- Medical Terminology
- Microsoft Office
- Data Mining
- Supervising Experience
The Assistant Director acts to assist the Revenue Cycle Director as needed and directed, including in coverage during the Director's absence. As such the Assistant Director also serves as a key resource for the Chief Financial Officer including a key presenter in the multi-disciplinary revenue cycle weekly meetings.
Under the supervision of the Revenue Cycle Director, the Assistant Director coordinates and facilitates the various activities among members of the BMH Patient Financial Services team. The Assistant Director is responsible for the daily operations of BMH Patient Financial Services to ensure that specific processes, practices, and operational functions are preformed effectively and efficiently to maximize financial performance of the organization as it relates to collecting hospital accounts receivables. The Assistant Director provides detailed billing guidance to staff, and serves as the next level of payer contact when collection efforts need to be escalated beyond the staff.
The Assistant Director is an expert in data mining. He/she is knowledgeable of and adept at researching governmental payer regulations, and non-governmental billing guidelines. The Assistant Director directs the daily activities of denial avoidance and management; contract management with regard to identification and resolution of contract payment variances; and revenue integrity efforts. This person is also responsible for managing the denial team, including working denials, appeals for trial by judge cases, under and over payments and denial analytical reporting.
The Assistant Director is responsible for training and developing staff by serving as a mentor, leader, coach, and is representative of the cultures and core values of Beaufort Memorial Hospital. The Assistant Director must demonstrate conceptual skills, human relations skills, administrative skills, and technical skills to ascertain that daily processes are in compliance with the organizations internal policies, and procedures; and with external regulatory requirements.
Other duties as assigned.
o Bachelor's Degree in Accounting, Finance or Business Administration preferred. Or Bachelor's Degree in other related field and 3 years of hospital experience with 1 year of supervisory experience required.
o 3 years hospital experience preferred, with at least 1 year related supervisory experience. Meditech experience preferred. Patient Access/Patient Registration and Physician Patient Financial Services experience preferred.
o Experience in overall daily operations of a healthcare billing and collection department required. Proficiency in written and verbal communications, ability to establish and maintain effective working relationships with the public, various payers, and other departments / providers preferred.
o Experience developing policies and procedures, and in process improvement also desired.
JOB KNOWLEDGE; SKILLS & ABILITIES REQUIRED
Knowledge of all aspects of the revenue cycle to include patient access and data input; billing patients and third party payers; follow up collections from patients and third party payers; denial avoidance and management; cash posting and reconciliation; contract management; revenue integrity; and vendor management. Knowledge of key performance indicators, reporting, and trending to include but not limited to cash collections, AR days, unbilled, and staff productivity. Knowledge of third party billing practices, compliance, and reimbursement. Knowledge of billing and other AR software. Prefer experience with Meditech, Monarch, Boston Workstation, but must have experience with Excel (preferably advanced to include pivot tables) and other Microsoft Office applications. Basic knowledge of medical terminology. Effective interpersonal skills and communication skills required.
HFMA or other related certifications preferred.
o Review of Fire/Safety/Disaster Plan - Annual