Director of Billing & Follow-Up
Dignity Health - Rancho Cordova, CA

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Job Summary: The Billing Director is responsible for daily operations of all Billing functions, including coordination with hospital departments affecting Billing processes. The Director interprets policies and procedures, recommends changes as appropriate, and provides relevant feedback to Sacramento CBO leadership in order to meet department and organizational goals with respect to revenue recognition and collection. The focus of this position is to ensure an adequate balance between the legal and financial responsibility to ensure compliance with external laws and regulations, and the responsibility to provide service to Sacramento CBO departments and staff. The position requires coordinated activity across organizational lines to ensure a unified and proactive billing process within the organizational units that are services by the Sacramento CBO. As the Billing leader, this person also serves as a key promoter of the Sacramento CBO as a service organization which strives to meet and exceed the needs of its customers. Accountabilities: Transition Duties include but not limited to: Plan, prepare and integrate facility Billing processes with Sacramento CBO during deployment Assure accurate transfer of data and accounts from facility to Sacramento CBO Serve as a primary liaison between Sacramento CBO leadership and facility Billing managers during deployment Operational Duties include but are not limited to: Act as a partner in the overall management of the office and participate actively in decision-making and strategy for the entire office, with a team orientated approach Oversee Sacramento CBO operations of Billing functions, ensuring timeliness, accuracy, compliance and standards fulfillment as defined in Sacramento CBO Service Level Agreements or by the Senior Director of Operations Ensure that adequate procedures exist for accurate and timely processing of Medicare, Medi-Cal, Medicaid, Specialty, Commerical/HMO and Workers’ Compensation bills Ensure that adequate procedures exist for accurate and timely processing of non-government billing, including but not limited to: late charges, secondary, stop loss, Medicaid and Medicare, CAP, HMO, and Tricare Coordinate follow-up within appropriate regulations of Medicare and Medi-Cal bills Provide relevant guidance for Billing Managers and other Sacramento CBO Directors to resolve internal and external issues Inform Senior Director of Operations of any significant issues in the Billing area (e.g., Billing backlogs, HIM bill drop delays, payer issues, vendor issues, etc.) Stay abreast of regulatory requirements and company compliance policies, ensuring timely staff education Ensure that appropriate personnel policies are adhered to and any personnel problems are addressed in an appropriate and timely manner Hire, manage and develop department staff to ensure personnel have appropriate skills and competencies, as well as ensure that skills and competencies required for future needs are developed in advance of their need Inform Billing Management and staff regarding payer requirements, significant changes and developments Establish and monitor controls to ensure appropriate submission and acceptance of electronic and manual bills Monitor billed and rebilled summary reports and act on trends and/or root causes Monitor Sacramento CBO Billing performance according to quality and productivity standards developed internally and documented in SLAs Complete monthly trending analysis of Sacramento CBO billing performance Coordinate and promote implementation and monitoring of standard masterfiles, processes, reporting and education programs Follow overall market trends and communicate significant shifts to Sacramento CBO Leadership and others as appropriate Understand and communicate nuances of billing various traditional payers such as Medicare, Medicaid, HMO’s, PPO’s, IPA’s, CAP, employers, etc. Understand and communicate nuances of billing various specialty Medicaid payers such as CCS, County Medicaid, LA County Trauma, etc. Oversee management of Billing personnel, providing recommendations for hiring, promotion, salary adjustment and personnel action where appropriate Assist Sacramento CBO Implementation staff in company-wide initiatives such as the development of operational models, education programs and national contract compliance Develop specific objectives, budgets, and performance standards for each area of responsibility Identify and implement process improvements to lower costs and improve service to facility customers Assume a lead role for innovation, knowledge sharing and leading practices identification within the Sacramento CBO and among peer group Perform staff reviews and prepare performance documents for direct reports Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement” Other duties as assigned Reporting Relationship: Supervises Billing Management Team and Staff Specifications: Experience Minimum Required: 15 years Billing experience 10 years Healthcare Management experience Preferred/Desired: Hospital billing management Education Minimum Required: Bachelor’s Degree in Business or related field Equivalent work experience may substitute degree requirement Preferred/Desired: Special Knowledge, Skills, Abilities Organization - proactively prioritizes needs and effectively manages resources Communication - communicates clearly and concisely Leadership - guides individuals and groups toward desired outcomes, setting high performance standards and delivering leading quality services Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations Tactical execution - oversees the development, deployment and direction of complex programs and processes Knowledge - familiarity with automated billings systems (i.e. SSI, Med Services 4, Meditech) Policies & Procedures - articulates knowledge and understanding of organizational policies, procedures and systems PC skills - demonstrates proficiency in Microsoft Office applications and others as required Financial management - applies tools and processes to successfully manage to budget Project Management - assesses work activities and allocates resources appropriately Requires prolonged sitting, some bending, stooping and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports. Requires lifting papers or boxes up to 50 pounds occasionally. Work is performed in an office environment. Work may be stressful at times. Contact may involve dealing with angry or upset people. Travel Minimal travel required About Dignity Health Dignity Health, headquartered in San Francisco, Calif., provides integrated, patient and family centered care. It is the fifth largest health system in the country with 10,000 physicians and 55,000 employees across Arizona, California, and Nevada. Through its network of more than 150 ancillary care sites and 40 acute care hospitals, Dignity Health is committed to delivering compassionate, high-quality, affordable health care services with special attention to the poor and underserved. In 2011, Dignity Health provided $1.4 billion in charity care, community benefit and unreimbursed patient care. For more information, please visit our website at . Dignity Health is also on Facebook and Twitter.
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