Assoc Dir, Hosp Bill & Follow-up | Billing-Non-Government

Wake Forest Baptist Health
Job Title: Assoc Dir, Hosp Bill & Follow-up
Job ID: 7355
Full/Part Time: Full-Time
Regular/Temporary: Regular
Job Category: Professional / Management
Winston-Salem, NCProfessional / Management, Medical, Healthcare7/23/2014Associate Director, Hospital Billing & Follow-up JOB SUMMARY: Under the general direction of the Director of Business Operations in the Corporate Revenue Cycle, oversees the Hospital Billing System ensuring that billing and collection functions are carried out in order to maximize revenue...

Job Description


Associate Director, Hospital Billing & Follow-up


JOB SUMMARY: Under the general direction of the Director of Business Operations in the Corporate Revenue Cycle, oversees the Hospital Billing System ensuring that billing and collection functions are carried out in order to maximize revenue and ensure compliance with payer guidelines. Individual will oversee the micro-management of receivables within the payer teams. Plan, coordinate, organize and manage personnel who handle billing and follow up on accounts to optimize reimbursement. Leader is expected to exhibit effective interpersonal skills and provide direction and assistance to assigned personnel in development of these skills.

EDUCATION/EXPERIENCE: Bachelor's Degree in Business, Accounting or Healthcare Administration and five years' experience in healthcare accounts receivable management; or an equivalent combination of education and experience is required. Epic experience preferred.

REPORTS TO: Director of Business Operations, Corporate Revenue Cycle

LICENSURE, CERTIFICATION, and/or REGISTRATION: None

ESSENTIAL FUNCTIONS:
1. Demonstrates leadership in the areas of: Human resources, Financial Management, planning, directing, continuous quality improvement, Institutional support and representation and customer service

2. Maintain staff job results to ensure department efficiency regarding claims submissions, billing edits, rejections, and accounts receivable management. Supervise and coordinate various personnel functions including but not limited to hiring, merit recommendations, promotions, performance evaluations and staff schedules.

3. Reviews Revenue Cycle reports and makes recommendations in order to measure quality and productivity of the appropriate payor team.

4. Establish and maintain written policies and procedures as they relate to the billing and collection functions.

5. Review Revenue Cycle Reports and makes recommendations in order to evaluate manager performance for areas and scope of responsibility and to ensure that organizational goals and objectives are met.

6. Provide excellent customer service and coordinate activities with patients, payers, medical records, clinic support services, and clinical departments. Handle inquiries from departments on receivable problems, billing follow up and collections.

7. Plan, implement, coordinate, organize and evaluate the overall activities of the Managed Care and Commercial teams and meet with managers routinely to assess progress toward monthly goals for accounts receivable management.

8. Meet with clinical departments as needed to review receivables and provide updates on accomplishments, concerns and recommendations for process improvements.

10. Establish and maintain metrics to be utilized in the standards setting process for all staff members. Provide both monthly and quarterly performance reports to highlight areas of both improvement opportunity and areas where excellence has been attained. Continuously analyze facts, circumstance, and recognize the need for action, taking constructive steps to resolve problems within the limits of established boundaries.

11. Routinely works with Coding and Compliance to escalate payer issues that cannot be resolved through normal channels. Reviews coding issues, such as appeals and coding strategy related to miscellaneous/unlisted codes.

12. Attend institutional meetings representing WFBH in a professional manner.

13. Perform all other duties as assigned.

SKILLS AND QUALIFICATIONS:
Supervisory experience and leadership ability
Excellent understanding of billing, accounts receivable and compliance laws related to billing and accounts receivable follow up
Excellent communication and interpersonal skills
Knowledge of medical terminology, CPT-4, and ICDM-9 CM Codes
Knowledge of software applications and PC skills preferred
Ability to prepare and present reports
Ability to remain flexible with work assignments and multi-task when required

WORK ENVIRONMENT:
Clean, well lit and comfortable climate
Subject to many interruptions.
Occasionally subjected to irregular hours.
Occasional pressure due to multiple calls and inquiries.

