Business Services Department Manager
Children's Health Council
Palo Alto, CA 94304
chconline.org
| Job Type: |
Patient Finances |
| Job Length: |
Full time |
| Travel Req: |
None |
| Telecommuting: |
0 |
| Pay Rate: |
DOE |
Job Description:
Our manager coordinates and oversees all activities pertinent to the timely and professional processing of registrations, including Medi-Cal eligibility verifications, verifying insurance benefits, billings and collections. The singularly most important attribute of our successful candidate will be strong, capable management and leadership skill and experience. Equally important is the ability to provide business insight and to effectively communicate regarding all aspects of the revenue cycle, ensuring that all performance metrics are achieved. Essential Duties and Responsibilities: reviews and develops detailed understanding of all services provided to clients and assures that each service performed is accurately and timely recorded, billed and collected; develops and implements collection policies to maximize cash collections to the organization while protecting patient access with consistent administration of the CHC financial aid policies; participates in a team that implements new business opportunities and contractual arrangements; develops and monitors collection and financial aid goals that are consistent with the agency's annual budget; serves as liaison with the claims processing and business services divisions of the counties with whom CHC contracts and oversees the correct, consistent and timely billing for all contracted services; works closely with the Finance Department and CFO to assure that CHC revenue and A/R is properly recorded and classified for financial reporting; supervises, recruits, and hires the staff required to perform the patient advocate, billing and collection functions; covers for or assists staff when necessary due to vacations, illness or periods of increased work volumes to assure the timely execution of the departmental duties; works collaboratively to provide value to agency clients (both internal and external) through businss/industry insight and innovation; displays a "marketing and customer service mentality at all times when dealing with customers and colleagues; acts as liaison to county Medi-Cal providers and represents CHC at county contracting agency organization meetings; initiates and follows-up with financial aid applications; oversees the maintenance and application of financial aid transactions; negotiates single-case agreements with pay sources (e.g. school districts, insurance providers, etc.).
Skills:
Experienced leader capable of overseeing the re-engineering of the department and participating on the team charged with converting the existing enterprise software system to a compliant EHR system. Demonstrated experience in directly managing employees who manage the revenue cycle for a behavioral health clinic; experience working at a clinic having multiple sources of revenue paid by contractual arrangements with private insurers, gov't agencies and private individuals. Prefer exper. in outpatient mental health clinic setting. Verifiable exper. in implementation and maintenance of an EHR enterprise software system. Ability to be strong advocate and coach for consistent business processes throughout the organization, demonstrated exper. in successful direct management and support of staff and administrative exper. in changing environment. Must have exper. with and excellent working knowledge of patient financial service operations with specific focus on outpatient behavioral health to County, Medi-Cal, managed care and commercial (insurance) sources. Education/Training: 4 yr. college degree in acctg/finance req'd with min. 5 yrs. supervisory exper. req'd in healthcare.