Director, Patient Financial Services

Charles E Smith Life Communities
Rockville, MD
Nov 24, 2021
Nov 26, 2021
Full Time
Are you interested in working for a mission-driven organization that continues to grow and is dedicated to providing quality services to its residents? Do you want your next job to offer you the opportunity to serve while allowing you to grow personally and professionally? Explore careers at Charles E. Smith Life Communities!ABOUT CHARLES E. SMITH LIFE COMMUNITIESAt Charles E. Smith Life Communities (CESLC), we have team members who live our mission every day to provide quality health care and meaningful life experiences to older adults. CESLC provides a wide variety of career opportunities on our beautiful 38-acre campus located in Rockville Maryland. A career at CESLC offers an exciting opportunity to join a nonprofit faith-based organization where our team of over 1,000 members represent a very wide range of cultural backgrounds, ethnicities and faiths.Our Best in Class Total Rewards package includes market leading compensation and benefits, including affordable, high quality health coverage through Carefirst Blue Cross Blue Shield.Why choose Charles E. Smith Life Communities?Experience Matters: Competitive hourly rate based on years of experienceEmployer of Choice: Variety of schedules and shifts available including Full-time, Part-time, and PRNWork/Life Balance: Generous Paid Time Off package with carryover annually.Education: Various scholarships and tuition reimbursementLOCATIONThis position is based in the Finance Department in the Dekelboum Building, located at 6101 Montrose Road in Rockville, Maryland.OUR DIRECTOR, PATIENT FINANCIAL SERVICES POSITIONThe primary purpose of this role in the Finance Department is to direct Patient Financial Services to include, billing, collections, customer service, cash posting, denial management and Medicaid eligibility. This position reports to the Senior Vice President, Finance/CFO.The Director, Patient Financial Services is responsible for planning, implementing and maintaining all functions pertinent to the Patient Financial Services areas. Uses revenue cycle metrics and data to direct the work of the Patient Financial Services team on prioritization; provider and payer requirements for timely billing; compliant claim submission; and expected reimbursement. Identifies and executes strategic and tactical initiatives and plans to ensure compliant, timely and accurate reimbursement.MAIN RESPONSIBILITIESProvide leadership and direction to optimize the patient account flow and reimbursement.Develop and implement policies, procedures, objectives and goals for team leads and associates.Manage accounts receivables and incorporate strategies to increase collections.Develop strategy to minimize bad debt, including appropriate placement of accounts with legal counsel.Works with other departments to streamline procedures to ensure correct billing to residents and payers.Continuously evaluate technology and efficiencies related to departmental operations.Manage claims to third party payers, ensuring adequate systems to facilitate processing and complete payment of claims on a timely basis.Maintain current knowledge of billing regulations to assure adherence to state and federal compliance and regulatory requirements.Identify and address resident reimbursement issues; resolve Medicaid eligibility and/or billing-related issues.Ensure timely and accurate research and resolution of all resident credit balances.Directly oversee the Medicaid eligibility program and maintains knowledge of state of Maryland Medicaid eligibility requirements and process.Establish and maintain control for all cash collected and posted in the patient accounting system.Select, train, and develop department staff.EDUCATION & TRAININGBachelor's degree in Accounting, Finance, Business Management, or Health Care Administration.Minimum of 5 years of experience managing patient financial services in a complex healthcare environment.Or equivalent combination of education and experience.Knowledge of healthcare billing, reimbursement, collection, and third-party payer regulations.Knowledge of regulations related to Medicare, Medicaid, and commercial insurance.Knowledge of state of Maryland Medicaid application and eligibility process.Knowledge of HIPAA.Skill in writing policies and procedures.Skill in using healthcare software and computer systems; PointClickCare system is preferred.Ability to communicate professionally with clinicians, administrative staff, contractors, governmental agencies, insurance payers, patients, family members of patients, suppliers, and the general public, of all age levels.Ability to lead and inspire others, create a work environment that is conducive to productivity and goal attainment and possess strong analytical, interpersonal, problem solving, customer service and communication skills; be self-motivated and have a sound work ethic.Proficient in EXCEL, Word and PowerPoint in a Windows environment.THANKSThanks for your interest in joining CESLC and the team in our Finance Department!#LI-MB1

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