Exceptional candidates will also have meaningful experience in supervising transactional workflows in the full revenue cycle including but not limited to insurance verification, preauthorization, charge posting, payment posting, contractual adjustments, insurance follow-up and patient collections.

Experience in navigating both the clinical and billing areas of EHR systems, medical coding and billing, KPI/Dashboard/Scorecard development and reporting, operational analysis assessment, strategy development for maximizing revenue and cash collection realization, and tactical execution of related sensible policies and procedures. Ensures the accuracy, the timeliness and appropriateness of billing and collections functions and results.

1. Ensures patient satisfaction with the billing process for assigned payors. 
2. Liasion with outside agency companies concerning individual patient accounts.
3. Outreach to patients to avoid collection agency referrals.
4. Review proposed refunds for appropriateness.
5. Assist with the denial management process for assigned payors.
6. Conduct ongoing audits of charges and adjustments.
7. Remain current on federal, state and hospital regulations and policies associated with patient reimbursement through a variety of educational methods. 
8. Maintains policies and procedures for billing and collections associated with payors as assigned. 
9. Supervises staff productivity levels and ensures productivity standards are maintained for assigned personnel. 
10. Assigns workload for staff billing to maximize efficiency and accuracy of all billing and collection practices.
11. Be able to use a variety of information systems for billing and reporting.
12. Provide monthly reports on billing status and identify opportunities for improvement.
13. Maintain time and attendance for assigned billing staff. 
14. Create accountability processes for assigned staff. 
15. Develop, establish and evaluate departmental and staff goals.  Ensure all goals and workflows use the lean management methodology. 
16. Recruit, orient and train staff. 
17. Monitors productivity and quality of billing and follow-up staff to meet department standards.
18. Works with follow-up staff to determine trends impacting cash flow. 
19. Assist the Director of the Revenue Cycle in attaining organization cash goals. 

DCH Standards:

• Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
• Performs compliance requirements as outlined in the Employee Handbook
• Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.
• Requires use of electronic mail, time and attendance software, learning management software and intranet.
• Must adhere to all DCH Health System policies and procedures.
• All other duties as assigned.

Bachelor’s Degree in Business, Finance, Accounting or Health Management preferred.

Two years supervisory experience required. 

Strong analytical skills required.

Good communication skills.

Must obtain CPAR certification.  

Knowledge of health care revenue cycle is preferred.

Must be able to read, write legibly, speak, and comprehend English. 

Working Conditions:

WORK CONTEXT

• Coordinate and lead others
• Deal with external customers/vendors
• Provide business appropriate letters, memos, and emails
• Public speaking
• Work well within a group or team

• Freedom of decision making without supervision
• Understanding impact of decisions on the Health System
• Fast-paced and under time pressure

PHYSICAL FACTORS

• The Americans with Disabilities Act (ADA) requires the job description to document physical factors, including ability, activities, and requirements.
• Ability: Gross Body Equilibrium and Coordination.
• Activities: Talking, hearing, walking, repetitive motion, standing, and/or using hands to handle, control, or feel objects, tools or controls.
• Requirements: Please indicate the physical requirements of the job as one of the following:
  • Light work. Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time, the job is rated for light work.

• Must be able to perform the duties with or without reasonable accommodation.
• Hearing and vision must be normal or corrected to within normal range.
• Physical presence onsite is essential.

OTHER JOB FACTORS

• Deductive reasoning, fluency of ideas, problem sensitivity, oral comprehension, oral expression, written expression, speed of closure.
• Achieve goals set forth in job, ability to adapt to surroundings and continuous change, attention to detail, initiative, independence, stress tolerance, leadership, integrity and cooperation.
• Ability to build relationships, create a support structure for those in the Health System, provide recognition to those achieving the accolades, and satisfy work task independently.