This position will plan, organize and direct all aspects of the functions of the Hospital and Clinic Business Service activity to ensure timely, legally compliant, and accurate billing while maximizing the cash flow related to the collections of Account Receivable for all CHRISTUS NETX Hospital and Physician locations. This includes strategic planning, organizing, implementing, and managing of personnel and resources while ensuring that financial performance objectives are achieved that are related to revenue cycle initiatives.
The Director is expected to maintain effective professional relationships with other department leadership as appropriate to instruct, share ideas, and implement actions related to the business office functions. The ability to communicate effectively with all types of people at all levels is critical. This position is expected to provide the leadership needed to keep internal staff, suppliers, clients, and management informed of departmental activities, needs, problems, recommended solutions, and administrative matters on a regular basis. This position also acts as a resource available for education, consultation, and implementation of revenue cycle enhanced processes related to patient financial services functions.
Direct responsibilities include all insurance and patient billing, insurance follow-up, cash management and payment variance management. This position will work closely and in collaboration with the Patient Access Center, Coding and Clinical Documentation Improvement, and Revenue Integrity.
Directs the activities of the department to ensure department, facility, and ministry financial performance targets are met.
Develops a team that can effectively manage the delivery of services in collaboration with NETX hospitals, associates, payers, and providers.
Provides actionable feedback to both Hospital and Clinic departments to enhance net revenue realization and account receivable performance
Responds to organizational and customers' needs with innovative programs to ensure service excellence.
Customer Service Standards - Ensures that customers and families receive the highest quality of service in a caring and compassionate atmosphere which recognizes the individuals' needs and rights.
Directs the overall Billing and Collections activities in accordance with current applicable federal, state, and local standards, guidelines and regulations, and assure that proper administrative procedures are maintained.
Interacts with hospital administration to develop the strategic plan for the department, including assisting with the preparation of the operating and capital budgets. Responsible for meeting finance/operational annual and monthly goals.
Develops and maintains all business policies, including but not limited to insurance and patient billing and collection practices.
Prepares and presents monthly reports and benchmarks progress.
Manages the training, supervision and job evaluations of assigned personnel and delegates administrative authority, responsibility and accountability to other office personnel as necessary. Recommends merit increases, promotions, incentive pay-outs and disciplinary actions as appropriate.
Works with the regional accounting and reimbursement departments to provide the necessary patient
Ensures systems and controls are in place as outlined in policy and procedure manuals. Meets established daily, weekly, and monthly deadlines.
Directs processing of accounts receivable, adjustments/refunds, private and third party agencies, ancillaries, cash deposits and posting.
Oversees all month end processes, which include completion of data entry, review and correction of edits, and reconciliation of claims transactions (charge entry and payment posting).
Supervises the preparation of accounts for outside collection agencies, attorneys, and write offs.
Coordinates documentation for internal and external auditors. Assists administrator and accounting department with resolving G/L variances.
Maintains knowledge of third-party payer regulations including Medicare, Medicare Advantage, Medicaid, Champus, Workers Compensation and non-governmental payers.
Ensures compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers.
Acts as the business office contact for purposes of internal and external audit reviews for all regional facilities supported.
Provides support to the Corporate Integrity Compliance Program which includes performing research, and resolution of patient accounting operational matters
Continually seeks to identify opportunities to collaborate, enhance efficiencies within the scheduling and referral process that result in a convenient, coordinated, and efficient experience for providers
Thorough understanding of entire Revenue Cycle functions and the respective impact of each area on overall performance of Patient Financial Services
Excellent verbal, written, and interpersonal communication skills
Strong analytical skills to gather, interpret, and present complex data
Delivers multi-modality communication that conveys clear understanding across unique, varied stakeholders
Tailors approach and presence in the moment to match the changing needs of different situations
Navigates readily through diverse policy, process, and people-related organizational dynamics
Possesses knowledge of efficient and effective processes to get work accomplished with continuous focus on improvement
Proven ability to organize, plan, and effectively manage time and achieve results in a fast-paced environment
Ability to manage multiple clients and projects to success simultaneously
Effectively solves problems by breaking down complex, high volume, and occasionally conflicting information
Embraces new opportunities and challenges with enthusiasm, spirit, and a sense of urgency
Applies knowledge of business and industry to align and achieve organizational goals
Articulates the vision and strategy of Patient Financial Services contribution to the ministry that motivates others to action
Effective in impacting change through influence in a matrix environment
Operate in geographically disbursed operations as a seamless entity
Bachelor's degree in business or related field (Master's preferred).
15+ years of progressive revenue cycle experience, 2 of which must include experience as a Manager over billing or collections
5+ years Director level capacity of a business office, preferred
Computer (PC) skills, ability to use spreadsheets and create reports, knowledge of A/R software and Microsoft Office products.
CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.