Head of Billing Operations

2 weeks 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 and collections operations within the organization. This role requires a proactive leader who can effectively manage resources, enhance staff capabilities, and ensure outstanding service delivery.

Key Responsibilities:

  • Provide strategic direction to departmental managers to allocate resources efficiently based on patient demand, available facilities, budget limitations, and organizational objectives.
  • Conduct regular audits of billing processes to identify discrepancies, denials, and appeals, ensuring timely communication of findings to relevant departments for resolution.
  • Collaborate on denial management strategies, utilizing Lean principles and root cause analysis to address operational challenges and training needs across the organization.
  • Monitor account statuses, focusing on Days on Accounts Receivable, Denials Not Finalized Billing, and cash collection metrics, while setting clear expectations for billing management.
  • Engage with vendors to assess performance against contractual obligations and establish key performance indicators for accounts receivable.
  • Oversee the Payer Enrollment process, ensuring timely enrollment of providers with all necessary payers and reviewing requirements for Out of State Medicaid beneficiaries.
  • Direct the Reimbursement Coordinator in adhering to insurance contractual obligations to maintain compliance with billing practices.
  • Assess patient satisfaction regarding billing processes and ensure that collection vendors meet established standards.
  • Foster a collaborative environment across the organization to align revenue goals with patient satisfaction.
  • Ensure that information systems meet the current and future needs of the billing department, working closely with IT and compliance teams to uphold privacy and security standards.
  • Champion and implement LEAN methodologies and strategies within the billing operations.

Qualifications:

  • A Bachelor's degree in business administration, finance, or a related field, along with a minimum of three years of experience in managing healthcare receivables.
  • Alternatively, candidates with eight years of experience in healthcare and five years in healthcare receivables management will be considered.

Preferred Qualifications:

  • Master's Degree in a relevant field.
  • 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 high-quality healthcare services to our community. We strive to create a supportive environment for both our patients and employees, guided by our core values of integrity, compassion, and excellence.

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