Executive Director Patient Financial Services

Executive Director Patient Financial Services

Billings Clinic is seeking an Executive Director for Patient Financial Services. This role involves overseeing the Business Office functions, including billing, follow-up, and collections of patient accounts. The Executive Director will focus on compliance with payer regulations, employee productivity, and improving key revenue cycle indicators. This position requires leading strategic revenue management initiatives, collaborating with various stakeholders, and implementing standardized policies and processes to enhance the revenue cycle's efficiency and effectiveness.

Essential Job Functions :

• Develop and recommend potential organizational policy changes to the System Chief Financial Officer and implement approved changes.
• Assist with the development of budgets and monitor department operations to achieve goals within budget.
• Maintain extensive knowledge of revenue cycle and regulatory requirements associated with governmental, managed care, and commercial payers.
• Oversee account statuses based on Days on AR, DNFB, CFB, and communicate expectations to billing management.
• Serve as the subject-matter expert on regulatory, compliance, and legal requirements associated with medical billing and CMS.
• Review and enhance insurance verification, coding review, billing, and collection processes for efficiency and best practices.
• Review, monitor, and recommend updates to the CDM fee to maximize reimbursement.
• Interact with vendors while monitoring performance and ensuring contractual obligations are met.
• Review performance data to monitor and measure departmental productivity and effectiveness.
• Attend leadership meetings and disseminate information to department managers and staff.
• Collaborate with the Senior Leadership team on addressing provider concerns related to RVUs, coding, and billing.
• Partner with Finance to analyze the reimbursement's impact on financial performance.
• Stay current on federal and state regulations related to reimbursement and billing for durable medical equipment.
• Work closely with legal and compliance teams to ensure adherence to applicable laws and guidelines.
• Establish objectives to accomplish physician practice and hospital service line goals.
• Identify opportunities for performance improvement, including increased efficiencies and cost reductions.
• Co-Chair with the Director of Case Management the denials prevention committee.
• Improve metrics such as days to bill, days in accounts receivable, and bad debt expense.
• Deploy a management toolkit and report card metrics to enhance performance in key indicators.
• Interview, hire, train, evaluate, and develop subordinate management staff.
• Establish standards for conduct and performance, and ensure compliance with these standards.
• Model a culture of excellence for the department.
• Provide feedback to management regarding potential changes to improve staff performance.
• Develop and implement a communication plan with staff input.
• Participate in leadership growth and development.

Minimum Qualifications :

Billings Clinic is Montana's largest health system serving Montana, Wyoming, and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses, and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana.

Billings Clinic is committed to being an inclusive and welcoming employer, that strives to be kind, safe, and courageous in all we do. As an equal opportunity employer, our policies and processes are designed to achieve fair and equitable treatment of all employees and job applicants. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, religion, sex, gender identity, sexual orientation, pregnancy, marital status, national origin, age, genetic information, military status, and / or disability.