Director Patient Financial Services & Revenue Analytics

Director Patient Financial Services & Revenue Analytics Job CategoryManagement ScheduleFull time Shift1 - Day Shift SUMMARY: Directs daily operations related to the development, maintenance, and configuration of patient financial services and revenue analytics. Leads a team of billing professionals and collaborates with various departments to optimize billing and follow-up procedures. Responsible for developing, planning, organizing, and implementing Revenue Cycle strategies. ESSENTIAL FUNCTIONS: Responsible for all Patient Financial Services functions for all TMC Healthcare facilities. Responsible for identifying charging issues and opportunities within departments, to expedite claims adjudication. Facilitates process improvement related to Revenue Cycle by analyzing data, interacting with Revenue Cycle staff, and interacting with other departments that impact the Revenue Cycle. Resolves and troubleshoots charging related errors in various work queues to ensure timely processing of accounts. Assists with analyzing data to identify opportunities for process improvement and help implement the solutions that ensure accurate and compliant charge capture. Directs and participates in the planning process for future development and growth of the business; periodically presents such plans for general review and approval by Administration. Develops and implements strategies to enhance operations within Patient Financial Services, including efficient claims processing, AR follow-up activities, denials management and cash reconciliation to meet defined goals and objectives. Monitors regular billing audits for adjustments, denials, appeals, and customer account reconciliation projects and communicate findings to appropriate clinics and departments while assisting in resolutions. Regularly interacts with vendors while monitoring performance and contractual obligation. Works with the management team to establish A/R and industry performance metrics and monitoring and reporting on performance against established metrics. Verifies patient satisfaction of the billing processes and ensuring contractual requirements of our collection venders are meeting expectations and requirements. Enforces a collaborative approach across the enterprise to ensure an integrated approach to meet revenue requirements and patient expectations. Serves as a subject matter expert to proactively identify opportunities to improve the revenue cycle and assist in resolution of issues. Adheres to TMC organizational and department-specific safety, confidentiality, values, policies and standards. Performs related duties as assigned.