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Washington, D.C.

    Director, Quality Performance - Washington DC, United States - Chapters Health System

    Chapters Health System
    Chapters Health System Washington DC, United States

    3 weeks ago

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    Description
    Director, Billing and Collections page is loaded Director, Billing and Collections
    Apply locations Falls Church, VA time type Full time posted on Posted Yesterday job requisition id R246602 It's inspiring to work with a company where people truly BELIEVE in what they're doing
    When you become part of the Chapters Health Team, you'll realize it's more than a job. We're committed to providing outstanding patient care and a high level of customer service in our communities every day. The Director of Billing and Collections provides operational leadership for Billing, Payment Posting, Collections and related Revenue Cycle Systems. Bachelor's degree in Healthcare Administration, Finance, Business , or related field
    Minimum of five (5) years of management experience
    Knowledge of clinical and billing application interfacing
    Knowledge in claims processing and Third Party Administrator claims processing
    Demonstrated expertise and knowledge with third party payors to include Medicaid, Medicare and state and federal regulations for both acute and professional billing rules and regulations
    Ability to manage in a fast-paced environment, remaining proactive, detailed oriented, resourceful and efficient, with a high level of professionalism
    Proven successful experience leading, coaching, and mentoring management and subordinates
    Excellent critical thinking and time management skills, self-starter, and the ability to manage staff on-site and remotely
    PC proficient (Word, Excel, Access, PowerPoint, Outlook, Project, Visio, etc.) and multi-system applications
    Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.
    Comply with Company policies, procedures and standard practices.
    Promote the Company through participation in community and professional organizations.
    Participate proactively in improving performance at the, departmental and individual levels.
    Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.
    Management Identification. Identify with and accept the problems and responsibilities of management.
    Planning, Organizing and Controlling. Set high goals or standards of performance for self and others. Maintain stability of performance under pressure and/or opposition.
    Generates and/or recognizes imaginative, creative solutions in work related situations.
    Staff Development. Model highest standards of conduct and ethical behavior, adopting a strong position against fraud and abuse.

    Regulatory Compliance:
    Educate and monitor staff regarding their own and the organization's responsibilities for regulatory compliance.
    Ownership of the Back-End Revenue Cycle process, including, but not limited to: billing, payment posting, and collections.

    Defines and maintains up-to-date documentation of back-end revenue cycle policies and procedures, with an emphasis on scalability and alignment with best practices.

    Oversees Billing, Collections, Payment Posting team, and related roles. Responsible for identifying and implementing solutions that support more efficient and effective work performance.

    Oversees, audits, mentors, and trains team members to ensure work is done in accordance with best practice policies and procedures.

    Ensures compliance with Federal and State collections and credit regulations, laws, and guidelines.
    Develops/maintains up-to-date, effective policies and procedures.
    Continuously/proactively communicates and partners with Front End Revenue Cycle team to minimize denials and ensure efficient collections.
    Ensures accuracy and integrity of account balances.

    Proactively partners with Corporate Compliance, Care Connect, IT, Clinical, Finance, and other key stakeholders to ensure efficient revenue cycle operations.

    Works with third party vendors to coordinate key activities related to billing, collections, payments, and related functions.
    Monitors Back-End Revenue Cycle management key performance indicators; identifies and resolves negative performance trends.

    Responsible for monitoring, identifying, and working with the vendor to resolve EMR/EHR technical issues that negatively affect Revenue Cycle performance.

    Prioritizes, monitors, and optimizes collections activities.
    Oversees the quality assurance (QA) process ensuring that performance issues are identified and rectified in a timely manner. Engages in continuous process improvement to enhance customer service and Revenue Cycle performance.
    Ensures that team Key Performance Indicators (KPIs) are met, and quickly identifies variances and implements effective actions plans.
    Works closely with the Accounting team to ensure timely, effective resolution of cash discrepancies.
    Performs month-end close duties in accordance with organizational policies and timelines.

    This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.

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