Dir Physician Billing

Ann & Robert H. Lurie Children's Hospital of Chicago•Chicago, IL

50d•$110,240 - $181,896

About The Position

Ann & Robert H. Lurie Children’s Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children’s Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report. Location 680 Lake Shore Drive Job Description General Summary: The Director of Revenue Cycle Physician Billing provides leadership to the physician billing team. They elevate the productivity and effectiveness of the Revenue Cycle physician billing team through coaching, mentoring, and supporting employees to do their best work. The director leverages market research and industry best practices to deliver an efficient, cost effective and robust revenue cycle. This includes ensuring projects and initiatives are completed on time, on budget and with the stated benefit. The director makes strategic, data-driven decisions that prioritize initiatives and allocate resources in service of revenue cycle and organizational goals. The director proactively eliminates roadblocks and is adept at leading employees through change. Under their leadership, employees feel connected to their work, our mission and each other.

Requirements

Bachelor’s degree required.
Minimum of 5 years of physician office billing experience, preferably in an academic setting, required.
Must be able to make procedural decisions, to develop, plan, and implement short-and-long-range goals.
Must be able to communicate effectively with medical and administrative staff.
Ability to analyze procedures and processes and redesign workflows when necessary.
Must thoroughly understand the physician operations from charge entry to denials resolution.
Must be an outstanding team player, able to work effectively with direct and indirect reporting relationships.
Must have strong oral and written communication skills.
Epic experience required.

Nice To Haves

MBA or MHA or other related advanced coursework or certification strongly preferred.

Responsibilities

Maximize the efficiency of billing and follow-up processes for Lurie Children's Hospital of Chicago Medical Center’s physician groups; review, analyze and interpret operational data to assess the need for process and workflow revisions and enhancements.
Monitor performance within all Lurie Children’s physician billing and follow-up functions and address any issues to ensure that the activities of the billing and follow-up operations are following all regulatory guidelines and requirements. Take appropriate action to realign billing and follow-up processes to ensure we are meeting KPIs, industry best practice and benchmark standards.
Management and oversight of all billing and follow-up service and software vendors on a day-to-day basis. Analyze performance trends impacting billing and follow-up.
Manage physician billing and follow-up manager(s) on a day-to-day basis relating to billing, follow-up, credits and denials management operations.
Collaborate with other leaders in revenue cycle, third party vendors and Physician Coding and Auditing Director regarding physician billing denials task force activities.
Provide education, expert guidance and support to physician billing and follow-up staff.
Ensure that quality and productivity measures are in place, tracked and trended for individual staff performance.
Ensure that billing and collection functions are directionally aligned with overall Lurie Children's Hospital’s service principles and leadership accountabilities.
Work with internal department that directly affect the physician billing and follow-up operations, such as Registration, Financial Clearance, Patient Financial Services and Faculty Practice Plan, to ensure an efficient Revenue Cycle.
Provide weekly, monthly, quarterly and annual reporting of physician billing and follow-up key performance indicators.
Provide input on strategy, planning, and implementation of new operations and systems.
Prepare and present physician billing metrics, monitoring and trending reports for review with providers and hospital leadership.
Analyze and trend statistical data to identify opportunities for improvement.
Develops and revises policies and procedures for all billing and follow-up workflows.
Takes initiative to improve both processes and outcomes, incorporating best practices and innovation in professional field.
Oversee physician billing projects as assigned.
Maintains the authority to hire, separate, promote, demote, write and administer performance evaluations.
Perform other related duties incidental to the work described herein.
Other job functions as assigned.

Benefits

For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:
Medical, dental and vision insurance
Employer paid group term life and disability
Employer contribution toward Health Savings Account
Flexible Spending Accounts
Paid Time Off (PTO), Paid Holidays and Paid Parental Leave
403(b) with a 5% employer match
Various voluntary benefits:
Supplemental Life, AD&D and Disability
Critical Illness, Accident and Hospital Indemnity coverage
Tuition assistance
Student loan servicing and support
Adoption benefits
Backup Childcare and Eldercare
Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members
Discount on services at Lurie Children’s facilities
Discount purchasing program