Executive Director Patient Financial Services
Billings Clinic
You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.
And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!
You can make a difference here.
About Us
Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital.Learn more (https://www.billingsclinic.com/about-us/) about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.
Your Benefits
We provide a comprehensive and competitive benefits package to all full- and part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more.Click here (https://www.billingsclinic.com/careers/employee-benefits/) for more information ordownload the Employee Benefits Guide (https://ncstoragemlbillings.blob.core.windows.net/public/2021%20Billings%20Clinic%20Staff%20Benefits%20Guide.pdf) .
Magnet: Commitment to Nursing Excellence
Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here (https://www.billingsclinic.com/campaign-landing-pages/magnet/) to learn more!
Pre-Employment Requirements
All new employees must complete several pre-employment requirements prior to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more!
Executive Director Patient Financial Services
GENERAL ADMINISTRATION (Billings Clinic Main Campus)
req10417
Shift: Day
Employment Status: Full-Time (.75 or greater)
Hours per Pay Period: 1.00 = 80 hours every two weeks (Exempt)
Starting Wage DOE:
The Executive Director of Patient Financial Services is responsible for overseeing the Business Office functions, including billing, follow-up, and collections of patient accounts. This role focuses on compliance with payer regulations, employee productivity, and improving key revenue cycle indicators. The Executive Director will lead strategic revenue management initiatives, collaborate with various stakeholders, and implement standardized policies and processes to enhance the revenue cycle's efficiency and effectiveness.
Essential Job Functions
• Develop and recommend potential organizational policy changes to the System Chief Financial Officer and implement approved changes.
• Assist with the development of budgets and monitor department operations to achieve goals within budget.
• Maintain extensive knowledge of revenue cycle and regulatory requirements associated with governmental, managed care, and commercial payers.
• Oversee account statuses based on Days on AR, DNFB, CFB, and communicate expectations to billing management.
• Serve as the subject-matter expert on regulatory, compliance, and legal requirements associated with medical billing and CMS.
• Review and enhance insurance verification, coding review, billing, and collection processes for efficiency and best practices.
• Review, monitor, and recommend updates to the CDM fee to maximize reimbursement
• Interact with vendors while monitoring performance and ensuring contractual obligations are met.
• Review performance data to monitor and measure departmental productivity and effectiveness.
• Attend leadership meetings and disseminate information to department managers and staff.
• Collaborate with the Senior Leadership team on addressing provider concerns related to RVUs, coding, and billing.
• Partner with Finance to analyze the reimbursement's impact on financial performance.
• Stay current on federal and state regulations related to reimbursement and billing for durable medical equipment.
• Work closely with legal and compliance teams to ensure adherence to applicable laws and guidelines.
• Establish objectives to accomplish physician practice and hospital service line goals.
• Identify opportunities for performance improvement, including increased efficiencies and cost reductions.
• Co-Chair with the Director of Case Management the denials prevention committee.
• Improve metrics such as days to bill, days in accounts receivable, and bad debt expense.
• Deploy a management toolkit and report card metrics to enhance performance in key indicators.
• Interview, hire, train, evaluate, and develop subordinate management staff.
• Establish standards for conduct and performance, and ensure compliance with these standards.
• Model a culture of excellence for the department.
• Provide feedback to management regarding potential changes to improve staff performance.
• Develop and implement a communication plan with staff input.
• Participate in leadership growth and development.
Minimum Qualifications
Education
• Minimum Bachelor's Degree and Minimum of 5 years of leadership experience in a directly related role.
• Preferred Master's degree or Minimum of 10 years leadership experience in a directly related role.
Experience
• Minimum of 5 years of leadership experience in a directly related role.
• Thorough understanding of EDI standards for electronic claims submission.
• Strong knowledge of medical insurance billing and collections, CPT, ICD-10, and HCPCS coding.
• Solid understanding of Oracle EHR, preferred
Certifications and Licenses
• Coding Certification or RHIT At hire
• RHIA Preferred
• Must possess a valid Montana driver’s license at the time of hire and be eligible for coverage under the organization’s motor vehicle insurance policy.
Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered. Employees that require a licensed or certification must be properly licensed/certified and the licensure/certification must be in good standing.
Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more atwww.billingsclinic.com/aboutus (https://www.billingsclinic.com/about-us/)
Billings Clinic is committed to being an inclusive and welcoming employer, that strives to be kind, safe, and courageous in all we do. As an equal opportunity employer, our policies and processes are designed to achieve fair and equitable treatment of all employees and job applicants. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, religion, sex, gender identity, sexual orientation, pregnancy, marital status, national origin, age, genetic information, military status, and/or disability. To ensure we provide an accessible candidate experience for prospective employees, please let us know if you need any accommodations during the recruitment process.
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