Sr. Director Of Billing/Denials

Community Health System Fort Smith , AR 72916

Posted 5 months ago

ESSENTIAL JOB FUNCTIONS:

  • Directs and establishes the training and discipline of Shared Services associates in order to meet performance This includes the coordination of training guidelines; materials and overall direction of delegated areas of responsibility.

  • Establishes, implements, and maintains appropriate internal procedures (Standard Operating) for Shared Services associates to meet monthly corporate KPIs and internal benchmarks. This includes the daily direction of high level management such as Managers and Directors in the direct resolution of AR in both a timely and efficient manner.

  • Monitors all statistical reports weekly to resolve trends and determine deficiencies; ensures action plans are developed and maintained for improvement.

  • Maintains bad debt at or below current Community Health Systems (CHS) standard

  • Accomplishes cash collection goal as set forth by CHS

  • Maintains AR days at or below planned days as set forth by CHS

  • Ensures front end performance of facilities is aligned with overall goals and active communication with the CFO regarding issues is identified and actions developed for resolution.

  • Achieves front end collection goals through aggressive collection efforts daily

  • Ensures rejection and denial rates related to pre-arrival and registration are minimized

  • Ensures Unbilled and Alert Items are resolved for timely billing

  • Monitors and reviews all Front End Vendor efforts that stagnate AR such as eligibility vendor

  • Reviews facility's monthly adjustments by code to ensure stable trend is present. This includes 986 (denial) adjustment logs to check accuracy of discounts and resolution of account

  • Ensures delegation of daily cash report verifying all discounts have been given and researching accounts with large outstanding balances

  • Serves as complete revenue cycle liaison with Facility and SSC to ensure that the service level is being met for SSC performance to facility and facility performance is being met for the achievement of the KPI standards. This may include onsite visits for training or gathering of multidiscipline teams in resolving outstanding issues.

  • Thorough understanding of third party reimbursement to provide technical support to office

  • Reviews monthly internal processes within the SSC to ensure that minimal disruption is occurring for the facility net revenue:

  • Credit balance report (duplicated contractuals)

  • Late Charge report (facility vs. SSC origination)

  • Denials by reason

  • Posting monitors and variances; unidentified

  • Vendor performance (collection agencies, eligibility, etc)

  • Provides weekly statistical report to Corporate on AR and Bad Debt.

  • Identifies and promotes the negotiation of patterned payer issues and possible settlements on a monthly basis.

  • Monitors CHS computer system and recommends changes and enhancements to assist in the processing of patient accounts. This includes the reviews patient files in computer system to ensure all collection activity is thorough, accurately documented and exhaustive in efforts.

  • Understands and educates on all proper billing compliance and new payer policies for each year changes; compliant with any regulatory changes

  • Participates in all educational activities, and demonstrates personal responsibility for job performance.

  • Ability to work with technology necessary to complete job effectively. This includes, but is not limited to phone technology, PULSE/DAR/HMS products, insurance verification / eligibility tools, patient liability estimation tools, and scanning technology.

  • Organizes work/resources to accomplish objectives and meet deadlines.

  • Maintains stable performance under pressure or opposition. Handles stress in ways to maintain relationships with patients, customers and co-workers.

  • Other relevant work functions, as requested.

  • This is a Safety Sensitive Position.

EDUCATION, SKILLS & EXPERIENCE:

BA/BS Degree or higher in business, accounting or finance preferred

Five years of relative experience in hospital billing, collections or Business Office

Minimum two years supervisory or management experience required

Must be familiar with revenue cycle structure and process

Create reports and/or presentations in Excel, Power Point or Word accurately and efficiently

