Assistant Director, Patient Financial Services - Government Accounts - HB Patient Financial Services - FT Days

University of California System • Anaheim, CA

38d

About The Position

UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America's Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County. To learn more about UCI Health, visit www.ucihealth.org. Position Summary: Responsible for planning, directing and overseeing all aspects of assigned Patient Financial Services units, including, but not limited to, governmental Accounts Receivables and Collections (Medicare and Medi-Cal), and Federally Qualified Healthcare Center (FQHC). Ensures standards of unit operations are in compliance with all state and federal healthcare regulatory agencies. Incumbent has overall responsibility for training, unit performance, resolution of operational and personnel issues, evaluations, hiring, and disciplinary action. Participates on organizational performance improvement projects. 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, Medicare, Medi-Cal, CalOptima, and MSI at a management level.

Requirements

• Thorough knowledge of healthcare billing, finance and compliance and strong understanding of facility billing systems.
• Sound understanding of Joint Commission and other applicable regulatory requirements to be able to monitor for compliance
• Self- directed and organized with superior analytical and problem-solving skills.
• Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
• Must have experience in working with government payers, performing split billing as required by Payers and DOFRs.
• Minimum 7 - 10 years' experience in hospital patient account services.
• Minimum 5 years in a leadership/managerial position in a revenue based, health care related industry such as admissions, registration, billing/payor or contracting.
• Knowledge of Medicare/Medi-Cal billing procedures.
• Extensive knowledge of governmental compliance rules and issues as it pertains to health care billing, collection and other reimbursement.
• Excellent written and verbal communication skills in English
• Detailed understanding of billing technical elements such as standard forms and data elements, coordination of benefit and third party liability billing and collection, electronic billing, data edit programs, reimbursement methodologies such as Diagnosis Related Groups (DRGs), Case Rate, Percent of Charges, capitation.
• Demonstrated experience building competency and developing skills of others
• Bachelor's degree in Health Care Management, Business, Finance or Accounting or an equivalent combination of education and experience
• Ability to motivate staff to achieve desired results
• Ability to maintain a work pace appropriate to the workload

Nice To Haves

• 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, policies, procedures and forms

Responsibilities

• Responsible for planning, directing and overseeing all aspects of assigned Patient Financial Services units, including, but not limited to, governmental Accounts Receivables and Collections (Medicare and Medi-Cal), and Federally Qualified Healthcare Center (FQHC).
• Ensures standards of unit operations are in compliance with all state and federal healthcare regulatory agencies.
• Incumbent has overall responsibility for training, unit performance, resolution of operational and personnel issues, evaluations, hiring, and disciplinary action.
• Participates on organizational performance improvement projects.
• 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, Medicare, Medi-Cal, CalOptima, and MSI at a management level.

Benefits

• We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Industry: Educational Services
• Number of Employees: 5,001-10,000 employees