Apply on Employer Site

Duke University · 4 weeks ago

Director, Billing & Collections PRMO

Durham, NC, US, 27710

Full-time

Onsite

Director/Executive

8+ years exp

Duke University is committed to compassionate care and is seeking a Director for its Patient Revenue Management Organization. The role involves overseeing the insurance billing and collections for all hospital/technical services, ensuring compliance with regulations, and leading departmental strategies to improve revenue cycle performance.

EdTechEducationHigher EducationUniversities

Responsibilities

Plan, direct and coordinate all activities of Hospital Billing & Collections

Identify, communicate and align overall strategy for department improvement across the system. Develop departmental strategies to meet PRMO and DUHS goals and performance metrics

Work with entity leadership, departmental managers, revenue managers, and physicians to identify opportunities for improving revenue cycle performance and metrics associated with insurance collections, days in accounts receivable outstanding, aging of accounts receivable, claims denials, and avoidable write-offs

Formulate and administer system level policies and procedures; ensuring compliance with state and federal regulations, and all payor requirements

Maintain working knowledge of insurance billing, collections, registration, and support management team on resolution of issues affecting department

Review monthly trending analysis of Billing & Collections departments to effectively communicate and message performance to leadership constituents across DUHS and provide feedback/guidance to management team about areas of focus for performance improvement

Monitor Hospital Billing & Collections internal control performance across the system

Ensure management compliance with documented and established workflow guidelines and procedures

Serve as expert on institutional questions related to industry and payor regulations related to Hospital Billing & Collections. Engage with other departments as needed to ensure compliance

Actively direct outsourcing and system vendor relationships. Monitor cost and evaluate utilization of any vendor relationships assigned to department cost center

Take leadership role in technology implementations affecting department. Assist in identification of new technologies that will improve financial service operations

Serve as an internal consultant on hospital billing & collections issues with Duke Medicine and PRMO leadership

Develop and achieve PRMO goals that support overall system goals

Develop and promote PRMO strategic vision, mission, and purpose while emphasizing teamwork and results

Effectively define relevant 'customers' for department management and staff. Utilize trending tools and communication plan for departmental staff related to customer service measures. Ensure measurable customer service standards are part of every employee's expected job results

Create and foster a department culture that provides a satisfying and enriching environment in which staff can be developed and retained. Support the PRMO Work Culture Initiatives to improve reward and recognition programs

Maintain liaison with clinical and departmental staff, and DUHS entities as it relates to Financial Services operations

Interpret entity and PRMO specific reports relating to department performance, staff performance, financial performance and ensure appropriate action plans are executed

Approve departmental budgets. Ensure appropriate use of all resources

Communicate budget results to management staff and assist in budget management

Support and approve system process improvements to decrease costs and improve service for applicable stakeholders

Ensure provision of education and training to management and staff employees in areas relevant to Billing & Collections policies and procedures

Monitoring and provision of information on local, national, and international trends in healthcare delivery

Monitoring and provision of information regarding changes in legislation and accreditation standards that affect Hospital Billing & Collections

Manage human capitol and resources-onboarding, succession planning, recruitment strategies and employee engagement

Qualification

Hospital BillingCollections ManagementRevenue Cycle ManagementProcess ImprovementBudget ManagementEpicMS Office ApplicationsLeadership SkillsCommunication Skills

Required

Bachelor's degree required

8 years progressive management and/or consulting experience in a healthcare environment is required, of which 5 of those years should be in management of people or projects

Solid understanding of all departmental related functions – principles and practices of hospital billing and collections activities

General understanding of all revenue cycle functions and interrelationships

Knowledge of Federal, state and local regulations governing patient access activities

Experience in process improvement

Experience in budgeting

Strong leadership presence and skills

Proven capabilities in building and leading teams

Ability to work with others in a cooperative, collaborative manner

Strong written and oral communication skills