Offer summary

Qualifications:

High School diploma or equivalent required; Bachelor's degree in Finance or Business Administration preferred., Five years of experience in healthcare revenue cycle, billing, finance, or related field is necessary., Certified Healthcare Financial Professional (CHFP) is preferred, along with experience in Epic Resolute Hospital Billing., Strong analytical, communication, and problem-solving skills are essential. .

Key responsabilities:

Manage daily operations of Patient Financial Services across multiple campuses.

Act as the primary billing contact for assigned hospital sites and oversee billing, collection, and audit operations.

Develop and implement policies and procedures to ensure timely and accurate patient information collection.

Monitor performance metrics and manage departmental personnel to meet organizational goals.

Job description

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position.

Manages, coordinates, and supervises the daily operations of Patient Financial Services. Plans, organizes and directs business processes related to one functional area within the hospital patient financial cycle within multi-campus, multi-organizational health system. Interprets relevant regulations to ensure hospital billing and collection compliance. Participates in the review, interpretation, implementation and reporting of managed care contracts and/or governmental payment regulations to ensure that payments are maximized within the relevant regulations to ensure financial viability of the organization. Meets and coordinates with third party payers and governmental entities on specific payment, reimbursement, and billing issues using sound financial criteria to ensure timely and accurate account resolution. Directs the development and attainment of departmental goals and objectives as it relates to the organizational strategic mission and initiatives. Ensures that all employee needs are met through coordination of team within the enterprise revenue cycle.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. High School diploma or equivalent.

EXPERIENCE:

1. Five years’ experience in healthcare revenue cycle, billing, finance or related field

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Bachelor’s degree in Finance, Business Administration or related field.

2. Certified Healthcare Financial Professional (CHFP) with the Hospital Financial Management Association (HFMA).

EXPERIENCE:

1. One year of experience in Epic Resolute Hospital Billing.

2. Related patient accounts software experience.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Plans, organizes and manages business processes related the patient financial cycle within multi-campus, multi-organizational health system for assigned functional area.

2. Acts as primary billing contact for assigned WVUHS hospital site.

3. Develops and/or actively participates in on-going policy and procedure reviews and revisions to Patient Financial Systems processes to ensure timely accurate collection of required patient entry information.

4. Manages assigned projects to benefit the enterprise revenue cycle team.

5. Manages posting, billing, collection and audit operations for assigned third parties and/or governmental sources to ensure accurate, timely billing and follow-up for payment.

6. Maintains appropriate internal control safeguards over accounts receivable records and collection of cash.

7. Monitors the Epic dashboard on a daily basis to ensure that targets are being met and identifying areas of need within the billing and collection of the assigned function.

8. Sets solid analytical goals and directs team to achieve those goals using specific, targeted, data driven tactics.

9. Manages department personnel to ensure qualified work force. Ensure regular communication with team to ensure that employee needs are met and that the productivity and engagement of staff is maintained.

10. Works within budgeted expenses and participate in development and management of enterprise departmental budget.

11. Gathers statistics, completes reports, and performs other duties as scheduled or requested.

12. Organizes and executes daily tasks in appropriate priority to achieve optimal productivity and efficiency, adjusting daily schedule as required to perform urgent assignments or special projects as assigned.

13. Communication is the key to our success. Ensures regular, bi-directional communication with the Enterprise PFS team. Share challenges and seek collaborative solutions to maximize results utilizing the intellectual capital of the team.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Ability to sit for long periods of time.

2. Ability to lift, push or pull 10–15 pounds.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Standard office environment

SKILLS AND ABILITIES:

1. Financial, technical and professional skills.

2. Oral and written communication ability to effectively represent the department and Hospital in interactions with third party payers, patients, physicians and other departments.

3. Analytical and problem solving skills as well as the ability to work and communicate effectively with other departments.

4. Knowledge of local, State and Federal regulations pertaining to Hospital billing and collections.

5. Ability to perform a variety of duties, ranging from direct involvement in various projects to coordination and supervision of the activities of co-workers.

6. Knowledge of spreadsheet, word processing and office software applications.

Additional Job Description:

This role will specifically oversee the Medicare and Medicare Advantage insurance billing and collections for the Acute hospital facilities of WVU Medicine.

Leadership experience involving billing and collection of insurance claims for these payers is required.

Epic experience is preferred.

Scheduled Weekly Hours:

Shift:

Exempt/Non-Exempt:

United States of America (Exempt)

Company:

SYSTEM West Virginia University Health System

Cost Center:

544 SYSTEM Patient Financial Services

Required profile