Director Patient Financial Services
Catholic Health Services
Overview Catholic Health is one of Long Island’s finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes – to every patient, every time. We are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace! Job Details Under the direction of the Vice President of Patient Financial Services, the Director of Patient Financial Services is responsible for the development, management and maintenance of patient financial systems and technology platforms for the business office. DUTIES/RESPONSIBILITIES: Directs and oversees Patient Financial Services activities including identifying hardware and software requirements and acting as a liaison between Patient Accounting staff and all users to coordinate and implement all computerized projects with the IT Department. Implements, generates and monitors patient financial systems’ procedures and reports to ensure accounts receivable data integrity and accuracy. Maintains appropriate internal control security safeguards over accounts receivable data and maintenance of same. Directs and oversees the modification and/or upgrade of existing systems and the maintenance of system control and master files (e.g. STAR, insurance master, employer master, financial classes, bill format, collection files, Denials and Appeals, SIMFIM, ERA, CCI and KUBRA parameters, 3M OPPS, 3M EAPG, Med Assets, Pathways Contract Management, HBI, SSI/NCD Electronic Billing systems, etc.) Reviews and analyzes potential for modifying and/or upgrading existing systems and/or implementing new systems to achieve greater efficiencies in Patient Accounting. Develops and documents test plans for new software releases/upgrades and oversees and controls testing process. Develops, documents and implements training and education for hospital revenue cycle activities. Ensures the processing of all patient transactions from departments are timely and accurate for the production of bills. Oversees activities with third party vendors, whose systems interface or provide service for Patient Accounting. Monitors vendor performance and takes corrective action as necessary. Continuously monitors business process/work flows to ensure that staffing levels are adequate and the department is operating at maximum efficiency. Keeps up-to-date on information and technology advancements that affect functional areas to maintain innovation and ensure compliance with HIPAA standards. Recruits new personnel and evaluates and counsels, when needed, personnel under his/her supervision. Participates in special projects as directed by the Vice President of Patient Financial Services. Keeps the Vice President of Patient Financial Services informed on the status of the Patient Financial Services Department. Performs related duties as assigned and unrelated duties as requested. POSITION REQUIREMENTS AND QUALIFICATIONS: Education: Bachelors Degree in Information Systems, Business Administration or equivalent skills and experience required. Skills: Must be able to effectively direct, control and oversee the activities of the Patient Financial Services department. Must have sufficient oral and written communication skills to deal with internal staff, customers and representatives from external departments and agencies and to direct personnel. Must have highly developed analytical and problem-solving skills. Must possess ability to organize, develop and write user manuals and other required documentation. Must be familiar with data processing capabilities and procedures and able to operate a personal computer using standard software applications (e.g., Microsoft Word, Excel and Access). Must be able to schedule, meet and maintain daily and monthly routines, assign personnel and maintain integrity of records. Must possess an in-depth knowledge of third party governmental billing regulations and statutes/laws governing the management of human resources and strong employee relations skills. Experience: Eight to ten years of progressively responsible health care Accounts Receivable experience, of which five to seven years must have been devoted to system/procedural design and analysis responsibilities. Salary Range USD $150,000.00 - USD $250,000.00 /Yr. This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, or other forms of compensation that may be applicable to this job and it does not include the value of benefits. At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.
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