Associate Director, Hospital Billing & Follow-up


JOB SUMMARY: Under the general direction of the Director of Business Operations in the Corporate Revenue Cycle, oversees the Hospital Billing System ensuring that billing and collection functions are carried out in order to maximize revenue and ensure compliance with payer guidelines. Individual will oversee the micro-management of receivables within the payer teams. Plan, coordinate, organize and manage personnel who handle billing and follow up on accounts to optimize reimbursement. Leader is expected to exhibit effective interpersonal skills and provide direction and assistance to assigned personnel in development of these skills.

EDUCATION/EXPERIENCE: Bachelor's Degree in Business, Accounting or Healthcare Administration and five years' experience in healthcare accounts receivable management; or an equivalent combination of education and experience is required. Epic experience preferred.

REPORTS TO: Director of Business Operations, Corporate Revenue Cycle

LICENSURE, CERTIFICATION, and/or REGISTRATION: None

ESSENTIAL FUNCTIONS:
1. Demonstrates leadership in the areas of: Human resources, Financial Management, planning, directing, continuous quality improvement, Institutional support and representation and customer service

2. Maintain staff job results to ensure department efficiency regarding claims submissions, billing edits, rejections, and accounts receivable management. Supervise and coordinate various personnel functions including but not limited to hiring, merit recommendations, promotions, performance evaluations and staff schedules.

3. Reviews Revenue Cycle reports and makes recommendations in order to measure quality and productivity of the appropriate payor team.

4. Establish and maintain written policies and procedures as they relate to the billing and collection functions.

5. Review Revenue Cycle Reports and makes recommendations in order to evaluate manager performance for areas and scope of responsibility and to ensure that organizational goals and objectives are met.

6. Provide excellent customer service and coordinate activities with patients, payers, medical records, clinic support services, and clinical departments. Handle inquiries from departments on receivable problems, billing follow up and collections.

7. Plan, implement, coordinate, organize and evaluate the overall activities of the Managed Care and Commercial teams and meet with managers routinely to assess progress toward monthly goals for accounts receivable management.

8. Meet with clinical departments as needed to review receivables and provide updates on accomplishments, concerns and recommendations for process improvements.

10. Establish and maintain metrics to be utilized in the standards setting process for all staff members. Provide both monthly and quarterly performance reports to highlight areas of both improvement opportunity and areas where excellence has been attained. Continuously analyze facts, circumstance, and recognize the need for action, taking constructive steps to resolve problems within the limits of established boundaries.

11. Routinely works with Coding and Compliance to escalate payer issues that cannot be resolved through normal channels. Reviews coding issues, such as appeals and coding strategy related to miscellaneous/unlisted codes.

12. Attend institutional meetings representing WFBH in a professional manner.

13. Perform all other duties as assigned.

SKILLS AND QUALIFICATIONS:
Supervisory experience and leadership ability
Excellent understanding of billing, accounts receivable and compliance laws related to billing and accounts receivable follow up
Excellent communication and interpersonal skills
Knowledge of medical terminology, CPT-4, and ICDM-9 CM Codes
Knowledge of software applications and PC skills preferred
Ability to prepare and present reports
Ability to remain flexible with work assignments and multi-task when required

WORK ENVIRONMENT:
Clean, well lit and comfortable climate
Subject to many interruptions.
Occasionally subjected to irregular hours.
Occasional pressure due to multiple calls and inquiries.

To apply for this position, please click on the "Apply Now" button on this page. You must complete the application process and then submit your application by clicking on the "Submit" button located at the bottom of the page titled "Submit Online Application". You will receive the following message once you hit the submit button: "You have successfully submitted your job application".

Computers are available for applying within the lobby of the Human Resources Department located at 1920 West First Street, (on the corner of Miller and First Street) Winston-Salem, North Carolina 27104. You may also call our office for assistance at (336) 716-0175. Office hours are Monday-Friday, 8:00am-5:00pm.

If you are an individual with a disability and need reasonable accommodation to participate in the application process, please contact our Supervisor of Office Services by phone (336) 716-3367 or email at accommodationrequest@wakehealth.edu.

It is the policy of Wake Forest Baptist Medical Center to administer all educational and employment activities without discrimination because of race, sex, age, religion, national origin, disability, sexual orientation or veteran status (except where sex is a bona fide occupational qualification or a statutory requirement) in accordance with all local, state, national laws, executive orders, regulations, and guidelines.



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