Physician Billing Office (PBO) Accounts Receivable Sr Director

Banner Health - Tucson, AZ3.8

Full-time
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The future is full of possibilities. At Banner Staffing Services, we’re excited about what the future holds for health care. Our team has come together with the common goal: Make health care easier, so life can be better. If you’re ready to change lives, we want to hear from you.

As the internal staffing (registry) provider for Banner Health, Banner Staffing Services (BSS) provides opportunities within one of the country’s leading health systems. The BSS team is dedicated to providing personal attention and professional support for its employees. Registry opportunities are a great way to market your skills within Banner Health. As a BSS employee, you are eligible to apply (at any time) as an internal applicant to any regular full-time or part-time opportunities within Banner Health.

In addition, registry employment through BSS offers:
Competitive wages
Paid orientation
Flexible Schedules (select positions)
Fewer Shifts Cancelled
Weekly pay
403(b) Pre-tax retirement plan
Employee Assistance Program
Employee wellness program
Discount Entertainment tickets
Restaurant/Shopping discounts
Auto Purchase Plan

BSS Registry positions do not have guaranteed hours and no medical benefits package is offered. BSS requires: Completion of post-offer Occupational Health physical assessment, drug screen and background check (includes; employment, criminal and education).

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About Banner Staffing Service AZ
Supporting Banner Health, Banner Staffing Services offers a world of opportunities to make an impact on one of the country's leading health systems. In addition, Staffing Services provides the best training in the business, so you can hit the ground running as you enjoy unequaled clinical variety, professional flexibility and lifestyle choices. We provide registry and travel assignments throughout the western United States. The registry allows you to create your own schedule by offering opportunities in a variety of hospital, home care and primary care settings. Banner Travel offers short-term assignments of three twelve-hour shifts per week. Our pay rates are highly competitive, and we offer training in the country's most advanced simulation center. You will also enjoy the stability only an organization as large and successful as Banner Health can offer.

About Banner Health
Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.

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Job Summary

This position develops and directs all physician accounts receivable management services for the companys employed and contracted physicians in all states. Through the efficient management of claims submissions, billing, credit and collections, refund processing, and compliance functions for physician services, achieves designated reimbursement goals for the system. This position is also accountable for performance related to front office effectiveness, accounts receivable collections, patient and physician satisfaction, practice management application support, and support of system and regional physician strategies.

Essential Functions

Directs the staff and operations of the physician billing office (PBO). Ensures optimal performance through effective employee selection, training and development and performance management.

Develops and maintains strong relationships with clients. Through the effective selection, training and direction of staff, effectively manages relationships and business processes at all company physician offices and clinics and at all contracted physician offices.

Develops, implements and effectively manages policies, processes and procedures for the PBO and for clinic-based front office staff that result in maintaining accounts receivable days outstanding at or below goal levels. Provides education and policy updates for clinic and division employees, medical staff, patients and insurance companies on policy or procedures. Establishes and conducts performance reporting for revenue activities of each clinic. Works collaboratively with local CFO's, physicians, department heads, and practice manager(s) to develop and maintain a culture of high performance and accountability across organizational boundaries. Ensures appropriate coordination with the physician billing staff throughout account life cycle.

Provides regular revenue management reports to clients and management. Provides periodic status reports and ensures timely identification and reporting of potential risks to positive cash flow, public image, or legal compliance. Alerts senior management and operations leaders of such concerns in the areas of accountability.

Ensures compliance with government and commercial billing and medical record regulations and standards while maximizing reimbursement for patient claims. Works with company compliance and legal staff to maintain appropriate procedures and to represent the company in litigated matters.

Manages operational expenses in accordance with the budget. Directs and oversees the development of operating and capital budget for the department.

Implements system-wide programs and information systems to create and maintain functional capabilities that equal the best in the industry. Hold responsibility for implementation and the maintenance of the billing system throughout all company clinics, and the standardization of the policies and procedures involved in the management of the billing collection cycle. Provides ongoing leadership and operational oversight in the development, use and maintenance of the clinics information systems for billing and accounts receivable management.

Works with payor companies and agencies or other outside parties, including judicial and regulatory bodies, commercial payers, collection agencies, and auditors to address and resolve disputes and unpaid claims, develop procedures, or address other pertinent needs.

Minimum Qualifications

Expert-level working knowledge of principles, practices, and operations in assigned area of responsibility as normally obtained through the completion of a Bachelors Degree in a relevant field and a minimum of five years of progressively responsible managerial experience in designated facility, business entity or area, including a minimum of two years management level experience within a major health care organization, health system setting, or large multi-operational corporate environment in complex industries similar to healthcare.

Depending upon assigned area of responsibility, position may require applicable certifications and/or licensures, including but not limited to: RN; MD or DO; Drivers License; Certified Healthcare Protection Administrator (CHPA); Certified Protection Professional (CPP); Chartered Property Casualty Underwriter (CPCU); Associate in Risk Management (ARM); CPA; SPHR; Registered Health Information Administrator (RHIA); Registered Health Information Technologist (RHIT); Certified Healthcare Facility Manager (CHFM); Certified Facility Manager (CFM); Certified Coding Specialist (CCS); Certified Professional Coder (CPC); JD from an American Bar Association accredited school; admission to a State Bar Association.

Must demonstrate expert-level knowledge and awareness of area of expertise in designated facility, business entity or area. Experience working in an integrated delivery system, multi-hospital system, or managed care organization in a management level position in assigned area of responsibility. Proven track record of driving successful performance outcomes and accomplishing organizational goals. Experience anticipating and responding to the needs of internal and external customers. Experience managing a budget. Strong financial and business acumen. Knowledge of budgeting and forecasting methodologies. Able to analyze and interpret data. Skilled in building partnerships with management, staff, and stakeholders to achieve department goals and objectives; managing problems and situations where uncertainty is inherent; developing strong, enduring, and trusting relationships; fostering the development of cohesive teams; persuading others to adopt a particular stance on an issue; developing and evaluating best practices and emerging trends for organizational applicability and appropriateness; constructing new and innovative solutions for complex and varying problems and situations while considering the larger perspective or context; mentoring and coaching staff by providing open and honest feedback to enhance performance; developing and implementing strategic goals and initiatives that support organizational success; effectively allocating available resources; utilizing data and information to make informed and appropriate decisions; negotiating win-win scenarios with internal customers and/or outside vendors/partners; developing collaborative relationships with internal and/or external strategic partners and/or other applicable parties. Excellent human relations, organizational and communication skills are essential. Leadership style and characteristics necessary to effectively perform in this role include: strong work ethic; results-oriented; persuasive; motivational; able to make rational decisions in difficult situations; inspirational; honorable; confident; systems-thinker; innovative; life-long learner; courageous; high-energy; integrity; collaborator; ability to work with teams; good listening; nonvolatile; values multiple disciplines; and passionate about continuously improving and providing high quality care and service excellence to patients, families, employees and physicians.

Preferred Qualifications

Master of Business Administration (MBA) or Certified Public Accountant (CPA) preferred.

Additional related education and/or experience preferred.