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

University of California System•Anaheim, CA

64d

About The Position

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
Must be able to provide proof of work authorization

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

planning
directing
overseeing all aspects of assigned Patient Financial Services units
governmental Accounts Receivables and Collections (Medicare and Medi-Cal)
Federally Qualified Healthcare Center (FQHC)
Ensures standards of unit operations are in compliance with all state and federal healthcare regulatory agencies
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.