Billing Director
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Job Description
Detailed Description:
As a Billing Director at Community Health Systems, you’ll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including health insurance, flexible scheduling, 401k and student loan repayment programs.
Required
Seven to ten years of related experience
Education: Bachelor’s Degree
About The Opportunity
Essential Duties and Responsibilities:
Maintain Performance Standards and Goals: Responsible for ensuring that the medical billing department operates at peak proficiency by maintaining high-performance standards. Continuously monitor and evaluate departmental performance to ensure established goals related to billing, collections, and accounts receivable (AR) are consistently being met.
Monitor Accounts Receivable (AR) and Cash Collections: Actively track and manage AR benchmarks and work closely with the billing team to ensure the maximum success of cash collections.Regularly analyze AR aging reports and lead efforts to resolve delayed or unpaid claims.
Collaborate with Other Department Directors: Establish and maintain working relationships with other department directors, such as coding, finance, and operations. Actively analyze issues related to non-payment of claims and payer rejection trends/edits in the Claim Management System. Recommend and implement changes to address and resolve these issues.
Ensure Regulatory and Compliance Adherence: Ensure that billing practices follow current regulations, laws, and hospital policies related to insurance claims and claim submission. Stay up to date with industry regulations, payer policies, and coding guidelines (e.g., ICD, CPT, HCPCS) to maintain compliance.
Process Analysis and Workflow Improvement: Analyze current billing processes and workflows to identify inefficiencies and areas for improvement. Develop and implement strategies to streamline processes, reduce cost-to-collect, and improve billing accuracy and efficiency.
Provide Statistical Reporting: Prepare and deliver monthly, quarterly, and annual statistical reports related to insurance follow-up, billing activities, denials, and overall department performance. Use data-driven insights to guide decision-making and improve departmental outcomes.
Strategic Planning and Goal Development: Work closely with the Chief Operating Officer (COO) to develop plans, goals, and objectives for the billing department. Contribute to the creation of long-term strategies that support the organization’s financial health and billing practices.
Additional Duties: Perform any other duties as assigned or requested, which may include special projects, process audits, or system improvements related to the medical billing function.
This is a full time, remote position at Shared Services Center - Sarasota in the Billing Department.
We know it’s not just about finding a job. It’s about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.
Community Health Systems is one of the nation’s leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 70 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
Detailed Description:
As a Billing Director at Community Health Systems, you’ll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including health insurance, flexible scheduling, 401k and student loan repayment programs.
Required
Seven to ten years of related experience
Education: Bachelor’s Degree
About The Opportunity
Essential Duties and Responsibilities:
Maintain Performance Standards and Goals: Responsible for ensuring that the medical billing department operates at peak proficiency by maintaining high-performance standards. Continuously monitor and evaluate departmental performance to ensure established goals related to billing, collections, and accounts receivable (AR) are consistently being met.
Monitor Accounts Receivable (AR) and Cash Collections: Actively track and manage AR benchmarks and work closely with the billing team to ensure the maximum success of cash collections.Regularly analyze AR aging reports and lead efforts to resolve delayed or unpaid claims.
Collaborate with Other Department Directors: Establish and maintain working relationships with other department directors, such as coding, finance, and operations. Actively analyze issues related to non-payment of claims and payer rejection trends/edits in the Claim Management System. Recommend and implement changes to address and resolve these issues.
Ensure Regulatory and Compliance Adherence: Ensure that billing practices follow current regulations, laws, and hospital policies related to insurance claims and claim submission. Stay up to date with industry regulations, payer policies, and coding guidelines (e.g., ICD, CPT, HCPCS) to maintain compliance.
Process Analysis and Workflow Improvement: Analyze current billing processes and workflows to identify inefficiencies and areas for improvement. Develop and implement strategies to streamline processes, reduce cost-to-collect, and improve billing accuracy and efficiency.
Provide Statistical Reporting: Prepare and deliver monthly, quarterly, and annual statistical reports related to insurance follow-up, billing activities, denials, and overall department performance. Use data-driven insights to guide decision-making and improve departmental outcomes.
Strategic Planning and Goal Development: Work closely with the Chief Operating Officer (COO) to develop plans, goals, and objectives for the billing department. Contribute to the creation of long-term strategies that support the organization’s financial health and billing practices.
Additional Duties: Perform any other duties as assigned or requested, which may include special projects, process audits, or system improvements related to the medical billing function.
This is a full time, remote position at Shared Services Center - Sarasota in the Billing Department.
We know it’s not just about finding a job. It’s about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.
Community Health Systems is one of the nation’s leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 70 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
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