Director, Patient Financial Services, Hospital Billing (Hybrid/On-Site)

Job Description

Job Description

****This is an onsite position, working 3-4 days a week in our corporate office in Fairfield, California **** 

At Northbay Health, the Director of Patient Financial Services Hospital Billing (HB) will be responsible building and leading a highly effective centralized billing, follow-up, and collections department for NorthBay Health hospitals, ambulatory surgery centers, collaborate closely with and contributed to the success of other areas of the NorthBay Revenue Cycle, including but not limited to, front-end and middle revenue cycle operations, ambulatory revenue cycle operations, as well as collaborating with non-Revenue Cycle areas of NorthBay to contribute to the overall operational, financial, quality, and safety achievements and excellence of NorthBay Health. This includes mentoring, guiding, developing, training, and evaluating the patient accounting team.

PRIMARY JOB DUTIES/RESPONSIBILITIES

• Manages hospital, facility, and technical services billing and revenue collection, follow-up, and accounts receivable of all NorthBay hospital, facility, and technical billing, including non-profee post-acute services.
• Collaborates with the larger Revenue Cycle Team and the NorthBay operational, IT teams, providers, administrative teams, and leaders to provide an excellent patient experience and patient care.
• Plans, organizes and manages all activities of the Patient Financial Services Department.
• Recommends and implements policies and procedures as appropriate to enhance the billing and collection process.
• Recommends and implements policies and procedures to enhance the collection of information necessary to manage capitation, contracting and reimbursement of services provided.
• Reviews billing, coding, provider billing manuals and regulatory requirements with staff and physicians to ensure required ongoing education is provided and to maintain billing compliance with all contractual and regulatory stipulations.
• Reviews and communicates all managed care and other third-payor contracts to ensure smooth and efficient processing of claims and reimbursements.
• Prepares accurate and timely financial reports in order to measure the effectiveness of billing, compliance and productivity.
• Develops audit mechanisms in order to provide enhanced education on coding, reimbursement and billing compliance.
• Provides accurate and timely operational and program reviews accompanied by reports that reflect analysis and summary conclusions and, as appropriate, outlines recommendations and alternatives.
• Establishes and evaluates work system designs, policies and procedures, standards and protocols to enhance departmental productivity.
• Administers the administrative and personnel policies of the System in a consistent and uniform manner.
• Responsible for achieving system Key Performance Indicators (KPI), Benchmarks, and system goals as established by Revenue Cycle and NorthBay Leadership.
• Work with other departments and make sure all the billing defects and denials are getting fixed at the area of origin.