Executive Director Patient Financial Services
New Yesterday
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.
Employee Benefits
Billings Clinic Employees
Billings Clinic is a “best” place to work because if its people. The collegial atmosphere, teamwork, pride in care, and numerous opportunities to grow both personally and professionally help keep our amazing employees here caring for patients. State of the art facilities and advanced technology gives the health care professionals the tools to provide advanced health care in a healing environment.
2019 Billings Chamber of Commerce Employer of the Year
2019 Becker’s 50 Best U.S. Companies to work For
2019 Women’s Choice Award for America’s Best Hospitals for Patient Experience
LivAbility “One of the Top 25 Best Places to Live in America
2016 Outside Magazine’s America’s Best Town
Employees have the opportunity to make a difference in the lives of each other and our patients, making this a truly meaningful place to work. The organization also offers employees the opportunity to engage in numerous councils and educational opportunities leading to career growth and involvement in decision making and important initiatives. Beyond giving great care, employees’ ideas and insights are valued at every level of the organization.
At Billings Clinic, it is important to celebrate milestones and ensure that employees feel valued. Recognitions such as the DAISY or BEE Awards, Years of Service and the employee recognition program give everyone the opportunity to show encouragement toward team members who go the extra mile.
Billings Clinic offers excellent benefits and salaries, education assistance, paid time off, and learning plans for career growth. The combination of excellent benefits, strength of the organization and meaningful work make Billings Clinic one of the best places to spend a career in health care.
Billings, Montana is a friendly college community located near the magnificent Rocky Mountains with great exciting outdoor recreation just minutes from home. Billings has great parks, trails, public lands, thriving restaurants, excellent schools, safe neighborhoods, and abundant events and family activities.
Explore some of the Billings Clinic employee benefits
Health
BeWell -An employee wellness program with initiatives and resources around Health, Finance, Personal Growth, and Community. Programs include free blood screenings, flu shots, biometric screenings, health assessment, incentives such as insurance premium discounts for participation.
Medical -Billings Clinic offers a comprehensive self-insured health plan, including a traditional PPO plan and an HSA plan. The benefit is available to full or part time employees.
Pharmacy- Our medical plan includes prescription benefit coverage and prescriptions can be filled at the Atrium Pharmacy on our campus with a mailing service available to employees who reside outside of Billings.
Dental- Preventive and Comprehensive plans include preventive and major dental services such as fillings, extractions, bridgework, dentures and crowns.
Vision- A vision plan is available; which covers a routine eye exam and provides an allowance for the purchase of frames, lenses or contact lenses.
Flexible Spending Accounts- We offer two types of spending accounts: health care and dependent care. Both allow you to pay certain expenses with pre-tax dollars.
HSA Savings Accounts- We offer an HSA savings accounts and an employer contribution for full time employees.
Short Term Disability/Medical Leave -Billings Clinic provides a short term disability medical plan which provides employees with days to use in the event of an extended illness or injury.
Financial
Paid Time Off -Billings Clinic recognizes an employee's need to balance work and family life. Billings Clinic provides a paid time off benefit which affords employees the opportunity to have time off with pay.
Retirement Plans -Billings Clinic provides a defined contribution pension plan and a 403(b) tax deferred savings plan with matching contributions. These plans offer employees the opportunity to save for their retirement years with a variety of investment options available.
Flexible Spending Accounts- We offer two types of spending accounts: health care and dependent care. Both allow you to pay certain expenses with pre-tax dollars.
HSA Savings Accounts- We offer an HSA savings accounts and an employer contribution for full time employees.
Tuition reimbursement and/or assistance programs are available for certain positions.
Employee Crisis Fund -Provides limited financial assistance to Billings Clinic employees who need immediate aid.
Growth & Community
Employee Assistance Program (EAP)- Billings Clinic recognizes that mental well-being is connected to physical health. We offer employees and their eligible dependents, at no cost, four sessions of mental health related services through our confidential EAP program.
Billings Clinic Parent Network (BCPN) -A unique group to support the employees who also wear the hat of “parent”. The group meets monthly to discuss the challenges of being a working parent and provides encouragement and support.
Cafeteria and Commons Café- meal subsidies
Bicycle-friendly business- Bronze award winner by the League of American Bicyclists
Tuition reimbursement and/or assistance programs are available for certain positions.
Leadership training
Employee recognition programs such as the Bee Award for outstanding team members, Daisy Award for nursing excellence, Great-Catch Award (safety), Years of Service award, YAG awards. Several employee recognition events throughout the year such as the food truck outdoor event, hot cocoa bar event, etc. to promote fun and employee recognition.
Free or discounted tickets to local entertainment and sporting events
Club Billings Clinic offers employees discounts at numerous local businesses and service providers
Lactation facilities for new mothers.
360-degree performance reviews
Our organization promotes sustainable or “green” practices.
Identity Theft Protection and Emergency Travel Assistance
Business education, continuing education credit assistance
Formal career development and job advancement programs
Actively supports community service initiatives, e.g. United Day of Caring, Saturday Live, etc.
Flexible scheduling and telecommuting options for certain positions to accommodate work/life balance
"Casual Fridays"-ability to wear work appropriate jeans to work (for non-clinical employees)
Workplace facilities to promote exercise
Promotes walking trails both inside and around the campus
- Location:
- Billings
- Job Type:
- PartTime