Vice President, Patient Financial Services, Accounts Receivable Management

Overview:

Our team members are the heart of what makes us better.

It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

Develops and controls all tasks necessary to ensure that all AR resolution activities are completed on time. Develops and maintains strong payer relationships to remove barriers to account resolution and work through any issues that arise. Supports the success of a high-performing business office by helping to champion and drive long term success, achieving results comparable to national best practices.

Responsibilities:

A day in the life of a Vice President, Patient Financial Services, Accounts Receivable Management at Hackensack Meridian Health includes:

• Provides strategic leadership to patient financial services, AR management department through innovative ideas, reasoned risk taking, and thoughtful and thorough implementation strategies.
• Establishes and maintains an efficient and effective follow up process, understanding that regulatory and payer differences may require specialized workflows to achieve goals.
• Uses technology to focus team member time on value added work. Stay current on current technology offerings and update workflows often to stay on the cutting edge of efficient AR resolution.
• Works collaboratively to reduce denials through analysis of payer behavior and billing processes to best practice levels.
• Interprets and communicates healthcare payment policies and practices and devises strategies to maximize reimbursement to maintain cash flow at established levels.
• Analyzes financial policies and procedures as they relate to patient financial services, AR management and implements changes to achieve best practice levels for revenue cycle metrics.
• Continually monitors and optimizes service functions based on changing environment and customer requirements.
• Maintains system level AR resolution policies that are compliant with State and Federal regulations and payer policies.
• Analyzes and manages accounts receivable variables that are very complex due to constantly changing rules and regulations imposed by managed care companies, third party payers, and governmental agencies. Develops payer relationships to assist in resolution of complex payment and billing issues as they arise.
• Writes, interprets, adapts and enforces hospital and departmental policies as needed with management, employees and third party payers.
• Provides support and advice to managed care team on the design and practically of HMO, PPO, etc. billing arrangements, collection procedures, and compliance of managed care contracts.
• Plans and sets goals with all related areas to ensure decisions are optimal for organizational goals and consistent with missions, administrative philosophy and guidelines.
• Sets goals and standards with the leadership team to ensure standardization, quality, and timeliness of patient financial services operations throughout the system.
• Tracks and analyzes relevant revenue cycle KPIs to ensure that departmental and organizational goals are met.
• Monitors system metrics, including dashboards and reports, and conducts analytical reviews to determine where additional emphasis needs to be placed to ensure the goal of timely and proper billing is accomplished. Metrics should be sourced from both the EHR (Epic) and external tools as appropriate.
• Troubleshoot and resolve issues and coordinate system upgrades with DTS and vendor support teams to ensure that accounts are flowing through the AR resolution process smoothly.
• Expert on regulatory framework for billing and financial account resolution and drives system changes needed to maintain regulatory and payer compliance.
• Communicates key issues and/or changes to team members to successful adoption of any AR resolution changes.
• Responsible for development and adherence to the approved budgets for the areas of responsibility.
• Works collaboratively with the CDM team to ensure changes and/or appropriate enhancements in the charges system will make billing operations more efficient and accurate.
• Maintains policies and procedures related to areas of responsibility.
• Other duties and/or projects as assigned.
• Adheres to HMH Organizational competencies and standards of behavior.

Qualifications:

Education, Knowledge, Skills and Abilities Required:

• Master's Degree in Accounting, Finance, Business or related field.
• Ten (10) years of leadership experience in a healthcare business office or health insurance/claims environment.
• Experience with a major electronic hospital billing system.
• Experience with account AR resolution and payer relations.
• Excellent written and verbal communication skills.
• Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.

Education, Knowledge, Skills and Abilities Preferred:

• Record of success managing complex projects with multiple, diverse stakeholders.
• Prior experience with Epic modules including Grand Central, Cadence, Prelude, Resolute Professional Billing and/or Resolute Hospital Billing.
• Experience working in an organization of size and complexity comparable to Hackensack Meridian Health.

Licenses and Certifications Preferred:

• HFMA CHFP or similar certification.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!