WellSpan Health · 2 hours ago

Director Patient Financial Services - Specialty Billing

York, PA

Full-time

Remote

Director/Executive

5+ years exp

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Health CareHospital

Hiring Manager

Lyndsay Douglass

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Responsibilities

Responsible for the oversight of Hospital and Ambulatory or Specialty billing and follow up of claims for Government and Non-Government and/or contracted and non-contracted payors

Ensures all regulatory guidelines are being met in all phases of the Billing cycle

Monitors productivity and work standards and ensures productivity is within acceptable ranges. This includes the analysis of all work queue volumes and staff productivity reports in accordance with dashboard management and productivity standards

Provides direction and oversight to the PFS Billing Managers in daily work queue activity and assists with review and analysis of billing reports on a daily/weekly/monthly basis to minimize CFB days and ensure timely filing

Actively works to identify and eliminate waste and inefficiency in people, processes, and systems by directing activities related to payments, allowances, and rejected / denied claims

Defines development objectives for staff and promotes/organizes in-service workshops and external educational opportunities for Team development

Assists the Senior Director in the development, implementation, and analysis of protocol standards/work methodology consistent with industry trends and departmental objectives

Research policies/procedures for non-government and government or specialty payers. Identifies and directs the changes to established workflows consistent with the payer policies/procedures and/or state and federal regulations to ensure accurate billing and correct reimbursement

Proactively identifies opportunities for improvement, takes ownership, and works towards solutions and compromises that take the needs of all parties into account when conflict arise

Acts on behalf of the Sr Director as needed and serves as a liaison between PFS and other departments to ensure a consistent flow of information

Assists with system conversion and integration activities for current and future acquisitions

Generates billing reports, analyzes same and makes data-driven financial decisions in alignment with Revenue Cycle KPI goals and WellSpan's longer-term goals

Provides education and direction to revenue leaders as needed

Qualification

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Patient Financial ServicesBilling managementLeadership experienceAccounting experienceBusiness AdministrationSpecialty billingCertified Revenue Cycle ExecutiveHFMA Equivalent

Required

Bachelors Degree Required

5 years minimum experience in Patient Financial Services, Accounting, or Business Administration experience; Leadership and Supervisory experience Required

HFMA Equivalent (if assigned to oversee Hospital and Ambulatory billing) Upon Hire Required

Preferred

1 year minimum experience in Specialty - Behavioral Health or Ambulance or Durable Medical Equipment billing (if assigned to oversee Specialty billing) Preferred

Certified Revenue Cycle Executive Upon Hire Preferred