Director Client Financial Services

Position Summary

Essential Duties and Responsibilities

• Plan, implement, evaluate, and administer all revenue cycle strategies and processes; including authorization, eligibility and benefits verification, claims submission, payment posting, denial management, and accounts receivable follow-up.
• Develop and maintain a well-trained and empowered staff to ensure timely & accurate billing to achieve maximum reimbursement and cash flow.
• Facilitates staff duties and functions by interviewing, selecting, training, and apprising performance.
• Responsible for completeness and accuracy of all billing related policies and procedures.
• Responsible for ensuring the organization meets all regulatory, legal, compliance, and audit requirements related to the illing of services.
• Monitor, respond to, and communicate changes in billing requirements, regulations, and reimbursement rates as appropriate.
• Lead continuous improvement initiatives related to billing operational efficiencies, including designing and implementing stakeholders’ reporting, analytics and KPIs to ensure that billing is complete & accurate, and assurance that revenue is optimized.
• Ensure management is provided with the necessary data sets to monitor billing performance.
• Ensure appropriate levels of reimbursement based upon contractual arrangement with payers.
• Ensure appropriate provider enrollment is document and in place based upon contractual arrangement.
• Maintain the chargemaster to ensure appropriate coding and billing regulations are met.
• Work with cross functional teams to address business and system issues and assist in their implementations.

Minimum Qualifications (Knowledge, Skills, and Abilities)

• Bachelor's degree in a related field, with 3-5 years of related work experience required.
• Experience in the health care industry preferred.
• Strong organizational skills that reflect attention to detail.
• Excellent written and verbal communication skills.
• Very strong interpersonal and customer service skills.
• Demonstrated proactive approaches to problem-solving with strong decision-making capability.
• Proven ability to handle confidential information with discretion.
• Use of computers and software programs (Electronic Medical Record, Excel, Word, etc.)
• Credentialing Experience Preferred.