Coordinate meetings and training sessions

Communicate effectively, timely and professionally

Work collaboratively with corporate, facility leadership and all SSC leadership and associates


icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Sr Manager Operations

Rheem Manufacturing Company

Posted 1 week ago

VIEW JOBS 10/11/2019 12:00:00 AM 2020-01-09T00:00 A Career at Rheem: Where Comfort Is Your Calling At Rheem, we are dedicated to bringing comfort to people's lives. As a leading global manufacturer of heating, cooling and water heating equipment, we are innovating all-new ways to deliver just the right temperature while saving energy, water and supporting a more sustainable future. It is an exciting challenge that requires a team of talented, passionate people with a diverse set of skills. From engineers to accountants, sales professionals to support experts, Rheem depends on people to power our innovations. Join Rheem, and help shape the future of products that impact lives—every day. The Sr. Operations Manager oversees the daily production operations of the plant. Monitors operations for efficiency and safety, ensuring that all applicable regulatory requirements are met/followed. This position will serve our Air Conditioner Division, located in Fort Smith, AR. WHAT YOU'LL DO * Direct, through subordinate department managers and superintendents, all production and service activities. * Assist in the development and execution of general programs, procedures and methodologies to facilitate effective plant operations. Perform the necessary follow-up to assure performance goals and objectives are achieved and/or exceeded. * Study the organization's manufacturing processes and identify opportunities for process improvement or efficiency optimization applying lean manufacturing principles. * Assist the Sr. Director Operations in establishing an effective organizational structure to assure operational efficiency and proper coordination between production and service departments. * Coordinate daily production and service department activities to effectively meet customer requirements and other demands placed on plant operations. * Enforce established operating policies and procedures. * Keep Sr. Director Operations informed of the status and progress of special projects and general plant operating conditions. * Assume immediate and short term responsibilities of Sr. Director Operations during his/her absence. * Assist Sr. Director Operations in maintaining good employee-management relations, development and training programs, and safety programs * Provide a safe work environment that is free from recognized hazards that cause or are likely to cause physical harm to employees, take corrective actions to eliminate recognized hazards, and hold employees accountable for actions. * Provide direct supervision over operations staff. * Provide performance feedback, coaching and mentoring. WHAT YOU NEED * Bachelor's degree in Engineering or related field * 7 years of experience in a manufacturing environment * 5 years of supervisory experience * Independent thought, good judgment, problem solving skills, and ability to prioritize multiple projects a must. * Knowledge and experience in Lean Manufacturing, Six Sigma, 5S, Kaizen Teams and standard work methodology. * Experience in Lean concepts and application. * Experience in a high volume durable goods manufacturing environment. * Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public. * Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry. * Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. * Excellent communication skills, written and verbal, with attention to detail and accuracy. * Proficient computer skills and in-depth knowledge of relevant software such as MS Office Suite, Oracle or AS400. * Demonstrates ability to work well with others in a matrix team environment. * Knowledge of successful performance management techniques and ability to apply organization's performance management system, practices, and tools to developing and improving individual, team, and organizational performance. * Knowledge of the philosophy, principles and implementation approaches to lean manufacturing; ability to integrate and implement lean manufacturing philosophy into existing production and management processes. * Knowledge of the decision-making process and associated tools and techniques; ability to accurately analyze situations and reach productive decisions based on informed judgment. * Understanding of the importance of insightful listening and communicating and ability to provide information and messages in a way that produces clarity and impact. HOW TO STAND OUT * MBA or Master's in Engineering or related field Rheem is an Equal Opportunity Employer Notice to Third Party Recruitment Agencies: Please note that Rheem and its subsidiaries do not accept unsolicited resumes from recruiters or employment agencies. In the absence of an executed Recruitment Services Agreement, there will be no obligation to any referral compensation or recruiter fee. In the event a recruiter or agency submits a resume or candidate without an agreement, Rheem and its subsidiaries shall explicitly reserve the right to pursue and hire those candidate(s) without any financial obligation to the recruiter or agency. Any unsolicited resumes, including those submitted to hiring managers, will become the property of Rheem. Rheem Manufacturing Company Fort Smith AR

Sr. Director Of Billing/Denials

Community Health System