Providence St. Joseph Health

Job Information

Providence Health & Services Director, Specialty Billing and Follow Up in Oregon

Description:

Providence St. Joseph Health is calling a Director, Specialty Billing and Follow Up. Candidates must reside in Washington, Oregon, California or Texas.

Applicants that meet qualifications will receive a text with an addidtional question from our Modern Hire system.

We are seeking a Director, Specialty Billing and Follow Up who will have direct operational accountability for billing and follow up for all specialty service lines of business, including all payers, across all Providence acute ministries, including critical access hospitals, rural health clinics, provider based clinics and hospital based profee billing. Specialty service lines include but are not limited to Clients, Third Party Liability, Behavioral Health, Research, Global arrangements, and Coverage Discovery. Scope includes responsibility of annual cash collections of approximately $13B across acute hospitals in AK, CA, MT, NM, OR, TX and WA. This leader is responsible for developing and executing a strategic plan to accomplish the goals for the specialty service lines of business, in partnership with the leaders of Providence RCS Services.

This position is accountable for the development, operations and optimization of the Acute Specialty Billing processes within Revenue Cycle (RC). This role includes working with key stakeholders across Providence; developing and executing strategic plans around Acute Specialty Billing initiatives; participating in, leading, and partnering with others on RC strategic integration efforts; ensuring a compliant, effective, and streamlined operational experience for business and patient constituent groups. This leader, therefore, will need to have strong communication skills and leadership experience managing all areas in specialty billing and follow-up. This position will have responsibility for participation in the leadership of the RCS directors and managers to ensure Revenue Cycle activities are standardized across the Revenue Cycle departments in the health system, and that all policies, procedures, and strategies adhere to the guidance and vision of the centralized Revenue Cycle function.

Partners with the system level leadership on Revenue Cycle process improvement, training, technology innovation, analytics, compliance and vendor management. The Director of Specialty Billing and Follow Up will continually review the current state and work with the AVP RCS, Billing and Follow Up and other Providence Revenue Cycle leaders to move the organization to leading practices. The Director Specialty Billing and Follow Up is responsible to ensure policies and procedures are current and enforced, business practices are compliant, and a high level of patient and customer satisfaction is maintained across the region. Promotes an environment shaped by health, healing, hope, diversity, and mutual respect. Is self-directed and requires minimal supervision.

In this position you will have the following responsibilities:

  • Develop, evaluate monitors and communicate the long and short term strategic objectives of the revenue cycle function, ensuring consistency and alignment with the strategic objectives of the centralized revenue cycle organization, and PHS. Responsible to achieve annual performance goals as established by the Chief Revenue Cycle Officer for PHS.

  • Develop and execute a detailed plan to improve the revenue cycle and to continually improve registration accuracy, coding accuracy, reduce days in AR, increase cash collections, reduce bad debt, eliminate write-offs due to revenue process issues and improve customer and patient satisfaction.

  • Provide shared operational leadership to all ministries in the organization related to non-acute lines of business.

  • Provide shared leadership and supervision to the areas of oversight.

  • Partner with other Revenue Cycle leadership to lead the development and implementation of policies, procedures and workflows which impact net revenue cash flow or performance efficiency across the Revenue Cycle function that align with the strategic direction and standardization for all of PSJH.

  • Partner with system wide Revenue Cycle leadership to develop process improvement opportunities, training, technology innovation, analytics, compliance and vendor management to meet non-acute Revenue Cycle needs.

  • Collaborate with other PHS ministries and provides leadership in communicating consistent information and data regarding performance.

  • Collaborate with PHS Contracting to understand contract specifics and provide PHS Contracting with data to support negotiations with payers and development of contracting strategies. Develop relationships and collaborate with leaders at the payer level to improve appeal turnaround and dispute resolution.

  • Manage and oversee the development of technology solutions to improve efficiencies and reduce the delays in workflow processes.

  • Develop and ensure that all activities of the Revenue Cycle are performed in accordance with state and federal regulations, mandated collection practices, all regulatory agencies including JCAHO, and are HIPAA compliant.

  • Develop and monitor an annual operational budget as well as any capital budget requests, and complete all fiduciary responsibilities.

  • Actively collaborates with the financial leaders across PHS to ensure the goals and strategic initiatives are aligned and whenever feasible, operational procedures are standardized.

Qualifications:

Required qualifications for this position include:

  • Bachelor's Degree in Business, Healthcare Management, or related field or equivalent education/experience.

  • 15 years related experience in healthcare, revenue cycle or finance.

  • 10 years leadership experience.

Preferred qualifications for this position include:

  • Master's Degree or equivalent education/experience.

About the department you will serve.

Providence Shared Services provides a variety of functional and system support services for our Providence family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

For information on our comprehensive range of benefits, visit:

http://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Non-Clinical Director/Executive

Location: Oregon-Portland

Other Location(s): California, Washington, Washington-Renton, Oregon, Texas, California-Irvine

Req ID: 294424

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