Senior Director-Patient Financial Services chez WellSpan Medical Group

Duties and Responsibilities

• Evaluates procedures to improve methods for controlling patient accounts receivable, reducing costs of patient accounting operations, and improve work flow.
• Ensures maximum third party reimbursement through strategic financial planning, familiarity with payer allowances/disallowances of billed charges, and aggressive pursuit of payments and reimbursement through denials management and settlement mechanisms.
• Investigates and reports on all current reimbursement developments on the state and federal level.
• Implements appropriate billing and collection procedures, ensuring that all accounts receivable records are kept in accordance with established procedures.
• Maintains appropriate internal controls over accounts receivable and cash receipt functions.
• Keeps current on all billing procedures of third party and private insurance payers.
• Works with the Director-Customer Service and Collections to ensure appropriate billing, payment cycles and procedures for follow-up on third party approvals, billing and collection on all overdue accounts.
• Works with the Senior Director of Patient Financial Services – PB to develop appropriate billing and collection processes that rely on both Epic Resolute revenue cycle streams.

Common Expectations:

• Recommends staffing levels, selects and assigns staff, evaluates performance, evaluates/tests competencies (as applicable), provides orientation, training and continuing education of staff, and initiates or makes recommendations for personnel actions.
• Coordinates and integrates services within the department/service line/entity, with other departments/service lines/entities, and with the System's primary functions. Participates in the selection of outside services (if needed).
• Continuously assesses and improves the department/service line/entity/System's performance. Maintains appropriate quality control/assessment programs (if applicable).
• Develops budget(s) for the department/unit/entity and allocates funds within budget(s) to accomplish objectives. Monitors variance against budget(s).
• Develops, establishes and implements goals, objectives, and policies and procedures for department/service line/entity operation, and which guide and support the provision of the department/service line/entity's services.
• Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
• Directs the preparation and maintenance of department reports. Prepares periodic reports for top management, as required.

Qualifications

Minimum Education:

• Bachelors Degree Required

Work Experience:

• 10+ years Experience in accounting or business administration. Required and
• Supervisory experience. Required

Licenses:

• Certified Public Accountant Upon Hire Preferred or
• Certified Manager Patient Accounts Upon Hire Preferred or
• Certified Patient Accounts Manager Upon Hire Preferred