St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Director, Central Business Office is responsible for the planning, organizing, directing and managing of all aspects of the Accounts Receivables (AR) management for the network hospitals or physician billing. Oversees the operations of Billing, Collections, Payer Analyst and Financial Systems Support. Responsible for the implementation of effective processes for continuous management of AR in order to maximize financial outcomes through optimal cash flow and reimbursement
JOB DUTIES AND RESPONSIBILITIES: Coordinates all day-to-day activities of the network central business office to ensure timely and appropriate collections of patient accounts receivable. Ensures cash flow maximization and reimbursement optimization through the constant monitoring of accounts receivable activity and as measured by cash collection goals and key performance indicators.
Analyzes and implements new regulations as they pertain to third party billing and collections to ensure billing compliance. Coordinates the implementation of insurance contract billing requirements.
Performs ongoing analysis of accounts receivable reports and determines probable causes of inefficiencies inhibiting maximum collection performance. Reviews and implements central business office operational changes and/or works with the appropriate management staff along the revenue cycle continuum to ensure overall reduction, timely collection and reimbursement optimization of accounts receivable.
Establishes effective processes to ensure targets are met for Days in AR as well as other patient accounting benchmarks as they relate to AR. Maintains productivity measures to ensure appropriate staffing levels for maximum department effectiveness.
Develops policies and procedure that accurately reflect central business office operations. Ensures that all existing policies and procedures of the business office are kept up to date and accurate.
Assists department managers across the network in the development of billing protocols for new and/or existing services. Assists in the necessary research of third party coverage guidelines for new and/or existing services.
Assists in the collection of patient accounting data to analyze contract performance.
Works closely with any agency used for AR collections to ensure they meet and understand our collection policies and procedures as well as our productively measures for staffing and they are maintaining an acceptable cash flow and aging of our AR.
Collaborates with the RMR department to ensure appropriate coordination of charge setup and coding and table and parameter maintenance as it pertains to billing generation.
PHYSICAL AND SENSORY REQUIREMENTS:
Sitting for up to 8 hours per day, 3 hours at a time. Consistent use of hands and fingers for typing, telephone, data entry, etc. Occasional twisting and turning. Uses upper extremities to lift and carry up to 10 pounds. Stoops, bends and reaches above shoulder level to retrieve files. Hearing as it relates to normal conversation. Seeing as it relates to general vision. Visual monotony when reading reports and viewing computer screen.
EDUCATION: Bacheloregree in Accounting, Business Administration, Finance or Management required.
TRAINING AND EXPERIENCE:
Minimum of seven yearsperience in revenue cycle functions/business office management. Thorough knowledge and application of electronic claims process for all major carriers and intermediaries. Extensive PC skills required.
Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!