Associate Administrator, Patient Accounting - Patient Accounting - Full Time 8 Hour Days (Exempt) (Non-Union)

The Administrative Director for Patient Accounting has enterprise-wide responsibility centralized business office (CBO) for all facets of each accounts receivable (AR) collections and management. This includes each unique hospital within the CBO and their comprehensive workflow through to liquidation, dispute management, analysis and in-depth AR trending, follow-up tactics and techniques and on-going staff education. Each hospital may have its own core patient accounting system which requires deep knowledge of the individual trends ad specific needs but manage the AR through standard practices. Oversee all collections-related functions and outsourced vendors. Manage all enterprise contract management systems and related net downs. Monitor proper referral or authorization processes to maximize cash and limit disputed inventory. Oversee payor escalations to liquidate AR and reduce system aging. Effectively manage disputes and escalate disputes and legal referrals. Evaluate CBO for AR trends and contract improvements. Manage department in compliance with established policies and procedures. Oversee customer-focused collection self pay and balance after insurance and aiding patients with financial assistance application and approvals. Monitor credit balance reporting to ensure compliance with Variance Policy and State regulations. Review and approve refunds, write-offs and adjustments on accounts and ensure departmental and hospital(s) policies regarding approval levels. Continually data mine the CBO AR for payer issues, trends and escalate as necessary and in support of long-term strategy development for revenue cycle initiatives. Monitors staff performance with monthly management operating reports. Develop and manage to CBO budget requirements. Hire, continually monitor, train staff on collections practices and techniques to drive best-in-class collections and dispute results. Manage payer and legal relationships and results to liquidate AR within established standards. Continually monitor inventory by payer and deliver accountable results of cash collections, Net to 90 calculation and provide documentation for staff follow-up activities. Identify and implement improved workflow and procedures. Create and implement new procedures to respond to internal and external needs in a timely fashion. Demonstrate knowledge of and practices the hospital and department policies and operating procedures. This knowledge may include the use of specialized instrumentation, Quality Control requirements, and preventative maintenance, and the standards outlined in the hospital's Code of Conduct as well as regulatory or compliance policies applicable to job responsibilities. Monitor and ensure that issues with health plans are prioritized, communicated and resolved in a timely fashion. Project an image of professionalism, appearance and conduct. Self-motivated and proactive.

Essential Duties:

• Leadership • Oversees the development of Patient Accounting strategies, policies, and procedures to maintain and manage key performance indicators. • Provides strategic vision and direction to effectively manage industry shifts, regulatory changes, and rising cost pressures. • Relies on management staff to handle day-to-day operational needs. • Seeks ways to control costs without compromising the quality of services delivered. • Implements system-wide projects, as assigned, for realizing process improvement opportunities within Patient Accounting. • Coordinates and collaborates with key functions outside of Revenue Cycle to ensure strategic alignment with broader organizational goals and objectives. • Ensures that processes are consistently evaluated for alignment with the strategic vision set forth by leadership teams throughout the organization. • Works with peers to coordinate and oversee all patient accounting process transition points between patient financial service, onsite patient access services, medical facilities, and other areas. • Establishes strategic vision for prioritizing and organizing job roles and work distribution to align with leading practice trends in Patient Accounting functions. • Apprises Patient Accounting Services staff of state-specific regulations and legislation, as applicable. • Displays commitment to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality. • Stays abreast of the latest developments, advancements, and trends in Revenue Cycle and Patient Accounting Services by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrate knowledge gained into current work practices. • Communicates shifts in healthcare trends, develops strategic mitigation plans and coordinates with other functional areas of the Revenue Cycle Department.