Director, Patient Financial Services

JOB PURPOSE & MISSION

Responsible for strategic planning, direction and overall accountability for a department(s) comprised of multiple functional areas. Independently makes decisions that could seriously affect the overall division and/or GHS System’s financial and performance objectives and strategic results. Develops and is accountable for budget for department or multiple functional areas. Direct reports may include managers, supervisors and/or staff employees including responsibility for performance reviews, hiring, disciplinary actions and terminations. Performs job for the age population served, as defined in the department’s scope of service.

Essential Job Functions include, but are not limited to:

1. Planning and Setting Objectives

• Develops goals and objectives in consultation with management to ensure consistency with the GHS philosophy.
• Determines measurable checkpoints for various projects and expected variations.
• Examines alternative methods of providing services in order to reduce operating costs.
• Forecasts and anticipates staffing needs to accommodate market/seasonal changes.

2. Maintaining Organization

• Monitors departmental or areas of responsibility operations and implements corrective actions as required.
• Coordinates a wide variety of administrative, fiscal, and technical activities to ensure the efficient operation of the department(s) or areas of responsibility.
• Effectively utilizes available staff to maximize the effectiveness of the work performed.
• Organizes, directs and participates in the compilation and analysis of department(s) or areas of responsibility data.

3. Direction of Departmental Activities

• Implements policies and procedures necessary to achieve department(s) or areas of responsibility objectives.
• Uses quantitative measures to assess the performance and productivity of the department(s) or areas of responsibility.
• Establishes and maintains an effective working relationships with management and other departments.
• Maintains an effective performance improvement program.
• Develops programs to improve departmental or areas of responsibility communications.

4. Control of Operations

• Delegates authority to supervisory and department(s) or areas of responsibility staff members.
• Provides direction and policy interpretation to managers.
• Encourages staff participation and communication in decision-making.
• Exhibits responsiveness to others in the organization at all levels.
• Assures that applicable accreditation standards and governmental regulations for areas of responsibility are continually met.

5. Educational Opportunities

• Provides educational training, in-services, and guidance to staff as needed.
• Ensures safe and effective delivery of health care to patient population by fully trained staff.

6. Compliance with Regulatory Agencies

• Ensures that staff is in compliance through proper clinical monitoring, staff competency training, equipment tracking and quality control.
• Ensures that safe and effective provisions of home IV services are administered.
• Ensures that all licenses are current with issuing board, including pharmacy technicians, pharmacists and pharmacy permits.
• Maintains current and up-to-date knowledge of state and federal pharmacy regulations.

7. Management of Billing and Collection Functions

• Directs, establishes and implements internal control systems and policies/procedures to meet company’s cash collection goals.
• Monitors and analyzes all aspects of accounts receivable management indicators on a daily basis.
• Develops effective monitoring tools for A/R management indicators to measure operational performance.

8. Additional Duties

• Performs all other duties as assigned.

JOB REQUIREMENTS

Experience: Required – 5 to 7 years of experience of progressive healthcare revenue cycle management; EPIC revenue cycle management experience.

Education: Required – Bachelor’s degree or equivalent experience; Preferred – Master’s degree or advanced education.

Certifications & Licensure: Required – EPIC PB & HB certifications.

Special Skills or Knowledge: Required – application of specialized and/or advanced job knowledge gained through extensive managerial level experience and advanced education; Advanced Excel knowledge; Advanced analytical skills.

HIPAA & SAFETY REQUIREMENTS

HIPAA: Maintains knowledge of and adherence to all applicable HIPAA regulations appropriate to Job Position.

SAFETY: Maintains knowledge of and adherence to all applicable safety practices appropriate to Job Position.

Performance Criteria & Standards

Everyday Excellence Values

• Demonstrates courtesy and caring to each other, patients and their families, physicians, and the community.
• Takes initiative in living our Everyday Excellence values and vital signs.
• Takes initiative in identifying customer needs before the customer asks.
• Participates in teamwork willingly and with enthusiasm.
• Demonstrates respect for the dignity and privacy needs of customers.
• Keeps customers informed, answers customer questions and anticipates information needs of customers.

Corporate Compliance

• Practices diligence in fulfilling the regulatory and legal requirements of the position and department.
• Maintains accurate and reliable patient/organizational records.
• Maintains professional relationships with appropriate officials; communicates honestly and completely; behaves in a fair and nondiscriminatory manner.

Personal Achievement

• Sets goals and action plans to achieve objectives.
• Completes assignments following accepted procedures and practices.

Performance Improvement

• Strives to continuously improve all aspects of the business operation.
• Assures the accuracy of data, work, or information.
• Willingly participates in organization and/or department quality initiatives.

Cost Management

• Demonstrates effective time management to promote productivity and cost efficiency.
• Uses material goods wisely, is conscious of the environment and is accountable for prudent use of resources.

Leadership

• Invites input from others and shares ownership and recognition.
• Inspires people by example and influences them to do and be their best.

Operations Management

• Establishes clear work objectives that prioritize and focus employee efforts.
• Staff works area with appropriate numbers of qualified employees.
• Allocates and delegates work effectively to make efficient use of resources.

Performance Management

• Provides opportunity for skill development for employees.
• Provides ongoing performance feedback to employees.

Patient & Employee Safety

• Effectively communicates, demonstrates, coordinates and emphasizes patient and employee safety.
• Proactively reports errors, potential errors, injuries or potential injuries.