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UCI Health · 2 hours ago

Assistant Director, Patient Financial Services - Government Accounts - HB Patient Financial Services - FT Days

Anaheim, CA

Full-time

Onsite

Director/Executive

7+ years exp

UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. The Assistant Director of Patient Financial Services is responsible for overseeing governmental accounts receivables and collections, ensuring compliance with healthcare regulations, and managing unit performance and personnel issues.

Health CareHospitalMedical

Hiring Manager

Josh Kloppenborg

Responsibilities

Responsible for planning, directing and overseeing all aspects of assigned Patient Financial Services units, including, but not limited to, governmental Accounts Receivables and Collections (Medicare and Medi-Cal), and Federally Qualified Healthcare Center (FQHC)

Ensures standards of unit operations are in compliance with all state and federal healthcare regulatory agencies

Incumbent has overall responsibility for training, unit performance, resolution of operational and personnel issues, evaluations, hiring, and disciplinary action

Participates on organizational performance improvement projects

Serves as a role model and resource to colleagues, staff, and others

Interacts with all levels within the organization, including senior leaders, managers, directors as well as insurance companies, Medicare, Medi-Cal, CalOptima, and MSI at a management level

Qualification

Healthcare billing knowledgeGovernment payer experienceLeadership in healthcareRegulatory compliance knowledgeAnalytical skillsBilling technical knowledgeCommunication skillsMotivational skillsOrganizational skillsProblem-solving skills

Required

Thorough knowledge of healthcare billing, finance and compliance and strong understanding of facility billing systems

Sound understanding of Joint Commission and other applicable regulatory requirements to be able to monitor for compliance

Self-directed and organized with superior analytical and problem-solving skills

Must possess the skill, knowledge and ability essential to the successful performance of assigned duties

Must have experience in working with government payers, performing split billing as required by Payers and DOFRs

Minimum 7 – 10 years' experience in hospital patient account services

Minimum 5 years in a leadership/managerial position in a revenue based, health care related industry such as admissions, registration, billing/payor or contracting

Knowledge of Medicare/Medi-Cal billing procedures

Extensive knowledge of governmental compliance rules and issues as it pertains to health care billing, collection and other reimbursement

Excellent written and verbal communication skills in English

Detailed understanding of billing technical elements such as standard forms and data elements, coordination of benefit and third party liability billing and collection, electronic billing, data edit programs, reimbursement methodologies such as Diagnosis Related Groups (DRGs), Case Rate, Percent of Charges, capitation

Demonstrated experience building competency and developing skills of others

Bachelor's degree in Health Care Management, Business, Finance or Accounting or an equivalent combination of education and experience

Ability to motivate staff to achieve desired results

Ability to maintain a work pace appropriate to the workload