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Head of Billing Operations

2 months ago

Cheyenne, Wyoming, United States Memorial Hospital of Laramie County Full time
Job Overview

Role Summary:

The Billing Services Director is tasked with overseeing and optimizing the billing departments to enhance billing and collections processes, foster staff development, and ensure superior customer service. This role demands a proactive leader capable of prioritizing, planning, and directing operations across various billing divisions.

Why Choose Memorial Hospital of Laramie County?

  • Recognized for excellence in healthcare
  • Retirement plan with employer contributions
  • Generous paid time off policy
  • Support for educational advancement
  • Wellness initiatives for employees
  • Access to employee support services
  • Eligibility for loan forgiveness programs

Key Responsibilities:

  • Guide managers in resource allocation based on patient demand, available space, budgetary limits, and departmental goals to maintain high standards in billing operations while fostering a results-oriented culture.
  • Conduct regular audits of billing practices to identify adjustments, denials, and reconciliation needs, and communicate outcomes to relevant departments to facilitate resolutions.
  • Collaborate on denial management strategies and training needs across the organization, utilizing Lean Methodology and root cause analysis.
  • Manage account statuses based on key performance indicators and communicate expectations to billing management.
  • Engage with vendors to monitor performance and compliance with contractual obligations, while establishing metrics for accounts receivable and industry standards.
  • Oversee the Payer Enrollment process to ensure timely provider enrollment with all payers and assess enrollment requirements for out-of-state beneficiaries.
  • Direct the Reimbursement Coordinator on compliance with insurance billing practices.
  • Ensure patient satisfaction with billing processes and verify that collection vendors meet contractual obligations.
  • Promote a collaborative approach across the organization to align revenue goals with patient satisfaction.
  • Ensure that information systems meet the current and future needs of the billing department, collaborating with IT and compliance teams to uphold privacy and security standards.
  • Encourage and implement LEAN practices and strategies throughout the department.

Qualifications:

  • A Bachelor’s degree in business management, accounting, or a related field, along with three or more years of experience in managing healthcare receivables, or
  • Eight years of experience in healthcare with five years in a managerial role focused on healthcare receivables.

Preferred Qualifications:

  • Master’s Degree
  • Certification in Lean methodologies
  • Certification from the Healthcare Financial Management Association

About Memorial Hospital of Laramie County:

Memorial Hospital of Laramie County is dedicated to providing exceptional healthcare services. Our commitment to patient and employee satisfaction is reflected in our core values of integrity, compassion, respect, and teamwork. We strive to create a supportive environment where our team can thrive and make a meaningful impact in the community.