Assistant Director, Patient Financial Services - Commercial - HB Patient Financial Services - FT (On-site)

UCI Health • Orange, CA

252d

About The Position

Responsible for planning, directing, and managing all aspects of Accounts Receivables management for the Patient Financial Services department; including commercial, managed care, workers compensation, ERISA, self-funded and all other indemnity health plans. Ensures standards of unit operations are in compliance with all state and federal healthcare regulatory agencies. Participates on organizational performance improvement projects. Analyze denial trends and publish organizational reports to improve first pass yield. Incumbent has overall responsibility for training, unit performance, resolution of operational and personnel issues, evaluations, hiring, and disciplinary action. Serves as a role model and resource to colleagues, staff, and others. Interacts with all levels within the organization, including senior leaders, managers, directors as well as insurance companies, third party payers, vendors, and regulatory agencies.

Requirements

• Working knowledge of billing, follow up and denial management of commercial claims, workers compensation, managed care and all other third party payers.
• Thorough knowledge of healthcare billing, finance and compliance.
• Strong understanding of facility billing systems.
• Sound understanding of Joint Commission and other applicable regulatory requirements.
• Self-directed and organized with superior analytical and problem-solving skills.
• Experience in working with contracts and applying terms and conditions to claims.
• Five (5) years' experience in management of Patient Financial Services.
• Five (5) years' experience in a revenue-based, health care related industry.
• Extensive knowledge of governmental compliance rules and issues related to health care billing.
• Experience in PFS Operations in an Academic Medical Center organization.
• Excellent written and verbal communication skills in English.
• Detailed understanding of billing technical elements.
• Demonstrated experience building competency and developing skills of others.
• Bachelor's degree in Health Care Management, Business, Finance or Accounting or equivalent.

Nice To Haves

• Prior management experience of union-represented staff.
• Master's degree in Health Care Management, Business, Finance or Accounting.
• Knowledge of University and medical center organizations, policies, procedures and forms.
• Experience in PFS Operations, University and medical center organizations.

Responsibilities

• Plan, direct, and manage all aspects of Accounts Receivables management for the Patient Financial Services department.
• Ensure compliance with state and federal healthcare regulatory agencies.
• Participate in organizational performance improvement projects.
• Analyze denial trends and publish organizational reports to improve first pass yield.
• Train staff and manage unit performance.
• Resolve operational and personnel issues.
• Conduct evaluations, hiring, and disciplinary actions.
• Serve as a role model and resource to colleagues and staff.
• Interact with senior leaders, managers, directors, insurance companies, third party payers, vendors, and regulatory agencies.

Benefits

• Medical insurance
• Sick and vacation time
• Retirement savings plans
• Access to discounts and perks

What This Job Offers

• Career Level: Mid Level
• Industry: Hospitals
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees