt Regional Community Hospital and Hunt Regional Home Care.  Interpret and ensures compliance guidelines are followed according to federal regulations.  Works with collection agencies and other vendors to negotiate agreements and coordinate efforts with a common goal in mind.  Creates and monitors budgetary activity for all areas of the PFS. 
POSITION SUPERVISORY RESPONSIBILITIES
⦁ Reports To:
⦁ Chief Financial Officer
⦁ Supervises:
⦁ All employees in the Patient Financial Services department at Hunt Regional Medical Center .
POSITION REQUIREMENTS
⦁ Minimum Education
⦁ High School Diploma or GED required, some college preferred
⦁ Minimum Work Experience
⦁ Five years management experience required. Five year’s experience in a patient access, hospital accounts receivable and insurance environment required.
⦁ Required Licenses/Certifications
⦁ None
⦁ Required Skills, Knowledge, and Abilities
⦁ Must possess good patient and customer service skills. Demonstrates leadership skills. Ability to be a motivator, initiator and “team builder”. Must be able to set and achieve goals. Knowledge of Managed Care guidelines. Knowledge of Medicare and/or Medicaid regulations. Ability to interpret and generate written correspondence utilizing proper grammar, spelling and composition skills. Computer knowledge.  Experience with automated systems. Ability to operate office equipment, such as copy machines, fax machine and printers. Must have excellent written and verbal communication skills.
⦁ Preferred Qualification
⦁ BA/BS in Business or Health Administration. Medical terminology.
⦁ Certification in Patient Access, Revenue Cycle or Coding
PHYSICAL REQUIREMENTS
⦁ Light work, exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and negligible amount of force constantly to move objects.  Involves sitting for long periods of time.  Occasionally requires standing, walking, bending, stooping, reaching, lifting, pushing and pulling. Requires near and midrange vision, talking, hearing, repetitive movement of wrists, hands and fingers. Requires viewing computer screens for extended periods. The incumbent works in a good environment under clean working conditions; one or more disagreeable elements may be present to a small degree from time to time.   
⦁ There is potential for exposure to contagious diseases from patient contact but these will be minimal if proper safety precautions are taken. 
JOB SPECIFIC FUNCTIONS
1. Reinforces HMHD's values, promotes HMHD's Compliance Plan and demonstrates proficiency in understanding of training materials and applicable laws and standards.
2. Completes the required corporate integrity and compliance training and education programs and ensures department employees complete their required education (in a timely manner) according to HMHD policies.
3. Assists the Compliance Officer and the Executive Compliance Committee in identifying "high risk" issues within his/her department.
4. Complies with all HIPAA standards.
5. Responsible and accountable for internal and/or external customer service scores.
6. Assist others when Revenue Cycle questions and/or concerns about responsible areas are expressed.  Works in tandem with staff as well as other departments and the middle of the Revenue Cycle.
7. Coordinates and manages Charge Master activity. 
8. Assist with Charge Master challenges to include pricing & reimbursement strategies.
9. Address and return patient, employee and other customer inquiries or concerns in a timely manner.
10. Implement strategies to minimize wait times during the registration process.
11. Assist to improve quality indicators in Patient Access (i.e. point-of-service collections, pre-registration percent, etc.) to include system enhancements.
12. Ability to promote the best possible financial performance in the management of accounts receivable to ensure prompt reimbursement.
13. Constantly seeks ways to improve District cash flow and collections. Assess and enhance system functions. 
14. Focus on strategies to manage and reduce the amount of accounts receivable greater than 90 days in age. 
15. Responsible for bad debt activity to include the Medicare Bad Debt Report, and overall strategies for bad debt reduction.
16. Complete month-end duties, to include denial analysis, cash information, compliance reports and key performance indicators.   
17. Complete root cause analysis when needed or as requested.
18. Coordinate efforts with collection agencies and other vendors to negotiate agreements, ensure maximum output and meet routinely.
19. Interpret and ensure compliance guidelines are followed according to federal regulations with a focus on Patient Access and Patient Accounting areas. 
20. Chairs the Denial Management Team. Active with the research and resolution of denials. Monitors the appeal process. 
21. Generate and interpret reports to maximize resources. 
22. Perform special duties and projects as assigned.