Director of Clinical Financial Services - Charlottesville, United States - Hospice of the Piedmont Inc.

Description

Job Type

Full-time

Description

Hospice of the Piedmont is seeking a highly skilled and experienced full-time Director of Clinical Financial Services to join our team. The Director will be responsible for developing, planning, organizing, and implementing strategies to optimize billing processes, manage receivables, and ensure regulatory compliance. The ideal candidate will possess a strong background in hospice and palliative care industries, along with extensive experience in billing, collections, and financial management.

General Responsibilities (including but not limited to):

• Develop, organize, and implement insurance verification, billing, payment, and collection processes.
• Ensure compliance with federal and state regulations, payor contract requirements, and best practices.
• Supervise billing department staff and manage day-to-day activities of patient financial services functions.
• Monitor effectiveness of collection efforts and maintain AR Key Performance Indicators within budgeted targets.
• Review and maintain enrollments in Medicare and Medicaid.
• Coordinate payor contracts, credentialing, and relationships.
• Maintain accurate payor source information and billing rates in electronic medical records software systems.
• Collaborate with CFO, IT, and clinical team to review and update EMR as needed.
• Develop and track performance measures and standards for the billing department.
• Design and develop training programs for continuous departmental development.
• Collaborate with Finance, Compliance/Quality, and Intake teams to optimize revenue cycle management.

Requirements

Knowledge, Skills, and Abilities:

• Bachelor's degree in accounting, healthcare, or business administration (Master's degree preferred).
• 10+ years' experience in hospice and palliative care industries.
• 7+ years' experience in hospice billing, collections, and cash application processes.
• 5+ years' managerial experience at the director level in a healthcare organization.
• Strong knowledge of Medicare, Medicaid, and commercial insurance billing and collections.
• Understanding of CPT, ICD10, HCPC coding, and medical terminology.
• Knowledgeable regarding federal and state laws and requirements relating to healthcare.
• Understanding of general ledger and revenue accruals.
• Proficiency in utilizing multiple Electronic Medical Records (EMR) for hospice and palliative care.
• Experience with managed care products and value-based billing.
• Experience in Medicare and Medicaid enrollments and reenrollments.

We offer competitive wages and a comprehensive benefits package that includes:

• 90 % employer paid Medical for employee coverage; 80% employer paid for all other medical plan tiers.
• 100% employer paid Life, Disability, and Employee Assistance Program
• 403(b) and Roth Retirement Plans with employer matching
• An array of voluntary programs including Dental, Vision, Voluntary Life - including family coverage, Critical Illness, Accident, & Hospital Indemnity plans
• Discounts on designated Gym memberships
• Up to 20 days (4 weeks) of paid time off (PTO) your first year, plus up to 8 paid holidays

Hospice of the Piedmont is a non-profit, equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees and patients served.