Talent.com
Director, Debt Management

Director, Debt Management

GuthrieSayre, PA, United States
30+ days ago
Job type
  • Full-time
Job description

Summary

In partnership with Guthrie’s leadership team, PFS Director SBO is responsible for developing and executing the strategic vision for The Guthrie Clinic’s patient / guarantor billing and collection functions. This involves managing and coordinating the overall functions of patient / guarantor collection to ensure maximization of cash flow while maintaining patient, provider, and other customer relations. Works closely with administrative leaders, managers, clinical personnel and vendors to ensure effective and efficient self-pay pre-service, point of service and accounts receivables management. Provides direction in managing the activities and functions of analyzing self-pay accounts receivable for collection and aging trends, establishing performance metrics, develops automated and efficient workflows, identifying denial trends that lead to self-pay activity, develops and maintains departmental policies and procedures, establish departmental goals and reports to AVP, Corporate AR Management. Identifies areas of improvement and works collaboratively with appropriate parties for resolution. Directs the management of employees in patient guarantor collection. Maintains advanced knowledge of healthcare and automation of self-pay and bad debt A / R and strives to ensure compliance with federal and / or state laws and regulations.

Experience

10 years prior experience in healthcare, insurance or businesses with responsibility and management of billing and patient collection. Knowledge of federal and state debt collection laws and patient billing regulations. Preferred Certifications :

  • Certified Revenue Cycle Professional (CRCP) or Certified Healthcare Financial Professional (CHFP)
  • Certification in Healthcare Compliance (CHC) or equivalent is a plus

Skills

Excellent working knowledge in the area of health care revenue cycle billing, strong medical terminology, collection, negotiation and insurance regulations required.

Advanced customer service, written, verbal, organizational and time management skills are a must.

Proficiency in revenue cycle platforms (i.e., EPIC, Cerner, Medent) Microsoft Office products including Excel, PowerPoint, and Microsoft Word.

Proven ability to train and coach staff and build and lead strong teams to meet performance goals and for project management.

Extensive working experience in managing and directing the work of others along with proven planning and problem-solving skills to perform analysis and reports are required.

Ability to make quality, independent decisions as well as collaborate effectively with other leaders.

Education

Bachelor’s degree is required. This requirement may be satisfied through an equivalent combination of education and 10 years prior experience in healthcare, insurance or retail businesses with responsibility and management of billing and patient collection.

Essential Functions

  • Plans and manages accurate patient billing and efficient account collection, which includes developing automated and efficient workflows. Works directly with patient access leaders to establish a pre and point of service collection strategy. Actively engages leaders or areas who are under performing in point of service collection. In addition, develops action plans or assists in identifying areas where gaps exist that cause insurance denials, or patients to be listed as self-pay incorrectly.
  • Seeks automated solutions for manual workflows to drive efficiency. Develops project plans that ensure timely statement release. Establishes and implements a system or process for the collection of delinquent accounts including bad debt transfer to external collection agency, financial assistance programs, and / or appropriate internal collection follow-up.
  • Oversees, coordinates, and solves complex billing problems. Coordinates with operational and Corporate Revenue Cycle management to ensure organizational problems are resolved.
  • Establishes and updates reports, departmental goals, initiatives, and performance metrics to AVP, Patient Access.
  • Assigns projects in order to support troubleshooting and resolving Undistributed credit issues for self-pay. Coordinate refund and escheatment process.
  • Responsible for the development and creation of policies and procedures including protocols for rejection follow-up.
  • Maintains controls for invoice adjustments.
  • Maintains system or process to respond to Automated Call Distribution (ACD) – patient inquiries in a manner that promotes excellence in customer service. Uses call patterns to detect training opportunities, as well as problem areas that may require training with other departments.
  • Maintains knowledge of and complies with established policies and procedures including government, insurance, and collection regulations.
  • Attends meetings and participates in committees as requested. Conducts special projects and studies as directed.
  • Manages within established budget including annual planning.
  • Coaches, develops, and builds teamwork with employees. Strives for a tier 1 team and makes the workplace productive as well as ensures transparent and open communication exists up and down the employee / peer spectrum. This includes clear demonstration of Guthrie’s Mission & Values.
  • Actively participates as a team member by supporting decisions, accepting change, managing conflict effectively, and valuing the contributions of others.
  • Maintains strict confidentiality related to patient health information in accordance with HIPAA compliance.
  • Participates in professional development efforts to ensure current with health care practices and trends.
  • Serves as a role model and keeps department focused on processes that result in maximum efficiencies and revenue capture.
  • Key Performance Metrics include : - Pre-Service Collection Rate
  • Undistributed Credit Days
  • Self-Pay Days
  • Self-Pay Net Collection Ratio
  • Self-Pay 90+%
  • Bad Debt %
  • Self-Pay Payments Auto Posted %
  • Payment Plans Using Auto Pay %
  • Self-Pay Credits Auto Resolved %
  • Required Knowledge, Skills and Abilities

