Job Summary: The Network System Director of Patient Accounts is responsible for all functions relating to the billing and collections of claims in business office after services are rendered. This individual will develop and execute financial strategies, systems and processes that optimize current and future performance within the CBO. This position will manage all acute care business office functions and ensures consistent applications of revenue management reimbursement as well as manages cash flow. The position will be responsible for the coordination and daily management of the staff at the business office and oversee daily Cerner and other financial processes. This position will work to integrate best practices into the business office.

Responsibilities:

• • Oversees the daily operations and performance of the acute care business office for hospital sites.
  • Monitors cash performance for the business office, including continuous opportunities for improved collections and/or reduced costs.
  • Collaborates with the all business office and department managers to resolve billing problems related to the charge master, managed care agreements, or other operational processes
  • Oversees performance metrics including file transfers, contractual adjustment processing and automation for all facilities.
  • Oversees managed care underpayment processes and performance for all sites.
  • This includes management of business office staff to maximize collection performance.
  • Coordinates opportunities found in underpay management with managed care leadership, to improve performance.
  • Establishes monitoring tools to reduce late charges.
  • Oversees activities in the optimization of Cerner revenue cycle tools, coordinating business office resources and processes throughout the optimization.
  • Leads the implementation of all required regulatory changes and monitor ongoing success.
  • Creates, monitors, and performs within established budgets.
  • Fosters an atmosphere of professionalism and compliance with all governmental and contractual standards.
  • Actively participates in and contributes to programs and/or initiatives designed to maximize the return on organization financial resources through improvements in service delivery, reductions in expenses, and/or optimization of revenues.
  • Educates department and executive management on findings related to charging, charge capture, pricing, billing and other financial matters.
  • Works with the finance leadership team to identify and manage financial trends (such as bad debts and charity care).
  • Develops business office strategies designed to maximize cash flow and financial performance.
  • Serves as the key leader in managing denials.

Qualifications/Requirements:

Experience: A minimum of 8 years healthcare finance experience previously in the areas of revenue cycle and billing and collections, three of which must have been in a supervisory capacity at a large hospital or healthcare facility. Cerner experience a plus.

Education:  Bachelor’s Degree, required Or Equivalent combination of experience and education maybe substituted for degree requirement.