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Job Title Director of Billing and Business Services
Location Bakersfield, CA
Department Business Office
FLSA Status Exempt
Reports to Secretary-Treasurer / CFO
Shifts hiring Full-time
Pay Grade Competitive / DOE


DUTIES AND RESPONSIBILITIES

Responsible for oversight of business services related to billing of ground, air and critical care ambulance and transport services. Develop medical billing staff on best practices, professionalism and considerate patient communication. Responsible for providing effective leadership to all employees under his/her supervision and coordinating all activities of the Business Office. Maintain a cost-effective, productive division that promotes market share growth and supports the continued profitability of Hall Ambulance Service.

ESSENTIAL JOB FUNCTIONS

  • Provide effective leadership and maintain direct supervision over all the Business Office medical billing staff. Train, allocate work, and resolve problems among billing office personnel.
  • Develops, organizes and implements overall billing and collection reimbursement functions and processes.
  • Plans, directs, evaluates and coordinates the functions and operations of the department to achieve operational efficiencies and ensure compliance with laws, regulations, policies and procedures.
  • Responsible for oversight of billing and accounts receivable – including financial intake, insurance verification, service authorizations, coding, billing (claim submission & claim posting), accounts receivable, collections.
  • Monitors and audits productivity goals, reviews level of progress and achievement, and exercises discretion and judgment when recommending and implementing measures for improvement.
  • Analyzes trends and prepares reports for leadership's review and decision-making, which includes translation of data into meaningful, actionable information and provides insight into strategic implications.
  • Demonstrates accountability for full revenue cycle performance from point of client contact through the billing and cash receipts reporting.
  • Analyzes financial impact of regulatory changes and recommends corrective action accordingly.
  • Responsible for timely, accurate and effective communication of all new regulatory billing changes to the CEO and appropriate responsible managers.
  • Ensures all reimbursements are in accordance with payer contracts and federal and state regulations, and that revenue cycle performance is within established benchmarks.
  • Work co-operatively with all members of administration to attain the business and community goals and objectives of Hall Ambulance Services, Inc.
  • Responsible for ensuring that Business Office metrics and objectives, as identified and formulated, are met.
  • Responsible for accuracy, completeness, and timely submission of all work routinely completed by assigned employees. Responsible for the oversight and/or proper investigation, resolution, and documentation of all incident reports and issues regarding assigned personnel in accordance with HR standards.
  • Responsible for assessing potential new employees, onboarding new employees, coaching, performance management and disciplinary actions for current employees working together with Human Resources.
  • Stay abreast of regulatory updates and best practices in the industry by attending various Continuing Education seminars or courses.
  • Remain updated on HIPAA and all other health information management issues and regulations.
  • Monitor and maintain integrity of billing program software to ensure compliance. Interface with IT support team to complete upgrades and evaluate options as necessary.
  • Perform other duties as assigned by the CFO of Hall Ambulance Service, Inc.

KNOWLEDGE, SKILLS & ABILITIES

  •  In-depth knowledge of business operations, decision support systems, business management and basic accounting principles.
  • Excellent analytical skills, including ability to review quantitative and qualitative data and reach sound, strategic conclusions. Ability to analyze situations accurately and develop appropriate responses or techniques. Ability to review data and perform statistical and predictive analysis, prepare appropriate reports and present findings and recommendations, as well as execute solutions.
  • Adept at keeping up with new technology and ability to conceptualize work flow and improve efficiency in operations.
  • Ability to communicate clearly and effectively orally and in writing and possess superior knowledge of spreadsheets and Microsoft Office Suite.
  • Strong knowledge of medical billing systems. Technical knowledge to include understanding of Medicare, Medicaid, Worker’s Compensation, MCO, commercial insurance and private payer billing and coding; knowledge and expertise in applicable medical coding, billing, regulatory, and legal requirements as they pertain to the reimbursement support functions.
  • Demonstrated ability to develop and implement billing and reimbursement policies and processes that are in compliance with laws and regulations of Federal, State and local governmental payers. In addition, these policies and processes should also demonstrate “best practices” for data security and patient privacy.
  • Ability to create, implement, and continuously evaluate the effectiveness of a comprehensive strategy that ensures the quality, efficiency, and consistency of all programs.
  • Ability to promote positive, collaborative, and professional working relations among co-workers and representatives in the community.
  • Strong ability to train and supervise the work of employees; effectively organize, prioritize, and schedule tasks to ensure practice timelines are met
  • Strong ability to handle problems consisting of multiple variables in an organized manner.

QUALIFICATIONS

Bachelor’s Degree or higher in Business Administration or a related field and or 5 to 7 years progressive experience in healthcare revenue cycle operations, including at least two years management experience in a healthcare setting with related medical billing/reimbursement experience, demonstrating the required knowledge, skills and abilities, as well as extensive experience in managing private medical billing services. Complete understanding of all Federal and State regulations and reporting requirements.   Knowledge and experience with Medicare, Medi-Cal and all government payer requirements. General knowledge of Microsoft Office and other computer systems and the ability to produce reports, spreadsheets and graphs. Possess demonstrated leadership and supervisory skills. Advanced interpersonal communication skills. Ability to critically think through a wide range of organizational issues and various personnel matters.

EDUCATION / EXPERIENCE

  • Bachelor’s Degree or higher in Business Administration or a related field required.
  • 5-7 years’ experience managing medical billing services required.
  • Experience working within the California private ambulance environment preferred.

PHYSICAL REQUIREMENTS

 

Frequency and number of hours a day the worker is required to do the following specific types of activities

 

ACTIVITY

 

FREQUENCY

 

# OF HOURS A DAY

 

CONTINUOUS

INTERMITTENT

1

2

3

4

5

6

7

8

8+

a. Sitting

 

 

 

 

 

 

 

 

 

b. Walking

 

 

 

 

 

 

 

 

 

c. Standing

 

 

 

 

 

 

 

 

 

d. Bending

 

 

 

 

 

 

 

 

 

e. Squatting

 

 

 

 

 

 

 

 

 

f.  Climbing

 

 

 

 

 

 

 

 

 

g. Kneeling

 

 

 

 

 

 

 

 

 

h. Twisting

 

 

 

 

 

 

 

 

 

i.  Lifting

 

 

 

 

 

 

 

 

 

j.  Listening

 

 

 

 

 

 

 

 

 

k. Speaking

 

 

 

 

 

 

 

 

 

Lift up to 20 pounds frequently throughout work day

 

 
 
 
 
 
 

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