Title

Director of Billing Services 


Description

The Director of Billing Services is responsible for the planning, organizing and executing day to day operations of the claims processing, accounts receivable reporting, cash collections and payment functions of multi-location billing teams.  This position will establish effective claims management processes and controls to ensure the accuracy and timeliness of claim submissions and collections efforts while maintaining compliance with contractual, state and federal regulations.  This position has a lead role in the implementation, maintenance and upgrades of the Electronic Health Record system.  In addition, this position will proactively identify, develop and execute solutions to improve overall effectiveness and efficiency within the Billing and Collections area, as well as manage billing team members and performance to meet and exceed key metrics.

Job Categories: Accounting; Accounting - Credit; Health/Medical - Billing; Non-Profit

Responsibilities  include:

1. Billing Management:

  • Develop and implement mechanisms and controls to ensure appropriate billing and payment cycles and accurate and timely billing, in accordance with established internal and third party payer requirements.
  • Establish, record in writing, and implement appropriate billing policy and procedures, and procedures for all billing activities including follow-up on third party approvals and collection of overdue patient accounts.
  • Manage the implementation, maintenance and upgrades of the Electronic Health Record system, specifically those portions of the system that support billing, accounts receivable and collections.
  • Scope of individual management involvement ranges from “top level” to “hands-on” depending on the organizational need.
  • Monitor charge posting, billing, and collection operations for compliance with established policies, regulations, procedures and standards.
  • Coordinate and prepare client financial plans including assisting assessment and clinical staff with obtaining client funding.
  • Manage actions related to delinquent accounts, collection agencies, special adjustments, and/or write-offs.
  • Request, prepare, and/or maintain requested reports on accounts receivable, billing and collection activities.
  • Assist financial management with quarterly and annual financial reporting of billing and receivable data.  Assist in preparing the annual audit, schedules and work papers, and quarterly reviews.  Assist in creating all data necessary to support Non-Medicaid contracts, Uniform Cost Reports (BUCR and AUCR), Title IVE, IRS990 and other reports as needed.
  • Represent the shared organization at business meetings with our billing partners and other related organizations.

2. Quality Improvement/Accreditation, Regulatory Activities:

  • Ensures that the organization is in compliance with applicable governmental and industry regulatory requirements; and maintains liaison with appropriate regulatory and funding bodies.
  • Ensures that the requirements of payers, state agencies and accrediting agencies are fully met.                                                                                                                                           
  • Participates in the Performance Improvement program as a member of the P.I. Committee and as a participant in its various subcommittees and activities.
  • Assists in preparing policies, procedures, and reports on P.I. program activities.
  • Is a standing member of the Leadership team?
  • Oversee of Departmental policies and procedures to be in compliance with diversity standards.
  • Ensures appropriate training of staff on adopted policies and procedures.
  • Conducts the development and implementation of monitoring systems for standards compliance and documentation of compliance.
  • Ensures appropriate financial reports and data are prepared for accrediting authorities and participates in compliance reviews and surveys.

 3. Management and Administration:

  • Oversees the operations of the shared billing department across a multiple locations.
  • Responsible for overseeing staff, performing annual competency evaluations and providing assessment for merit increases.
  • Manages the processing of all personnel actions in the Billing Department; performance evaluations; and initiates corrective action plans when appropriate.
  • Establishes operational goals for the Billing department.  Carries forward the goals of the CEO and CFO into the individual goals established with supervisees.
  • Measures and monitors progress toward established goals.
  • Reviews and makes optimal recommendations in regard to modification of billing systems, procedures and practices.
  • Contributes to the solution of complex billing, operational, or personnel problems as required.
  • Works directly with the Controller and CFO to ensure that billing and accounts receivable information is understood and managed appropriately.
  • Identifies errors, inefficiencies, inaccuracies and implements systems to minimize.
  • Develops innovative solutions to departmental operations and procedures

4. Staff Management:

  • Manages the assigned workforce of the shared billing department across multiple locations.
  • Train the clinical and billing staff as necessary to raise awareness and knowledge of billing management matters.
  • Assist in performing all tasks necessary to achieve the organization's mission and help execute staff succession and growth plans.
  • Collaborates with the CFO and Human Resources regarding staff development and the planning, organization and implementation of training programs.
  • Available to departmental staff for counsel on problems relating to staff performance.
  • Assesses and builds on the individual strengths of each staff member assigned to foster professional growth and development that will mutually benefit the individual and the organization.

 

 

Position Requirements

Qualifications and Requirements:

  • BA/BS or MA degree in Accounting preferred.
  • Minimum ten years of billing supervision/management experience with detailed knowledge of day-to-day operations of healthcare billing and receivables and processes.
  • Demonstrated ability to lead others, to develop teams, and to effectively oversee a significant staff.
  • Demonstrated ability to analyze complex problems and to arrive at sound decisions or recommendations.
  • Knowledge of financial reporting in a behavioral healthcare environment and to effectively operate within budget constraints.
  • Must be able to work a flexible schedule when required.
  • Some travel between multiple locations required.

 

 

Full-Time/Part-Time Full-Time  

Shift Days  

Education Requirements Bachelor's Degree (Master's preferred) in Accounting
Minimum 10 Years of Billing Supervision/Management experience in the health care field  

Licensure Requirements  

Benefits Health, Dental, Vision, Life, AD&D, LTD, Voluntary Life and STD Insurance, Holidays, PTO, 403-B  

Req Number BEH-13-00009  

Location Crossroads LCACS  

About the Organization Crossroads provides a continuum of quality life-changing behavioral health services for children, adolescents, young adults, and families, including specialized treatment for chemically dependent adolescents.  


This position is currently not accepting applications.

To search for an open position, please go to http://CrossroadsLCACS.appone.com



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