Regional Director Of Business Services

UT Health East Texas Pittsburg , TX 75686

Posted 7 days ago

Advancing Healthcare Together The Future of Healthcare is in East Texas

Why UT Health - East Texas?

Our People. Our people truly are our greatest strength. They make a massive difference in the amazing care we provide every day. We work closely together to create a positive experience for our patients and each other.

Our Purpose. We will build on your experience and provide meaningful and purposeful career growth for your future. You will have the opportunity every day to make a difference in someone's life and change the course of healthcare.

Our Place. Pittsburg, Texas is a small town with a huge heart where you will have the privilege of caring for your neighbors. Everybody is somebody here.

Representing the very best in healthcare, UT Health East Texas is comprised of 10 hospitals and more than 50 clinics across east Texas. With nearly 7,500 employees and over 1,000 licensed in-patient beds, UT Health East Texas provides healthcare services to thousands of patients annually through our hospitals, clinics, Level 1 trauma facility, air emergency fleet and EMS service in a metropolitan service area of a quarter-million people.

Our Pittsburg hospital is seeking an experienced Regional Director of Business Services. We are looking for your experience, knowledge and patient care skills in our Pittsburg CBO where you will be responsible for:

What You Will Be Doing:

  • Plans, organizes, and directs the operations of all areas related to Business Services for all of the various entities of the UTHET system.

  • Provides oversight and leadership to the staff of inpatient, outpatient, and emergency room registration, switchboard, cashiering, billing and follow-up collections.

  • Coordinates operations with other hospital and clinic departments as well as medical staff.

  • Interviews, hires trains, manages and disciplines employees, assigning them to various work areas as required.

  • Manages the performance of contracted vendors supplying services related to Business Services, making recommendations to the Regional CFO as appropriate.

  • Adheres to the established policies and procedures of UTHET and the department.

  • Interprets and applies said policies, recommending policy changes to Regional CFO when appropriate.

  • Reviews Quality Assurance reports from patient registration and provides feedback and guidance as necessary.

  • Responsible for the timely billing and collection of patient charges. Maintains the Charge Description Master (s). Works closely with Medical Records and other departments to ensure unbilled accounts are held to established standards.

  • Reviews a random sampling of insurance billings on a routine basis to ensure claims are billed correctly and sent to proper mailing addresses. Performs routine quality assurance to verify that proper payments are received.

  • Reviews all remittance advices; determines significant problems causing rejections and denials. Ensures that denial logs are maintained and that all appeals are filed in a timely manner.

  • Communicates with third party payors in regards to claim processing difficulties or new processing procedures. Notifies Regional CFO of significant changes and trends. Works closely with Administration and the managed care department on issues regarding underpayments and inappropriate denials.

  • Reviews all incoming correspondence to determine proper disposition and to identify problem areas. Communicates to Administration as needed to ensure prompt response to changes.

  • Prepares A/R reports on a weekly, monthly and ad hoc basis for Regional CFO.

  • Monitors bad debt and contractual losses against budgeted levels. Prepares bad debt transactions and reports monthly. Ensures that Medicare bad debts are handled in a manner consistent with CMS 9and its Fiscal Intermediaries') rules and regulations.

  • Reviews and approves as appropriate write-off listings, refund requests and miscellaneous cash adjustments in accordance with policy.

  • Oversees clinic business office operations to include the preparation and balancing of deposits, maintenance of the Change Description Master, and operation of the clinic billing software.

  • Prepares reports for payors as required (e.g. Medicare Credit Balance Repots).

  • Develops and/or utilizes performance measurement systems to critically evaluate the performance of Business Services, taking action as appropriate and alerting the Regional CFO to performance trends.

So what experience are we looking for in our Regional Director of Business Services?

  • Graduate from a recognized college or university with a degree in Business Administration or related area is required.

  • At least five years experience in a similar position within a hospital is required. Ten years of hospital experience may be substituted for degree.

  • Knowledge of and experience with automated billing and collection systems is required.

  • Current knowledge of Medicare and Medicaid rules and regulations is required.

  • Participation in special workshops or training sessions in Medicare, Medicaid and managed care procedures is required to maintain current knowledge.

  • Some travel (typically less than 10%) may be required.

Now that you read about what you will be doing and the experience we seek, it is time to apply and make a difference in the lives of our patients.

UT Health East Texas is an equal opportunity employer (including veterans and persons with disabilities).

", "requirements" : "

So what experience are we looking for in our Regional Director of Business Services?

  • Graduate from a recognized college or university with a degree in Business Administration or related area is required.

  • At least five years experience in a similar position within a hospital is required. Ten years of hospital experience may be substituted for degree.

  • Knowledge of and experience with automated billing and collection systems is required.

  • Current knowledge of Medicare and Medicaid rules and regulations is required.

  • Participation in special workshops or training sessions in Medicare, Medicaid and managed care procedures is required to maintain current knowledge.

  • Some travel (typically less than 10%) may be required.

Now that you read about what you will be doing and the experience we seek, it is time to apply and make a difference in the lives of our patients.

UT Health East Texas is an equal opportunity employer (including veterans and persons with disabilities).

",


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Regional Director Of Business Services

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