  • The director must have a clear understanding of multiple managed care contracts, multiple specialty insurance and billing practices, and exercise professional competency in reviewing patient accounts to maximize reimbursement and minimize financial risk to The Guthrie Clinic. Successful oversight will result in increased net revenues by reducing bad debt from potential write-offs. Interactions will primarily be conducted with both patients, staff, leaders, vendors and the results of efforts will lead to secure payment for open balances. Serves as a resource to faculty, managers, and clinic staff in all patient payment related issues.
  • Accountable and responsible for analyzing and reducing bad debt.
  • Exceptional communication skills, ability to explain, advocate, and express facts and ideas in a convincing manner, and negotiate with individuals and groups internally and externally.
  • Emotional intelligent and tactful in all situations.
  • Superior presentation skills, able to present in a clear and articulate fashion in front of a variety of constituents.
  • Committed to a "team approach" and encourages a collaboration process, working effectively with a diverse or multi-disciplinary group to achieve a common goal.
  • Demonstrated knowledge and understanding of Epic, and Governmental / non-government requirements applicable to patient billing processes.
  • Demonstrated project management skills including managing multiple projects in a timely and efficient manner. Demonstrated abilities in utilizing Lean / project management protocols for efficient workflows.
  • Demonstrated analytical, problem-solving abilities, strong organization and decision-making abilities with data, people and situations.
  • Demonstrated familiarity, knowledge and understanding of relevant Hospital Policies, Practices and HIPAA regulations.
  • Demonstrated skills and proficiencies of Microsoft Excel, Word, Project or other spreadsheet and / or word processing software.
  • Work independently with strong follow-up skills to ensure effective and efficient completion of tasks.
  • Adapts to change plan / influence strategies to the organization's political realities and constraints.
  • Outstanding relationship management skills, easily build strong and effective working relationships within a climate of trust, inspires cooperation and confidence and is a true consensus builder.
  • Other Duties

    1. Travel for this position is sometimes required.

    2. Participation in community and employee engagement activities is required.

    3. It is understood that this description is not intended to be all-inclusive and that other duties may be assigned as necessary in the performance of this position.

    Upload 9-22-25

    Create a job alert for this search

    Director Management • Sayre, PA, United States

    Related jobs
    • Promoted
    Gastroenterologist Medical Director

    Gastroenterologist Medical Director

    Cayuga Health SystemIthaca, US
    Full-time +1
    Gastroenterologist Opportunity located in picturesque Ithaca, New York.Join an Integrated, Innovative, Independent Provider Lead Health Care System with Excellent Quality of Life.This is a ful...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse RN - ED - Emergency Department

    Travel Nurse RN - ED - Emergency Department

    Talent4HealthMontour Falls, NY, US
    Full-time
    Talent4Health is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Montour Falls, New York. Job Description & Requirements.Min 2 years of ER experience Required.Cer...Show moreLast updated: 1 day ago
    • Promoted
    CDL A Lease Purchase Truck Driver

    CDL A Lease Purchase Truck Driver

    CRSTLansing, NY, US
    Full-time
    CDL-A Lease Purchase Truck Driver – $0 Down / No Credit Check / Walk Away Lease CRST The Transportation Solution Inc.CDL-A truck drivers a chance to own their truck through our flexible Lease Purch...Show moreLast updated: 1 day ago
    • Promoted
    Maintenance Manager

    Maintenance Manager

    Baillie LumberOwego, NY, United States
    Full-time
    The Baillie Group is one of North America's largest hardwood lumber manufacturers, distributors and exporters.We are a provider of hardwood logs, hardwood lumber and proprietary grade hardwood lumb...Show moreLast updated: 1 day ago
    • Promoted
    • New!
    Manager of Corporate Development

    Manager of Corporate Development

    Corning IncorporatedCorning, NY, United States
    Full-time
    Manager of Corporate Development.The company built on breakthroughs.Corning is one of the world's leading innovators in glass, ceramic, and materials science. From the depths of the ocean to the far...Show moreLast updated: 21 hours ago
    • Promoted
    Professor of Practice

