Patient Financial Services Director

Patient Financial Services Director

Position Description:

The director role facilitates improved alignment with strategic vision.  Sharing of information, collaboration, and communication are essential for success. Functions as a role model for current and new staff and may perform the same duties/responsibilities as subordinates. The role demonstrates expertise and can handle multiple priorities

Under the direction of the Chief Financial Officer, or designee the Patient Financial Services Director is responsible for directing Patient Financial Services to include, Patient Access, Financial Counseling, Billing, Collections, Customer Service, Denial Management, PBX Operations, and Information Desk.

Prioritizes and coordinates daily activities related to planning, implementing and maintaining all functions pertinent to the Patient Financial Services areas.  Ensures smooth patient flow to service delivery areas.  The role demonstrates expertise in handling multiple priorities. Utilizes problem solving techniques to prevent conflict and promote team development.

Assists in the development of policies and procedures for patient information, office management, patient flow, patient registration, financial screening and patient check-in processes. 

Performs and directs quality assurance and process improvement initiatives.  Manages employee performance to meet or exceed quality and productivity standards.  Administers performance evaluations and disciplinary actions.  Maintains excellent working relationships with interdepartmental peers, community providers and staff.

The Director is responsible for monitoring changes in the healthcare industry impacting the patient access, billing and collection efforts of the facility. 

Supervisory Responsibilities:

This position supervises all Patient Access and Patient Financial Services team members, which includes Patient Access Team Leads, Patient Access Registrars, Scheduling and Prior Authorization Representatives, Clinic Pre-encounter Representatives, Financial Counselors, and PBX Operations.

Duties/Responsibilities:

• Leads and provides operational directives for all activities related to registrations, claims management and collections of accounts receivables and ensures timely, efficient cash collections to support overall financial goals of facility.
• Prepares and analyzes all statistical reports to monitor trends and determine operational deficiencies and implements corrective-action plans as necessary.
• Supports PFS activities related to claims management and collections of Accounts Receivables (AR) with timely, efficient cash collections to support overall financial goals of facility.
• Routinely reviews accounts receivable dashboards (Aged Trial Balance) to monitor reimbursement patterns and investigate any cash-flow issues for needed corrective actions to assure timely collection of accounts and achievement of established department or agency goals.
• Monitors all external billing and collections services and works with external billing and collection services to ensure adherence to timely resolution of encounters.
• Maintains days in accounts receivable at or below industry standards.
• Monitors unbilled account activity to determine necessary actions required to minimize number and dollar-value of accounts being held for bill production.
• Develops, in concert with external agencies, other department heads, corrective actions necessary to clear accounts held for bill release.
• Prepares statistical, analytical and management reports as requested by CFO or Revenue Cycle Director including but not limited to Revenue Cycle key performance indicators.
• Responsible for recruitment, placement, scheduling and continued development of patient access staff and patient financial services staff.
• Strong commitment to ensuring formali