Job Summary Essential Functions Directs the staff and operations of the Ambulatory billing office (PBO). Ensures optimal performance through effective employee selection, training and development and performance management. Holds staff accountable for achieving plans and performance targets. Works with staff to identify and resolve the most complex issues and problems impacting the ambulatory billing office. Supports development and continued professional growth to meet company and individual goals for long-term success. Demonstrates an expectation for continuous quality improvement utilizing processes that include consideration of all stakeholders. Continuously evaluates the effectiveness and efficiency of operations and implements or proposes optimization or transformation efforts. Manages the PBO related transformation plan and roadmap working with the transformation and optimization continuous improvement teams. Develops and maintains strong relationships with clients. Through the effective selection, training and direction of staff, effectively manages relationships and business processes at all company physician offices and clinics and at all contracted physician offices. Develops, implements and effectively manages policies, processes and procedures for the PBO and for clinic-based front office staff that result in maintaining accounts receivable days outstanding at or below goal levels. Provides education and policy updates for clinic and division employees, medical staff, patients and insurance companies on policy or procedures. Establishes and conducts performance reporting for revenue activities of each clinic. Works collaboratively with local CFO's, physicians, department heads, and practice manager(s) to develop and maintain a culture of high performance and accountability across organizational boundaries. Ensures appropriate coordination with the physician billing staff throughout account life cycle. Provides regular revenue management reports to clients and management. Provides periodic status reports and ensures timely identification and reporting of potential risks to positive cash flow, public image, or legal compliance. Alerts senior management and operations leaders of such concerns in the areas of accountability. Ensures compliance with government and commercial billing and medical record regulations and standards while maximizing reimbursement for patient claims. Works with company compliance and legal staff to maintain appropriate procedures and to represent the company in litigated matters. Manages operational expenses in accordance with the budget. Directs and oversees the development of operating and capital budget for the department. Works with payor companies and agencies or other outside parties, including judicial and regulatory bodies, commercial payers, collection agencies, and auditors to address and resolve disputes and unpaid claims, develop procedures, or address other pertinent needs. Implements system-wide programs and information systems to create and maintain functional capabilities that equal the best in the industry. Hold responsibility for implementation and the maintenance of the billing system throughout all company clinics, and the standardization of the policies and procedures involved in the management of the billing collection cycle. Provides ongoing leadership and operational oversight in the development, use and maintenance of the clinics information systems for billing and accounts receivable management. Minimum Qualifications
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