Director Home Care Patient Financial Services - Full-time / Part-time

Job Description

Description

Work Hours/Shift

Full Time, Monday-Friday

Adventist Health System Corporate Office

Be part of the Adventist Health System family.

Where you work matters. Working here is like being part of a family. Not just with those you serve, but also with your team members. It's about making a difference, saving lives, and helping others live a fuller one. You'll be joining a family of tens of thousands of team members who understand that what they do is bigger than healthcare. It is living out our mission to Extend the Healing Ministry of Christ and being there for someone every step of the way-body, mind, and spirit.

This is more than a career. It is a calling.

With hospitals and facilities in 9 states, you'll have endless opportunities to take your talents, develop your skills, and grow as a professional in a place that truly cares about your success. If you are driven, compassionate, someone who always wants to go above and beyond because you care and believe what you do makes a difference – Adventist Health System is for you.

General Summary:

To direct and lead out in planning, organizing and implementing policies and procedures within the patient financial area. To provide leadership and oversight for all PFS functions within the Home Care Central Billing Office and to interface effectively with hospital financial executives and those responsible for the home health agencies supported by AHS-IS for the purpose of achieving Home Care and Hospice PFS goals.

This position is responsible for the Revenue Cycle which includes A/R management for Home Health Agencies and Hospices participating in the Centralized Business Office for AHS Home Care. Excellent healthcare A/R management skills and interpersonal skills are required to inspire and nurture a team performance at an excellent level. Professional judgment and decision-making is regularly required to appropriately manage the Revenue Cycle.

Qualifications

What you will be responsible for:

• Directing and coordinating the patient accounting functions in order to consistently produce accurate bills paid in a timely manner achieving corporate standards;
• Managing the A/R prudently so that the service units receive the resources they deserve.
• Working with Corporate Compliance for appropriate filings and action steps related to claims.
• Providing assistance/coaching to the business units regarding steps needed for audit recovery and improved performance in patient financial services areas;
• Communicating and conducting monthly Financial Review meetings that include program administrators, chief financial roles in the hospital along with team members from the agency.
• Monitoring activities with insurance companies for appropriate payment and intervening to direct a resolution when inaccuracies are found;
• Owning the regulatory knowledge base on third-party payers in use with the programs and interpreting those regulations for AHS Home Care, AHS-IS, Clearinghouse, Agencies, Hospices, Hospitals and system Contract teams;
• Organizing the department in a manner that is consistently responsible to patient/customer service needs;
• Consistently demonstrating good organizational skills in the accumulation of statistical information in a timely manner according to the schedule and communicating it to the CBO Leadership, agencies/hospices, hospitals;
• Effectively coordinating the patient accounts functions with agencies, clearinghouse
• Demonstrating the ability to devise more efficient methods and systems for getting the work done in the department reducing the use of time and effort to an effective minimum by instituting changes in techniques and procedures as necessary;
• Continually working toward establishing a paperless environment through increased use of technology and more effective methods of activity consolidation and improved work flow;
• Maintaining all required records, especially protected health information records, in an appropriate secure manner;
• Utilizing and understanding the computer system in order to realize its optimal potential and to evaluate and answer staff member questions regarding the mechanics of the system;
• Setting up and maintaining all payer contracts in the electronic system;
• Providing a close working relationship with the clearinghouse assuring that changes are appropriately implemented;
• Participating in testing software updates related to the patient financial areas;
• Planning for software application changes optimizing the performance of the enterprise centralized processes;
• Providing statistical information to appropriately score the incentives for the PFS team;
• Participating with the software vendor as the AHS PFS Leader;
• Exhibiting Leadership to inspire and nurture PFS employees to be highly engaged;
• Providing positive relationships with AHS PFS to collaborate in the overall reimbursement vision and goals;
• Acting in Absence of the Department Executive Director

What you will need:

• Master's Degree Preferred
• 5-7 years of experience in Healthcare Administration specific to Revenue cycle and A/R management with a preference for Home Health or Hospice experience
• Advanced level of computer experience including Microsoft products
• Experienced presenter to groups in an electronic presentation method that can include remote sites.
• Supervisory experience

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.