Regional Medical Director jobs in Wichita Falls, TX

Description

ORGANIZATIONAL DESCRIPTION

The Assistant Director is responsible for ensuring the daily functions of the Business Office are conducted in accordance with hospital standards. This position is responsible for the direction of the efforts to ensure the accuracy and timeliness of collections, charge capture, coding, claims submission, follow-up, and denial management. Acts as backup to the Director.

INTERACTION

Primarily Interacts with: administration, Board of Directors, physicians, employees, clinical and non-clinical departments, patients, visitors, vendors, and volunteers.

PRIMARY FUNCTIONS

• Makes sure that all activities related to hospital collection activities meet department requirements, maximizes revenue collection as well as achieves leading practice levels of performance.
• Monitors the daily and monthly accounts receivable balance and assures that the AR aging does not exceed the acceptable department standards.
• Maintains 100% accuracy on patient demographics, billing information correctly entered/verified at time of check-in, payment agreement, and financial assessment forms.
• Responsible for ensuring self-pay collection attempts are being done and tracked.
• Identifies and clarifies all insurance billing denial issues and provides needed support to ensure claims for collection.
• Assures the collection efforts are performed on Bad Debt accounts, which are consistent with the collection efforts on all other payer classes.
• Reviews delinquent account records and sends collection letters as needed according to written collection procedures.
• Answers debtor correspondence concerning delinquent accounts.
• Works return mail to secure payment from the insurance companies.
• Telephones debtors and obtains payment or financial arrangements following collection policies.
• Acts as the backup for billing, verifies days for swing bed referrals and runs insurance payment reports.
• Follows up by telephone and written correspondence.
• Maintains and ensures that all write-off reports needed for outside regulatory agencies such as the Medicare Bad Debt Report, Charity Write off Report and Regular Bad Debt Write off Report are completed accurately and timely.
• Assists with maintaining charge master.
• Maintains provider entries into Electronic Medical Records for charging and billing purposes.
• Coordinates insurance contracts.
• Credentials providers with insurance companies.
• Coordinates and supervises the entire posting and billing operation ensuring that the accounts receivable records meet the standards established by the organization while maximizing cash flow and revenue recognition.
• Ensures authorizations and related workflows are maintained and result in positive outcomes.
• Facilitates Revenue Cycle reporting, data-related strategies, and presentations.
• Collaborates with service line leadership and teams to help ensure processes and workflow are supporting revenue-related performance.
• Coordinates the activities with third-party agencies, insurance companies, patients, and departments within the hospital.
• Provides continuous training for quality improvement and remains up to date on State, Federal, and Managed Care regulations, and communicates/implements appropriate changes.
• Must be free from governmental sanctions involving health care and/or financial practices.
• Responsible for maintaining current knowledge of billing and collection to ensure compliance with Fair Debt Collection Laws.
• Provides exemplary customer service.
• Maintains confidentiality and compliance with HIPAA.
• Cooperates with other personnel to achieve departmental objectives and maintain good employee relations, inter-departmental objectives, and infection control policies.
• Cordially demonstrates timeliness and professionalism in appearance, communications, and actions during all interactions and with all individuals and entities.
• Solves practical problems, dealing with a variety of issues, and interprets a variety of instructions furnished in written and oral form.
• Attends meetings as required.
• Performs other duties as requested or assigned.

ABILITY TO USE EQUIPMENT, TOOLS, MATERIALS, MACHINES: Computer, telephone, facsimile machine, copier, scanner, printer, calculator, and other standard office equipment. 

Requirements

EDUCATION/EXPERIENCE/SKILLS/ABILITIES

Education:

• Minimum of a Bachelor’s degree in accounting, finance, or other related field required or 5 years of directly related experience in lieu of education.

Experience:

• Four years of experience in healthcare business office and/or revenue cycle management.
• One or more years of supervisory experience preferred.
• Understanding of healthcare revenue cycle and regulatory experience.
• Understanding of revenue cycle functions, including developing accurate, meaningful, and timely reports and dashboards.
• Demonstrates a consultative approach by working with physician partners, administrative leaders, and vendors to develop efficient patient and staff-focused revenue cycle solutions.
• Effective communicator and listener who can facilitate conversations culminating in action and results.
• Accessible and team-oriented individual who empowers, educates, and mentors staff.
• Requires analyzing, explaining/teaching, attention to detail, problem-solving, and reasoning.
• Strong revenue cycle technical skills are required.
• Meditech experience preferred.

Personal Job-Related Skills / Abilities:

• Must be committed to quality and patient safety at all times.
• Excellent command / highly proficient in spoken and written English; bilingual in Spanish preferred.
• Basic computer skills, including but not limited to Microsoft Office, information security, scheduling, electronic medical documentation, and email.
• Must be effective at adjusting to change, prioritizing duties, handling stress, and effectively communicating face-to-face and/or over the telephone.
• Must be able to work independently, flexibly, and as a part of a multidisciplinary team.
• Must be able to manage several interruptions throughout the shift.
• Must have strong interpersonal and communication skills, verbal and written.
• Must have strong time management skills.
• Must be able to work under pressure while interacting in a helpful, courteous manner with a high degree of patient contact.
• Sufficient hearing, vision, and dexterity to perform duties safely.

• Physical and Mental Requirements:

Physical:     

Activity Up to % 

Walking 25; Squatting 10; Standing 25; Pulling 10; Kneeling 10; Reaching 35; 

Sitting 80; Lifting up to30 lbs 20; Pushing 10; Wrist/Finger Movements 90; Bending 25; Climbing 10   

Mental:     

• Stress Level Moderate to High 

• Individual position core competencies:
• Quality
• Service Excellence
• Compassion
• Professionalism
• Fiscal Responsibility

• Required education within first 60 days (if employee is from outside organization).
• GrahamRMC Orientation
• Department Orientation

• Continuing/Annual Education and Training:
• As needed to maintain certification/ licensure of position
• Falling Star Program
• Safety Storm Program

SUPERVISION

Employees Supervised: __Yes__ 

ADA REQUIREMENTS

An ‘X’ under the most appropriate category is marked and describes any extreme or hazardous working conditions that the job has to work under:

•           Frequency of Condition

Condition 1-33% 34-66% 67% Description

Extreme Heat X   

Extreme Cold X   

Extreme Swings in Temperature X   

Extreme Noise X   

Working Outdoors X   

Mechanical Hazards X   

Electrical Hazards X   

Explosive Hazards X   

Fume/Odor Hazards X   

Dust/Mite Hazards X   

Chemical Hazards X   

Toxic Waste Hazards X   

Radiation Hazards X   

Wet Hazards X   

Heights X   

Other Conditions X   

34-66% Description

-

67% Description

Working Indoors X 

OSHA Classification:

• Identify with a check the OSHA Job Category that describes this job. The intent is to enhance worker protection by identifying any risk in the performance of routine and reasonably anticipated job-related functions.

__X___ Category III: Tasks that involve no exposure to blood, body fluids, or tissues and Category I tasks are not a condition of employment.

The normal work routine involves no exposure to blood, body fluids, or tissues (although situations can be imagined or hypothesized under which anyone, anywhere might encounter potential exposure to body fluids). Persons who perform these duties are not called upon as part of their employment to perform or assist in emergency medical care or first-aid or to be potentially exposed in some other way. Tasks that involve handling implements or utensils, use of public or shared bathroom facilities or telephone, and personal contacts such as handshaking are Category III tasks.