Centralized Business Office Director (VP of Operations)

Currance•Los Angeles, CA

About The Position

Overview: Reporting to the CSO, responsible for managing and directing all PFS central business office functional area’s (billing, claim submission, A/R follow-up, denial resolution, customer service, bad debt, vendor management). Develop and implement the organization's business office policies and procedures and ensure employee compliance. Partner with clients to improve workflow using data and analytics and KPI’s to measure health of revenue cycle. Managing the company goals and contractual agreements. Hiring qualified staff and training them to perform to high performance workforce company standards. Duties & Responsibilities: Strategic Leadership: Oversee the financial and administrative operations of physician and hospital central business office. Develop and implement strategies for optimizing revenue, ensuring efficient billing processes, and maintaining compliance with healthcare regulations. Financial Management: Manage budgeting, financial planning, and analysis for the centralized business office. Monitor financial performance, identify trends, and implement cost-control measures. Operational Oversight: Ensure best practice operation of claim generation, billing, accounts receivable, denial management, patient collections and bad debt processes. Implement policies and procedures to improve efficiency and accuracy. Compliance and Quality Assurance: Ensure adherence to healthcare laws, regulations, and standards. Oversee audits and implement corrective actions to maintain compliance and improve service quality. Team Leadership: Lead, mentor, and develop a diverse team of professionals. Foster a collaborative environment that encourages high performance and continuous improvement. Stakeholder Collaboration: Work closely with the client’s revenue cycle leaders to enhance their operational workflows based on best practice data. Develop strong relationships with payers, vendors, and other external partners. Participate in client’s revenue cycle meetings as the PFS partner. Technology Utilization: Leverage technology to enhance operational efficiency. Oversee the implementation and maintenance of healthcare information systems, including electronic health records and billing software. Managing and optimizing Key Performance Indicators (KPIs) - across financial, operational efficiency, and quality metrics for physician and hospital office operations. Regular reporting and analysis of KPI trends, along with providing insights and action plans, are essential for communication with senior management and stakeholders. Escalating areas of concern with client. Currance management is responsible for actively promoting compliance by integrating compliance messages into routine huddles, meetings, communications, and decision-making processes. This responsibility reinforces a culture of accountability, ethical conduct, and adherence to organizational policies and regulatory requirements.

Requirements

Bachelor’s degree or minimum of eight years of leadership experience in healthcare administration, focusing on PFS back-end functions: claims, billing, accounts receivables, denial management, patient collections and bad debt
Knowledge of rules and regulations related to healthcare revenue cycle administration, such as CMS rules, HIPAA, state compliance rules
Knowledge of healthcare host systems
Skilled in communication (oral and written) required
Skilled in medical billing software, EHR systems, and other healthcare technology and software applications is essential
Skilled in leadership, communication, and strategic thinking
Skilled in healthcare financial management, billing processes, insurance, and regulatory compliance
Ability to resolve problems and manage conflict
Ability to lead a team towards increasing revenue generation

Responsibilities

Managing and directing all PFS central business office functional area’s (billing, claim submission, A/R follow-up, denial resolution, customer service, bad debt, vendor management)
Develop and implement the organization's business office policies and procedures and ensure employee compliance
Partner with clients to improve workflow using data and analytics and KPI’s to measure health of revenue cycle
Managing the company goals and contractual agreements
Hiring qualified staff and training them to perform to high performance workforce company standards
Oversee the financial and administrative operations of physician and hospital central business office
Develop and implement strategies for optimizing revenue, ensuring efficient billing processes, and maintaining compliance with healthcare regulations
Manage budgeting, financial planning, and analysis for the centralized business office
Monitor financial performance, identify trends, and implement cost-control measures
Ensure best practice operation of claim generation, billing, accounts receivable, denial management, patient collections and bad debt processes
Implement policies and procedures to improve efficiency and accuracy
Ensure adherence to healthcare laws, regulations, and standards
Oversee audits and implement corrective actions to maintain compliance and improve service quality
Lead, mentor, and develop a diverse team of professionals
Foster a collaborative environment that encourages high performance and continuous improvement
Work closely with the client’s revenue cycle leaders to enhance their operational workflows based on best practice data
Develop strong relationships with payers, vendors, and other external partners
Participate in client’s revenue cycle meetings as the PFS partner
Leverage technology to enhance operational efficiency
Oversee the implementation and maintenance of healthcare information systems, including electronic health records and billing software
Managing and optimizing Key Performance Indicators (KPIs) - across financial, operational efficiency, and quality metrics for physician and hospital office operations
Regular reporting and analysis of KPI trends, along with providing insights and action plans, are essential for communication with senior management and stakeholders
Escalating areas of concern with client
Actively promoting compliance by integrating compliance messages into routine huddles, meetings, communications, and decision-making processes