This site uses cookies. To find out more, see our Cookies Policy

Billing Director in Nashville at Parallon

Date Posted: 5/6/2019

Job Snapshot

Job Description

Parallon believes that organizations that continuously learn and improve will thrive. That’s why, after more than a decade, we remain dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future. As one of the healthcare industry’s leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized revenue cycle services.

The Billing Director is responsible for daily operations of all Billing functions, including coordination with hospital departments affecting Billing processes. The Director interprets policies and procedures, recommends changes as appropriate, and provides relevant feedback to SSC leadership. In this leadership role, this person also serves as a key promoter of the SSC as a service organization which strives to meet and exceed the needs of its customers. 

Duties (included but not limited to): 
  • Oversee SSC operations and functions as they pertain to Billing functions, ensuring timeliness, accuracy, compliance and standards fulfillment as defined in the SSC Service Level Agreements. 
  • Provide relevant guidance for the Billing Manager and other SSC Directors to resolve internal and external issues. 
  • Inform SSC Front Office COO of any significant issues in the Billing area (e.g. Billing backlogs, HIM bill drop delays, payer issues, vendor issues, etc.) 
  • Stay abreast of regulatory requirements and company compliance policies, ensuring timely staff education. 
  • Inform Billing management and staff regarding payer requirements, significant changes and developments 
  • Establish and monitor controls to ensure appropriate submission and acceptance of electronic and manual bills 
  • Monitor billed and rebilled summary reports and act on trends and/or root causes 
  • Monitor SSC Billing performance according to quality and productivity standards developed internally and documented in SLAs
  • Complete monthly trending analysis of SSC billing performance including action plans as deemed necessary. 
  • Follow overall market trends and communicate significant shifts to SSC Leadership and others as appropriate 
  • Coordinate and promote implementation and monitoring of standard masterfiles, processes, reporting and education programs 
  • Understand and communicate nuances of billing various payers such as Medicare, Medicaid, HMO’s, PPO’s, IPA’s, employers, etc. 
  • Oversee management of Billing personnel, providing recommendations for hiring, promotion,salary adjustment and personnel action where appropriate 
  • Creates and facilitates succession plans for the Billing Managers.
  • Ensure all Billing policies and procedures are adhered to by Billing staff 
  • Develop reporting tools to track and review Uninsured / Under Insured accounts 
  • Review and oversight of Unbilled including but not limited to eRequest communication application to ensure request queues have clearly identified owners and are completing requests in a timely manner.
  • Establish controls and review mechanisms for SSC policies and procedures 
  • Develop specific objectives, budgets, and performance standards for each area of responsibility
  • Identify and implement process improvements to lower costs and improve service to facility customers
  • Assume a lead role for innovation, knowledge sharing and leading practices identification within the SSC and among peer group 
  • Perform staff reviews and prepare performance documents for director reports 


Job Requirements

KNOWLEDGE, SKILLS & ABILITIES
  • Technical Expertise – Some understanding of healthcare including knowledge of healthcare terms and accounts receivable processes 
  • Strategic Analysis - Analytical Review skills and ability to make decisions based on analysis
  • Leadership - guides individuals and groups toward desired outcomes, setting high performance standards and delivering leading quality services
  • Tactical execution - oversees the development, deployment and direction of complex programs and processes 
  • Financial management - applies tools and processes to successfully manage to budget 
  • Project Management - assesses work activities and allocates resources appropriately 
  • Organization - proactively prioritizes needs and effectively manages resources
  • Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately. The ability to communicate with staff, Parallon Management, Division and Group Executives 
  • Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
  • Interpersonal skills - able to work effectively with other employees, patients and external parties
  • PC skills - demonstrates proficiency in Microsoft Office applications and others as required
  • Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems 
  • Basic Skills – demonstrates ability to organize, perform and track multiple tasks accurately in short time frames, have ability to work quickly and accurately in a fast-paced environment while managing multiple demands, ability to work both independently and collaboratively as a team player, adaptability, analytical and problem solving ability and attention to detail and able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly. Spell correctly and transcribe accurately. 


EDUCATION
  • Bachelor’s Degree in Business or related field required. If a desired applicant does not have a Bachelor's degree, the requirement can be waived IF they are currently in a Bachelor's degree program. 


EXPERIENCE 
  • Minimum 5 years' healthcare management experience with three of these years in the related area for the position. Relevant education may substitute experience requirement with SSC Executive approval.