Responsible for developing and maintaining systems which support efficient, accurate, innovative and compliant revenue cycle processes used to collect appropriate and sustainable revenues from patients and third parties. Directs the daily operations of Patient Financial Services to ensure accurate reimbursement for hospital services rendered. Provides support to all other hospital management or departments which impact accounts receivable. Coordinates with Admissions/Patient Access on achieving patient centered systems that support financial strategies. Directs the work of the PFS management team to ensure the department meets or exceeds departmental goals, and supports overall hospital goals. Ensures all activities are performed in compliance with regulatory requirements.
Education: A baccalaureate degree in business, hospital administration or public health preferred.
Experience: Five years of progressive responsibility in Patient Financial Services or Revenue management is required.
Knowledge and Skills: Expertise in medical services billing and collection practices and procedures. Expertise of a variety of payer types, including Medicare, Medi-Cal, managed care and Workers’ Compensation. Has demonstrated leadership, management and problem solving skills. Expertise in a variety of software applications, ability to maximize automation and efficiency in a patient access and patient financial services settings. Ability to learn new software applications and/or programs as needed. Proficient with Microsoft Office.