Director, Patient Financial Services, Accounts Receivable (AR) Management Jobs in Edison at Hackensack Meridian Health

Overview

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Director of Patient Financial Services for Accounts Receivable (AR) Management provides management of accounts receivable for inpatient, outpatient, and specialty areas across the Hackensack Meridian Health (HMH) network. Provides management, coordination, and standardization of follow-up and account resolution for all payers in HMH hospital billing, impacting the network's primary revenue source. Develops and controls all tasks necessary to ensure that all AR resolution activities are completed on time. Develops and maintains strong payer relationships to remove barriers to account resolution and work through any issues that arise. Supports the success of a high-performing business office by helping to champion and drive long-term success, achieving results comparable to national best practices.

Responsibilities

A day in the life of a Director of Patient Financial Services for Accounts Receivable (AR) Management at Hackensack Meridian Health includes:

• Provides oversight to patient financial services and AR management departments through innovative ideas, reasoned risk-taking, and thoughtful and thorough implementation strategies.
• Establishes and maintains an efficient and effective follow-up process, understanding that regulatory and payer differences may require specialized workflows to achieve goals.
• Uses technology to focus team members' time on value-added work. Stay current on technology offerings and update workflows often to stay on the cutting edge of efficient AR resolution.
• Works collaboratively to reduce denials through analysis of payer behavior and billing processes to best practice levels. Monitors system metrics, including dashboards and reports, and conducts analytical reviews to determine where additional emphasis needs to be placed to ensure the goal of timely and proper billing is accomplished. Metrics should be sourced from both the Electronic Health Record (EHR) (Epic) and external tools as appropriate.
• Monitors system metrics, including dashboards and reports, and conducts analytical reviews to determine where additional emphasis needs to be placed to ensure the goal of timely and proper billing is accomplished. Metrics should be sourced from both the EHR (Epic) and external tools as appropriate.
• Interprets and communicates healthcare payment policies and practices and devises strategies to maximize reimbursement to maintain cash flow at established levels.
• Manages vendors responsible for outsourced AR functions.
• Ensures prompt response and turnaround time for audits and requested documentation.
• Analyzes financial policies and procedures as they relate to patient financial services, AR management, and implements changes to achieve best practice levels for revenue cycle metrics.
• Continually monitors and optimizes service functions based on changing environments and customer requirements.
• Maintains system-level AR resolution policies that are compliant with State and Federal regulations and payer policies.
• Analyzes and manages accounts receivable variables that are very complex due to constantly changing rules and regulations imposed by managed care companies, third-party payers, and governmental agencies. Develops payer relationships to assist in the resolution of complex payment and billing issues as they arise.
• Writes, interprets, adapts, and enforces hospital and departmental policies as needed with management, employees, and third-party payers.
• Provides support and advice to the managed care team on the design and practicality of Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), etc., billing arrangements, collection procedures, and compliance of managed care contracts.
• Plans and sets goals with all related areas to ensure decisions are optimal for organizational goals and consistent with missions, administrative philosophy, and guidelines.
• Tracks and analyzes relevant revenue cycle key performance indicators (KPIs) to ensure that departmental and organizational goals are met.
• Troubleshoot and resolve issues and coordinate system upgrades with Digital Technology Services (DTS) and vendor support teams to ensure that accounts are flowing through the AR resolution process smoothly.
• Expert on the regulatory framework for billing and financial account resolution and driver of system changes needed to maintain regulatory and payer compliance.
• Communicates key issues and/or changes to team members for the successful adoption of any AR resolution changes.
• Responsible for development and adherence to the approved budgets for the areas of responsibility.
• Works collaboratively with the Charge Description Master (CDM) team to ensure changes and/or appropriate enhancements in the charges system will make billing operations more efficient and accurate.
• Works collaboratively with the contract management team to ensure the accuracy of system expected payments to minimize manual work in follow-up workflows.
• Maintains policies and procedures related to areas of responsibility.
• Other duties and/or projects as assigned.
• Adheres to HMH Organizational competencies and standards of behavior.

Qualifications

Education, Knowledge, Skills and Abilities Required:

• Bachelor's degree in Business, Healthcare Administration, Finance, or other relevant field.
• Minimum of 10 years of experience in healthcare receivables, health insurance claims processing, or healthcare customer service, including at least 5 years in a management role.
• Extensive knowledge of Federal and State regulations relating to insurance billing and follow-up.
• Strong leadership skills.
• Good written and verbal communication skills.
• Strong financial management skills.
• Excellent knowledge of information technology and management information systems and how they can be used to improve operations.

Education, Knowledge, Skills and Abilities Preferred:

• Master's degree.
• Experience with Epic Hospital Billing (HB).
• Hospital business office or similar experience in a facility setting.
• Member of nationally recognized professional organization - Healthcare Financial Management Association (HFMA) a plus.

Licenses and Certifications Preferred:

• HFMA Certified Healthcare Financial Professional (CHFP) or similar certification.
• Epic proficiency or certification.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!   

HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER

All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.

Our Network

Hackensack Meridian Health (HMH) is a Mandatory Influenza Vaccination Facility

As a courtesy to assist you in your job search, we would like to send your resume to other areas of our Hackensack Meridian Health network who may have current openings that fit your skills and experience.