Director of Billing Services

2 weeks ago

Cheyenne, United States Memorial Hospital of Laramie County Full time
Job DescriptionJob Description

A Day in the Life of a Billing Services Director:

The position is responsible for leading and planning within the billing departments to oversee and streamline billing and collections processes, staff development, and exceptional customer service. Requires a strong hands-on leader with the ability to prioritize, plan, and direct the Hospital, Professional, and Single Billing Office Departments.

Why Work at Cheyenne Regional?

• ANCC Magnet Hospital

• 403(b) with 4% employer match

• 21 PTO days per year (increases with tenure)

• Education Assistance Program

• Employer Sponsored Wellness Program

• Employee Assistance program

• Loan Forgiveness Eligible

Here Is What You Will Be Doing:

• Directs and provides guidance to managers to effectively allocate resources based on patient volume, space availability, budget constraints, and program priorities, goals, and objectives to achieve high standards within the billing departments, while building a strong culture around results and values.

• Monitors regular billing audits for adjustments, denials, appeals, and customer account reconciliation projects and communicate findings to appropriate clinics and departments while assisting in resolutions.

• Reviews collaboratively the denial management issues/resolutions related to operations while using Lean Methodology and root cause analysis while ensuring training needs are met across the health system related to billing functions/findings.

• Directs account statuses based on Days on AR, DNFB, CFB, and back-end cash collections and communicate to billing management expectations and accountability.

• Regularly interacts with vendors while monitoring performance and contractual obligation.

• Works with the management team to establish A/R and industry performance metrics and monitoring and reporting on performance against established metrics.

• Oversees the Payer Enrollment process to ensure providers are enrolled with all payers as promptly as possible. Review Out of State Medicaid beneficiary’s and determine enrollment requirements.

• Effectively directs and oversees the Reimbursement Coordinator on insurance contractual requirements for organizational billing practices.

• Verifies patient satisfaction of the billing processes and ensuring contractual requirements of our collection venders are meeting expectations and requirements.

• Enforces a collaborative approach across the enterprise to ensure an integrated approach to meet revenue requirements and patient expectations.

• Ensures that information systems support current and future needs of the department. Works closely with Information Technology, Compliance, legal counsel, and administrative staff to ensure that the organization has and maintains appropriate compliance including privacy, security, and confidentiality policies, procedures, forms, information notices, and materials which reflect current organizational standard work and regulatory requirements.

• Promotes and participates in LEAN practices and strategies.

Desired Skills:

• Ability to demonstrate proficiency in reading and interpreting documents and other information related to insurance billing and collections, including, fee schedules, provider numbers, provider status, Medicare and other federal regulations, EOBs, payer contracts, authorization & insurance eligibility

• Knowledge of medical collections related to group insurance, Medicare and Medicaid, workers’ compensation, and self-pay accounts

• Ability to interact effectively with department leadership and vendors

• Knowledge and ability to develop and apply standard work using Lean Methodology in complex situations

• Ability to demonstrate flexibility and an ability to handle a rapidly changing work environments while prioritizing and delegate responsibility

• Professional verbal and written communication including the ability to participate in and facilitate group meetings

• Ability to interact respectfully with diverse cultural and socio-economic populations

Here Is What You Will Need:

• Bachelor’s degree in business management, accounting, or similar field and three (3) or more years of experience managing healthcare receivables

o OR, Eight (8) years in healthcare and five (5) years managing healthcare receivables

Nice to Have:

• Master’s Degree

• Lean Certification

• Healthcare Financial Management Association certification

About Cheyenne Regional:

Cheyenne Regional Medical Center was founded in 1867 as a tent hospital by the Union Pacific Railroad to treat workers injured while building the transcontinental railroad. Today, we are the largest hospital in the state of Wyoming, employing over 2,000 people, and treating over 350,000+ patients from southeastern Wyoming, western Nebraska, and northern Colorado. We pride ourselves on patient and employee experience by living our core values of Integrity, Caring, Compassion, Respect, Service, Teamwork and Excellence to I.N.S.P.I.R.E. great health.

Our team makes a difference every day by providing trusted healthcare expertise through a passionate and I.N.S.P.I.R.E.(ing) approach with a personal touch. By living our values, we aim to achieve our goal of becoming a 5-star rated hospital, providing critical support and resources to our community and the greater region we serve. If you are eager to make a difference and passionate about healthcare, we encourage you to apply today

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