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Clinical Finance Director

2 months ago

Dallas, Texas, United States Prism Health North Texas Full time
Job Overview

Core Values

At Prism Health North Texas, our culture is deeply rooted in our shared Core Values. We prioritize these values in our hiring, promotions, and performance evaluations, making it essential for candidates to resonate with them:

  • Solution-Oriented Mindset: Our founders exemplified this during the AIDS crisis of the 1980s; we continue to embrace change and lead proactively.
  • Positive Attitude: We adapt quickly, embrace flexibility, and never shy away from responsibilities. Our commitment to growth means we are always available to support our patients.
  • Mission-Driven Approach: We strive for health equity, valuing every contribution as part of a collective effort.
  • Compassion for People: We celebrate diversity and inclusion, practicing kindness in all interactions, both with our patients and each other.

Position Summary:

The Director of Clinical Finance serves as a vital link between the Finance and Revenue Cycle teams, overseeing the analysis, reporting, and internal controls related to patient service revenue and expenses at Prism Health North Texas (PHNTX). This role ensures that timely and precise analyses are available for the clinical practice and patient accounts, guaranteeing the correct accounting treatment of various transactions.

Key Responsibilities:
  • Develops and supervises the creation of financial reports, budget comparisons, and analyses concerning PHNTX's clinical operations, focusing on profitability, productivity, and resource utilization.
  • Oversees the preparation of reports and analyses related to the revenue cycle, monitoring key metrics such as encounters, charges, and claim submissions while identifying trends and recommending solutions.
  • Independently creates analyses and reports to address emerging business inquiries, requiring a strong understanding of relevant variables and data extraction from multiple sources.
  • Manages variance analyses, reforecasting, and scenario calculations for the annual budget.
  • Establishes and monitors internal controls related to patient care payments and account postings, ensuring accuracy in payment reconciliation.
  • Reviews and evaluates the fee schedule in relation to market conditions and contractual agreements, proposing necessary adjustments.
  • Leads projects aimed at identifying and resolving discrepancies in patient service accounting processes.
  • Ensures accuracy in accounting treatments for write-offs and adjustments, maintaining bad debt reserve estimates.
  • Utilizes appropriate methodologies for cost allocation among various programs and funding types.
  • Contributes significantly to the preparation of the organization's annual Medicare Cost Report.
  • Participates in various organizational initiatives, including process improvements and budget preparations.
  • Effectively trains and mentors junior staff members.
  • Performs additional duties as assigned.

Required Qualifications:

  • Proficient in utilizing data from Electronic Medical Records (EMR) and accounting systems.
  • Strong data analysis and visualization skills, with the ability to present findings compellingly.
  • Comprehensive knowledge of Generally Accepted Accounting Principles (GAAP) and healthcare financial reporting standards.
  • Exceptional Excel skills, with expertise in VBA/Macros/PowerQuery preferred.
  • Understanding of patient accounts and the revenue cycle processes.
  • Excellent communication skills, capable of training and presenting to diverse audiences.

Education and Experience:

  • Bachelor's degree required; Master's degree preferred in accounting, finance, or a related field.
  • A minimum of 7 years of experience in a healthcare setting is required.
  • Familiarity with ICD-10, CPT codes, and third-party reimbursement processes is a plus.
  • The ideal candidate will demonstrate critical thinking, problem-solving abilities, and a collaborative spirit.