Director Patient Financial Services - Specialty Billing

General SummaryDirects, plans, organizes, and controls the integration of all WellSpan Health billing activities and functions related to Hospital and Ambulatory Services or Specialty Services. Provides operational oversight as needed. Achieves Patient Financial Services (PFS) Key Performance Indicator (KPI) goals through effective work queue management, dashboard performance monitoring, and strong employee engagement.Duties and Responsibilities• Responsible for the oversight of Hospital and Ambulatory or Specialty billing and follow up of claims for Government and Non-Government and/or contracted and non-contracted payors• Ensures all regulatory guidelines are being met in all phases of the Billing cycle• Monitors productivity and work standards and ensures productivity is within acceptable ranges. This includes the analysis of all work queue volumes and staff productivity reports in accordance with dashboard management and productivity standards• Provides direction and oversight to the PFS Billing Managers in daily work queue activity and assists with review and analysis of billing reports on a daily/weekly/monthly basis to minimize CFB days and ensure timely filing• Actively works to identify and eliminate waste and inefficiency in people, processes, and systems by directing activities related to payments, allowances, and rejected / denied claims• Defines development objectives for staff and promotes/organizes in-service workshops and external educational opportunities for Team development• Assists the Senior Director in the development, implementation, and analysis of protocol standards/work methodology consistent with industry trends and departmental objectives• Research policies/procedures for non-government and government or specialty payers. Identifies and directs the changes to established workflows consistent with the payer policies/procedures and/or state and federal regulations to ensure accurate billing and correct reimbursement• Proactively identifies opportunities for improvement, takes ownership, and works towards solutions and compromises that take the needs of all parties into account when conflict arise• Acts on behalf of the Sr Director as needed and serves as a liaison between PFS and other departments to ensure a consistent flow of information• Assists with system conversion and integration activities for current and future acquisitions• Generates billing reports, analyzes same and makes data-driven financial decisions in alignment with Revenue Cycle KPI goals and WellSpan's longer-term goals• Provides education and direction to revenue leaders as neededQualificationsMinimum Education• Bachelors Degree RequiredWork Experience• 5 years minimum experience in Patient Financial Services, Accounting, or Business Administration experience; Leadership and Supervisory experience Required• 1 year minimum experience in Specialty - Behavioral Health or Ambulance or Durable Medical Equipment billing (if assigned to oversee Specialty billing) PreferredLicenses• Certified Revenue Cycle Executive Upon Hire PreferredCourses and Training• HFMA Equivalent (if assigned to oversee Hospital and Ambulatory billing) Upon Hire Required