    Professor of Practice

    InsideHigherEdIthaca, New York, United States
    Full-time +1
    Paul Rubacha Department of Real Estate.Cornell SC Johnson College of Business Cornell University, New York City.The Paul Rubacha Department of Real Estate in the SC Johnson College of Business and ...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    CDL-A Flatbed Independent Contractor Truck Drivers

    CDL-A Flatbed Independent Contractor Truck Drivers

    CRSTCandor, NY, US
    Full-time
    CDL-A Flatbed Independent Contractor Truck Drivers – Owner Operators and Lease Purchase Program! CRST The Transportation Solution Inc. CDL-A truck drivers the opportunity to take control of their ca...Show moreLast updated: 7 hours ago
    • Promoted
    Travel Nurse RN - ED - Emergency Department

    Travel Nurse RN - ED - Emergency Department

    CrossMedMontour Falls, NY, US
    Full-time
    CrossMed is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Montour Falls, New York.Job Description & Requirements. At CrossMed Healthcare Staffing, we aim to cre...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse RN - Manager

    Travel Nurse RN - Manager

    Planet HealthcareMontour Falls, NY, US
    Full-time
    Planet Healthcare is seeking a travel nurse RN Manager for a travel nursing job in Montour Falls, New York.Job Description & Requirements. Planet Healthcare Job ID #72871975.Pay package is based...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    CDL A Company Driver

    CDL A Company Driver

    Paschall Truck LinesMansfield, PA, US
    Full-time
    PTL Offers OTR, running primarily east of I35, with Dedicated and Regional positions to ensure a home time schedule that will meet your needs. PTL offers some of the highest take home pay by paying ...Show moreLast updated: 9 hours ago
    • Promoted
    Travel Nurse RN - ED - Emergency Department

    Travel Nurse RN - ED - Emergency Department

    Avani Healthcare EastMontour Falls, NY, US
    Full-time
    Avani Healthcare East is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Montour Falls, New York. Job Description & Requirements.Group health insurance (Medical, ...Show moreLast updated: 1 day ago
    • Promoted
    Sr Director, Rev Integrity

    Sr Director, Rev Integrity

    GuthrieSayre, PA, United States
    Full-time
    The Senior Director, Revenue Integrity is responsible for developing and executing the strategic vision for The Guthrie Clinic and revenue integrity program. The Senior Director is responsible for t...Show moreLast updated: 30+ days ago
    • Promoted
    Cardiovascular System Medical Director

    Cardiovascular System Medical Director

    Cayuga Health SystemIthaca, US
    Full-time
    The System Cardiovascular Service Line Medical Director serves as the clinical leader for strategic oversight, operational governance, and operational execution for the cardiovascular service line ...Show moreLast updated: 30+ days ago
    • Promoted
    Dermatology

    Dermatology

    Provider Solutions & DevelopmentCorning, New York, US
    Full-time
    Dermatology physician employment in New York : .Guthrie Medical Group is seeking a full-time, board-certified / board-eligible Mohs Surgeon to join a high-volume Dermatology clinic serving the beautif...Show moreLast updated: 30+ days ago
    • Promoted
    Medical Director — Hospitalist

    Medical Director — Hospitalist

    Arnot HealthElmira, US
    Full-time
    We are a leading hospital in the Elmira area, Arnot Health committed to delivering excellent inpatient care in a collegial, community-oriented setting. Our hospitalist service plays a key role in co...Show moreLast updated: 8 days ago
    • Promoted
    No Experience Necessary Driver

    No Experience Necessary Driver

    GrubHubOwego, New York, US
    Full-time
    Earn big and work on your own time and terms as a Grubhub delivery partner! Grubhub is looking for drivers and bikers like you to hit the road quick and start delivering from restaurants, liquor st...Show moreLast updated: 2 days ago
    • Promoted
    Home Health Clinical Manager

    Home Health Clinical Manager

    GuthrieTowanda, PA, US
    Full-time
    Clinical Manager – Home Health | Up to $25K Sign-On Bonus!.Location : Guthrie Home Health – Towanda, PA.Service Area : Bradford, Sullivan, and parts of Tioga Counties.Are you a compassion...Show moreLast updated: 1 day ago
    • Promoted
    Technical Training Manager

    Technical Training Manager

    Adaptec SolutionsPainted Post, NY, United States
    Full-time
    Position : Technical Training Manager.Location : Rochester NY or Painted Post NY.Compensation : $80,000-$105,000 / year.Travel : 10-20% travel. travel to customer sites and field service groups as needed...Show moreLast updated: 2 days ago