Director, Revenue Cycle Patient Financial Services

Company Description

The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit www.umms.org.

Job Description

General Summary

Under limited direction, directs departmental policies and procedures to effectively manage patient receivables. Reviews and authorizes all bad debt write-offs and generates uncompensated care write-off’s. Collaborates with the Senior Director and Senior Managers to ensure effective utilization of resources. Actively involved in peer review and evaluation of how policies, procedures, protocols, and standards affect patient receivables for UMMC, Kernan and Specialty Hospital (Central Business Office).

Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

• Oversees and develops a high functioning patient billing and collection team that includes managers and supervisor levels that support delegation and oversight.
• Directs and manage accounts receivable (A/R) to ensure accounts are collected appropriately form members, nonmembers, insurance carriers, Medicare, Medicaid and other payer sources.
• Directs the processing of cash receipts collected from members, accounts receivable lockboxes and insurance payments; to ensure that cash is accurate and balances on a daily basis.
• Implements and monitors the operation of the credit policy, uncompensated care policy and bad debt write-off policy.

A. Resolves all unpaid patient accounts in excess of ninety days old.

B. Reviews and authorizes all bad debt write-offs and generates uncompensated care write-offs.

• In collaboration with the Senior Director of Patient Financial Services, develops goals for the Department, develops budgets and, with approval, administers procedures to achieve those goals.

A. Compiles reports to reflect the effectiveness and scope of all policies and procedures administered by the department.

B. Interacts closely with the Senior Director to review and/or alter policies and procedures to reflect changes in the industry and Medical System that impact upon the department goals. Informs the Senior Director of any changes in the third-party reimbursement environment.

• Directs and monitors activities of subordinate employees.

A. Interviews, hires, trains, evaluates and, when necessary, disciplines and discharges subordinate personnel in accordance with established policies.

B. Maintains a trained staff of supervisors and line employees. Conducts regular meetings to obtain feedback concerning problems, potential problems and agreed-upon solutions. Keeps staff current concerning changes in the third party payor environment.

• Interacts closely with the Admitting department and the Inpatient and Outpatient Business Offices to provide a smooth flow of patient billing information through the admission, discharge and billing functions.
•  Reads appropriate trade publicationsand attends seminars in order to keep informed of impending changes and/or new methods to be used in the receivables management of the Medical System.
•  Develops and maintains effective relationships with other Medical System employees, physicians, patients, volunteers and visitors to promote a positive response to the Medical System.
• Performs related duties as required.

Qualifications

•  Bachelor’s Degree in Accounting, Finance, Business Administration or a related field, or equivalent industry experience is required.
• Ten years progressively responsible supervisory experience in health care administration, quality management, finance, or information systems required. .
• Must be an active member in the Patient