Director of Billing and Patient Financial Services

Make a Difference. Be a Part of the NCHC, Inc. Team!

Newark Community Health Centers, Inc., FQHC, is a multi-cultural, Patient Centered Medical home- Level III that provides primary care services (Family/Adult Medicine, Pediatrics, OB/GYN, and Dental) and social services. We are dedicated to meeting the health care needs of the medically underserved in the greater Newark area. Join us as we expand!

The Director, Patient Financial Services & Revenue Cycle coordinates and facilitates revenue cycle

financial controls and accounts management of the various systems and processes including provider credentialing with the various insurance carriers, patient intake and registration, coding and checkouts of encounters and billing and accounts receivable maximizing cash flow into the

organization. Develops work standards, monitors quality and quantity of work processed, and ensures that policies are communicated and administered consistently. Works closely with site

personnel and operations managers to monitor compliance to policies and procedures as they relate to the revenue cycle.

Essential duties/responsibilities include the following as well as other duties that may be

assigned:

• Subject matter expert in central billing office and healthcare revenue cycle applications

utilized across the organization.

• Documents and supports the development and refinement revenue cycle workflows (patient access, insurance verification, charge capture, payment posting, self-pay and patient follow-up management)

• Optimization, auditing, and setup of work queues for charge capture reconciliation, denial

management, clearinghouse, claims management, and payment posting

• Ensure the integrity of the Revenue Cycle Systems databases, charge master, Master File and

Dictionary Configuration

• Participate in audit and execute recommendations for improvement of revenue cycle systems

• Implemented primary healthcare professional billing revenue cycle systems

• Oversees systems and processes that maximize cash flow into the organization.

• Maintains current enrollment of all NCHC providers with the various insurance companies

• Ensures the integrity of patient intake and registration

• Expedites the processing and checkout of accurate patient encounter forms thought the various clinical areas

• Oversees the editing of patient encounter forms and preparation for billing

• Ensures accurate and timely billing of patient encounters with added focus on problem or denied claims