Asssociate Director–Business Office
Position Summary Responsible for the day to day operations for the Business Office and Managed Care. Essential Duties and Responsibilities include the following. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other duties may be assigned. 1. Provide direction to management team to effectively manage back-end revenue cycle and A/R management. 2. Oversees the development of staff training curriculum for all functional areas and including IDX. 3. Keeps abreast of payer changes and ensures information is communicated to practice. Works with IT on changes impacting claims and remit processing. Oversees testing and audits to ensure compliance. 4. Develops collection strategies and work plans for Credit and Collections area. Works with management team to ensure productivity targets are met and aged accounts are appropriately addressed. 5. Reviews patient level data to identify trends with rejections, coding, or failed processes. 6. Works directly with Provider Representatives on outstanding claim issues. 7. Tracks dollars impacted and follows-up to ensure successful resolution. 8. Communicates and coordinates with clinical departments and other departments within the organization to obtain information and to resolve issues that affect Credit & Collections efforts. 9. Develops and updates procedures and workflows. Reviews opportunities to increase use of technology, where possible, to maximize staffing resources and improve efficiency. 10. Reviews and authorizes adjustments to accounts over $1,000. 11. Randomly audits accounts to ensure appropriate actions have been taken. 12. With the Director plans and develops changes and modifications to the automated systems including working with IT Department on IDX upgrades, 13. payer. 14. Interview and select staff. 15. Performs other duties as assigned or requested. Performance Expectations and Accountability 1. Ability to maintain current, appropriate, and competent knowledge on CMS policies, coding updates, and System modifications to effectively perform job function. 2. Effective time management skills to prioritize tasks, meet deadlines, and react to workflow and process problems. 3. Positive interpersonal skills. Provides constructive feedback and communication on an ongoing basis. 4. Ability to provide meaningful input and resourcefulness with developing solutions. Knowledge of revenue cycle processes. 6. Ability to work in an environment of continual change with flexibility and ingenuity. 7. High degree of accuracy, thoroughness, and attention to detail. 8. Escalates issues or internal process problems appropriately. 9. Effective management skills to motivate, coach, and develop staff.
Qualifications: The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education: Bachelor’s degree, preferably in Business, Accounting, Finance, or Healthcare Administration. Experience Minimum of ten years experience with physician accounts receivable management or combination of experience and education. Extensive knowledge of third party payer regulations; specifically those that pertain to Medicare-Part B (CMS) policy on billing and reimbursement. Intermediate PC skills and knowledge using Microsoft office products, EXCEL, Word, and PowerPoint.
Competencies: Ability to do math calculations, input data into the computer, and analyze data as requested. Must be able to communicate providing verbal feedback in a professional manner. Must be able to follow and understand instructions, and react favorably in all work situations. Must be mentally adaptable and flexible in dealing with a variety of people. Supervision Received General supervision is received from the Senior Director, Revenue Cycle Management Supervision Exercised Directly supervises 8-10 management staff. Has overall responsibility for a staff of 75+.