Director of Professional Billing
4 weeks ago
Full time direct hire
Relo assistance available****
125k-200k depending on years of experience
On site with hybrid option in Charlottesville, VA
Must haves:
- Bachelors degree
- 10 years of leadership/management experience
- Experience working for an academic medical center/teaching hospital system
- Experience with Epic Resolute billing system
- Great communication skills + a proactive leadership style
Day to day:
Director of Professional Billing directs service delivery for all business office processes, practices, and outreach physician services in locations throughout Virginia and the surrounding communities. Responsible for the management of accounts receivable for professional billing. Develops internal controls for all tasks necessary to ensure professional business office activities are completed on-time, including building relationships with internal and external clients throughout the UVAHS. Utilizes internal resources and analytical skills to make decisions in a fast-paced and fluid environment. Accountable for making strategic decisions guided by organizational challenges, trends, and business implications, while recognizing that decisions may have regional/local implications. The leader will have the skills to lead through influence and advocacy. The successful candidate will have a demonstrated track record of overseeing high performing teams and as a change agent.
- Responsible for all aspects of professional billing, including but not limited to an ASC and associated community practices and physician offices. The responsibilities include but are not limited to revenue capture, claims management, denials, and short/over pays,
- Assures that all billing activities meet the standard of regulatory requirements with the highest degree of integrity
- Monitors and produces best practice standards in a billing environment based upon EPIC Financial Pulses (Denial, Automation and Financial) that include A/R days, cash/net revenue, A/R aging, denials management, credit balances, and other metrics reflecting performance against our peers.
- Provides detailed reporting to leadership on team productivity, key metrics with trends, and actions plans to address opportunities.
- Develops, implements an updates policies and procedures related to professional billing that support standards of work and achievement of financial goals and objectives
- Directs and oversees any required transitions from legacy billing systems to the EPIC PB billing system
- Directs and oversee any contracted 3rd party vendors assisting with claims and/or follow-up
- Supervises management team and staff, providing direction and guidance that fosters an engaged and high performing team through training, recognition/evaluation, and educational/advancement opportunities
- Mentors and coaches to achieve highest level of competency of leadership and staff
- Prepares, monitors, and maintains annual expense budget
- In addition to the above job responsibilities, other duties may be assigned.
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