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DIR-CENTRAL BILLING OPS-IPM - (10811)

Universal Health Services


Location:
KING OF PRUSSIA, PA
Date:
11/21/2017
2017-11-212017-12-20
Job Code:
10811
Universal Health Services
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Job Details

Deltek Talent Management - DIR-CENTRAL BILLING OPS-IPM - (10811)

Job Details


DIR-CENTRAL BILLING OPS-IPM - (10811)

Facility Name
Malvern - 112
Location
KING OF PRUSSIA, PA 19406 US (Primary)
Career Area
Professional
Category
Billing
Job Description

The Director, IPM Central Billing Operations (CBO) is responsible for directing and managing all aspects of professional billing for IPM Markets as well as any contracted Management Services (MSO) business housed within the CBO. Overall areas of responsibility include, but not limited to, charge capture, claim submission, payment posting, credit resolution, accounts receivable (A/R) follow up, coding and patient/customer service.   The Director, IPM CBO works to ensure all components of the billing operation are fully integrated and there are cohesive processes to help minimize/eliminate redundant work efforts, claim resubmissions, and other inefficient work that increases overhead and negatively impacts collections.  Acts as a change agent to initiate new and creative tools/software as well as policies and processes to streamline the revenue cycle continuum. Works collaboratively with Market staff to drive consistency in revenue cycle processes while continually managing work efforts to practice based revenue cycle metrics.  Promotes an environment of top quartile customer service for patients contacting the CBO with questions, complaints and requests to remit payment.  Leads a diverse staff of billing professionals through individual coaching, engagement, productive communication and accountability.  Results driven individual with a superior track record of leadership. 

Develops key performance indicators (KPI) for the Central Billing Office (CBO) and routinely communicates results throughout the organization.  Continually works to improve performance against these KPIs through process improvement, staff productivity, quality, instigating system enhancements and motivating staff to achieve a higher level of performance.

Develops and implements strategic short term and long term goals that support the business objectives established for IPM.

Initiates written policies and procedures to help drive consistency in process across IPM.  Periodically reviews policies to ensure adherence and initiates modifications to address the changing business environment.

Represents the CBO at various meetings, committees and other forums and actively promotes best practices to help drive consistency and revenue maximization.

 

Conducts monthly one on one meeting with direct reports to provide structured time to coach team members, discuss accomplishments and the status of day to day operations.  Discuss areas of professional development along with goal tracking/reporting, projects and other pertinent topics.

Works collaboratively with IPM Market Managers, Practice Administrators/Managers, and Corporate personnel to improve processes, communicate barriers within the revenue cycle and work toward resolution.  Identify opportunities to communicate value added services by the CBO to the IPM Markets and help bridge any gaps in perceptions that may exist.    

Demonstrates superior initiative and judgement.  Works independently and establishes priorities consistent with IPM leadership.  Demonstrates excellent decision making abilities along with customer service. 

Performs other duties as assigned. 

Job Requirements

Education:

Bachelor’s degree preferred but commensurate work experience in progressively responsible administrative/leadership positions will be considered.

Work experience:

Experience (10+ years minimum) working in a healthcare (professional) billing, health insurance, call center or equivalent operations work environment.  Minimum 4 years of senior leadership experience (Director level) in a revenue cycle setting required.

Knowledge

Healthcare (professional) billing, knowledge of CPT/ICD-10 coding, claim submission requirements and other related industry terminology and practical use.  Thorough understanding of the revenue cycle and how the various components work together.  Industry knowledge (e.g., CMS, ACA, OIG/Compliance, regulatory expertise required)

Skills:

Excellent leadership skills with a proven track record of managing change, initiating workflow changes, system migrations and overall continuous process improvement.  Solid writing and verbal skills.  Excellent customer service orientation and ability to diffuse stressful situations.  Ability to multi-task and manage both technical and administrative needs within his/her team. Strong organizational skills required.  Strong computer literacy skills required.

If you meet the above requirements and are looking for a rewarding career, please take a moment to share your background with us by applying online.  Independence Physician Management offers competitive compensation commensurate with experience and benefit programs including medical, dental, life insurance, and 401(k).

Independence Physician Management is not accepting unsolicited assistance from search firms for this employment opportunity.  Please, no phone calls or emails.  All resumes submitted by search firms to any employee at IPM via email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of Independence Physician Management.  No fee will be paid in the event the candidate is hired as a result of the referral or through other means.

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