Director - Patient Financial Services Hospital Billing

Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading destination for world-class health care in Palm Beach County and the greater Treasure Coast.

Outstanding physicians, state-of-the-art facilities, innovative techniques and a commitment to serving the community enables Jupiter Medical Center to meet a broad range of patient needs. Jupiter Medical Center is the only hospital in Palm Beach, Martin, St. Lucie and Indian River counties to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS).

Education

• Bachelor’s Degree
• Master’s Degree Preferred
  
  

Experience / Qualifications

• 10 years of recent and relevant work experience
• 5-7 years supervisory experience
  
  

Position Summary

Responsible for directing Patient Financial Services to include, Billing, Collections, Customer Service and Cash posting. Coordinate the daily activities related to the planning, implementing, and maintaining all functions pertinent to the Patient Financial Service areas. Responsible for continued improvement in staff through education, training, and positive enforcement of appropriate working practices.

• Review appropriate valuation of patient receivables monthly along with calculation of allowance for doubtful accounts and supporting documentation.
• Understands the flow of transactions from patient accounting system to the GL and the impact of changes of governmental and other reimbursement on the financial statements.
• Responsible for monitoring current and emerging reimbursement issues, regulations and reporting requirements affecting the company.
• Collaborates interdepartmentally in the development of policies and procedures which will ensure a sound and efficient reimbursement process.
• Performs business and strategic analysis to support decision-making at both facility and system levels upon request using data from a variety of sources.
• Directs the “plan of action” identifying activities within the business office that need direct oversight.
• Develops and monitors strategies which ensure the short and long-term financial viability of the organization.
• Fosters a strong internal control and compliance environment within the business. Key areas include controls over revenue recognition, receivables management, billing, and contract management.
• Provides strong leadership, team building and role modeling to all staff.
• Ensures A/R, Billing EDI, Refunds and Posting teams are fully staffed, trained, and appropriately organized to support business needs.
• Liaise with clinical sites to resolve issues and outstanding problems in the area of A/R management and revenue cycle process.
• Reviews, designs, and implements processes surrounding admissions, pricing, billing, third party payer relationships, compliance, collections, and other financial analyses to ensure that clinical revenue cycle is effective and properly utilized.
• Tracks numerous metrics related to the patient revenue cycle including record coding error rates and billing turnaround times to develop sound revenue cycle analysis and reporting.
• Manages relations with payers and providers to generate high reimbursement rates and a low level of denials.
• Manages departmental sub-functions within a broader departmental function.
• Creates functional strategies and specific objectives for sub-functions and develops budgets/policies/procedures to support the functional infrastructure.
• Deep knowledge of the managed sub-functions and solid knowledge of the overall departmental functions.
• Performs other duties as assigned.