Description

ESSENTIAL FUNCTIONS:

• Monitor and report on key metrics such as cash collections, days outstanding, unbilled, denials, daily census, etc. in conjunction with the CFO.

• Establish and maintain controls for all cash collected and posted in patient accounting system.

• Maintain effective communication with third party insurance carriers to resolve issues that impede cash flow and detract from patient/member satisfaction.

• Provide staff management to include hiring, development, training, performance management and communication to ensure effective and efficient department operation.

• Maintain effective communication with the leadership team to ensure that all third-party compliance guidelines are met.

• Select and monitor outside collection vendors engaged in the collection of facility receivables. Review and balance agency reports to system reports and approve agency invoices.

• Lead and provide operational directives for all business office activities related to the claims management and collections of the facility receivables and ensures timely, efficient cash collections to support the overall financial goals of the facility.

• Define and provide the necessary support and leadership to achieve departmental goals and objectives.

• Review all statistical reports to monitor trends, determine operational deficiencies and implement corrective action plans as necessary.

• Work closely with Utilization Review and Admissions staff to ensure proper authorization of patient insurance coverage.

• May include managing and directing subordinate staff to identify goals and objectives.

OTHER FUNCTIONS:

• Perform other functions and tasks as assigned.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• High School diploma or equivalent required.

• Some college course work preferred.

• Two or more years’ job-related experience required. Preferably in behavioral health.

• One or more years’ supervisory experience required

• Strong revenue cycle technical skills required.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

• Must have and maintain a valid driver's license, maintain automobile insurance coverage and have access to an automobile, where facility requires.

Qualifications

Behaviors

Required

• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well

Preferred

• Team Player: Works well as a member of a group

Education

Required

• High School/GED or better

Experience

Required

• 2 years: Behavioral health experience required.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)