Director, Hospital Billing (Hybrid)

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.

Job Summary

Position is responsible for the leadership, development, vision, and operational fiscal management of the Revenue cycle for all the acute care inpatient, post-acute care, and outpatient facilities in the healthcare system. This individual will oversee all administrative and technical aspects of Operations, and design and implement effective systems, processes, and procedures to ensure accurate and timely management of Accounts Receivable which include billing, collections, denials, underpaid, cash management, credit balances and vendor management. Individual is responsible for establishing productivity and quality standards for the department, and is accountable for creating a culture of compliance, adherence to coding clinic guidelines, governmental and payer regulations, ethics, integrity and performance across the multi-facility healthcare system. This position reports to a Revenue Cycle Management executive.

Job Description

Desired Skills Sets:

• Must have extensive hospital billing experience; with at least 5yrs in a billing leadership position

• Must have experience working for a medium - large hospital system

• Experience in specialty billing

• Understands CMS rules

• Understands UB04 on the hospital side

• Experience with Form 1500

Minimum Qualifications

Education:  Bachelor’s degree in Business or related field preferred

Licenses/Certifications:  (None)

Experience / Knowledge / Skills:  

• Requires ten (10) years of hospital/healthcare business office or financial management experience with a minimum of five (5) years in a supervisory role.

• Requires demonstrated pattern of growth and ability to lead, motivate, develop, and mentor others.

• Requires proven analytical ability and organizational skills necessary to organize/assess information and evaluate recommendations based on data analysis.

• Must demonstrate excellent verbal and written communication skills to support interaction and participation in meetings with physicians, payer representatives, and representatives of other departments within the organization.

• Expertise in Regulatory Guidelines with CMS, DHS, FDCPA, EMTALA, and NCCI Coding Guidelines to ensure compliant billing and collection follow-up.

Principal Accountabilities

• Provides strategic guidance and direction for system-wide financial services; create and manage a strong financial services culture.

• Leads large teams in areas of Revenue Cycle Services including Billing, Collections, Denials, Underpaid, Correspondence, Cash Management, Vendor Management, and Customer Service. Oversight includes up to 17 Acute Care Facilities, 163 Outpatient Facilities, or 300+ physicians. Service lines include, inpatient and outpatient, emergency services, life flight, trauma, transplant, outpatient imaging, laboratory, inpatient/outpatient rehab, skilled nursing, and chemical dependency.

• Develops a short and long term plan for operation that is compatible with department and organizational goals. Contribute to initiatives with Net Revenue Improvement while maintaining oversight of an accounts receivable in excess of $2.6 Billion, Annual Cash Collections $4.3 Billion, and Annual Billed Claims volume 2 Billion.

• Analyzes and establishes strategic plans to ensure the financial services are progressive and effective; work with other hospital and system service departments to promote consistency in processes; stay up-to-date on all regulatory requirements.

• Provides leadership to revenue cycle management team regarding monthly trending analysis of operational performance including weekly and monthly financial reports.

• Change Management Experience for leading staff through change. Knowledge and experience in building team effectiveness.

• Oversight of 35 to 55 staff members including all human resource related activities such as hiring and performance management.