SENIOR DIRECTOR PATIENT FINANCIAL SERVICES
About The Position
The Senior Director of Patient Financial Services establishes and maintains a consistent standard of excellence across departmental work, focusing on continuous improvement and high-quality service. The role is accountable for achieving annual and periodic goals related to revenue cycle and patient account performance. It leads efforts to optimize patient access, scheduling, claims management, and professional code auditing across aligned medical practices, including patient encounters, billing and collections, compliance, software use, and vendor management. The role identifies improvement opportunities and manages implementation of solutions.
Requirements
- Bachelor’s degree, or at least ten years of healthcare revenue cycle experience in lieu of a degree.
- Thorough understanding of coding methods, including CPT, ICD, and HCPCS.
- Ability to work in a complex and changing environment.
- At least three years of medical billing experience.
- At least five years of experience in a professional medical services area, such as a medical office or outpatient department.
- At least three years of experience managing staff.
Nice To Haves
- Master’s degree.
Responsibilities
- Complete financial forecasts, including long-range strategic plans for the department.
- Maintain appropriate internal controls over accounts receivable records and cash collection.
- Direct the daily operational tasks of insurance processors and customer service representatives.
- Ensure claims denials and rejections are logged for measurement and analysis.
- Ensure compliance with relevant regulations, standards, and directives.
- Review and understand regulatory billing updates.
- Chart process workflows.
- Play an integral role in implementing and installing new systems and related processes.
- Complete weekly random account audits to identify improvement opportunities.
- Collaborate with patient access to improve accounts receivable performance.
- Address medical necessity denials, authorization denials, and the accuracy of demographic and insurance information.
- Audit clinical documentation for CPT/HCPCS coding.
- Ensure ICD-10 accuracy in the practice setting.
- Manage the claims appeal process.
- Maintain efficient and effective workflow in the central billing office and the revenue cycle components of medical practice sites.
- Interpret complex contractual arrangements.
- Optimize managed-care revenue within varied contract structures.
- Analyze data, determine trends, apply statistical principles, and convey financial projections for CMG.
- Develop the annual budget for the central billing office and contribute to annual budgets for each practice site and the Medical Group.
- Monitor budget variance for the central billing office.
- Work with Finance to ensure accurate and timely reconciliation of monies.
- Perform other duties as assigned or requested; the job specification may be modified or updated at any time.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Senior
