Assistant Director, Business Office

Core Competencies

• Directs, administers, and recommends policies for all operations, programs, and activities related to the hospital patient financial services. Reviews processes to achieve best practice standards and meet department’s goals.
• Oversees the timely completion of all essential business office functions, including billing, collections, cash posting, and accounts receivable management; investigates and addresses inefficiencies.
• Monitors work queues to ensure that accounts are being followed-up on a timely basis, prioritizes job functions to meet deadlines, and identifies any issues.
• Reviews aged and high-balance accounts on a regular basis and provides direction to management and staff on how to resolve difficult accounts.
• Monitors staff productivity and performance, compares results to established goals and makes recommendations for improvement.
• Develops, monitors, coaches and manages managers. Builds employee morale and motivation and fosters a team-like environment.
• Coordinates with leaders of other departments, such as medical records, coding, CDI, and clinical staff to ensure timely and accurate billing and collections.
• Analyzes data and prepares monthly reports on collections performance, payer reimbursement, payment arrangements, cash posting, credit refunds, and more.
• Responds to, investigates, and assists with resolving complaints/concerns and suggestions.
• Provides expertise and serves as a liaison to internal departments, third-party agencies/vendors, and payers.
• Pinpoints improvement opportunities and contributes to the testing of system modifications; works closely with IT staff and department managers to ensure proper implementation.
• Builds relationships and maintains contact with existing business partners that support business office functions.
• Drives continuous improvement activities by identifying and implementing strategic vendor partnerships that enhance department operations.
• Evaluates vendors and technological solutions; assists in creating RFPs and works with external parties to facilitate prompt implementation.
• Coordinates and monitors the performance of outside agencies, including periodic onsite visits.
• Assists in the development of the annual budget of the Capitation, Commercial and Government Program departments
• Monitors expenditures to ensure efficient use of resources to maintain budget.
• Maintains in-depth knowledge of and ensures compliance with regulations and standards issued by applicable governmental/regulatory agencies or third-party payers.
• Acts as a role model verbally and behaviorally.
• Promotes positive customer relations.

Department Specific Competencies

• Answers the telephone courteously within three rings, identifying self and department, routes calls, ascertains needs and takes accurate messages as appropriate.
• Serves as the point person for the department when the Director is not available.
• Maintains advanced knowledge of payer-specific billing, claims processing requirements, payer regulations and payer best practices.

Education

Experience