Associate Director Patient Financial Services - 2101553
Reporting to the Director of Patient Financial Services, the Associate Director Patient Financial Services will oversee the day-to-day operations of the Patient Accounting Billing, Claims Follow-up, Customer Service and Financial Assistance Units. The Associate Director will direct daily functional operations and work to ensure the hospital's patient services receivables are billed and collected effectively and timely. As part of the PFS Leadership team, they will drive work flow strategy and maximize efficiency in order to achieve departmental cash goals and operational benchmarks. Candidates must have significant management experience within the acute hospital billing, reimbursement and compliance arena with a demonstrated history of successful collaboration with Patient Accounting, Revenue Integrity/HIM, Care Management, Compliance, Finance, Information Technology and clinical service departments.
Duties of an Associate Director Patient Financial Services may include the following but are not limited to:
Manages departmental through-put/productivity ensuring that hospital accounts receivable is worked and resolved effectively and timely.
Develops and monitors key performance indicators and conducts focused A/R portfolio reviews with staff.
Identifies billing and collection risks and opportunities and works to develop policies, procedures and systems which help to maximize cash flow.
Works collaboratively to introduce best practices and optimize work flows as business trends and regulatory, financial and operational needs require.
Monitors and reports operational status. Provides written and verbal progress reports and analyses to Revenue Cycle and PFS leadership. Including but not limited to A/R management, billed/unbilled status, productivity, and staffing.
Contributes to improving internal operations controls.
Manages staff who oversees the hospital's outsource billing and collection vendor relationships; tracks performance and monitors referral through-put and resolution.
Works to ensure favorable patient financial experience outcomes including oversight for the hospital systems Financial Assistance Program.
Manages staff who perform the hospital's research billing and affiliated facility billing.
Liaises with the Attorney General for Civil Recoveries for Stony Brook.
Collaborates with Revenue Cycle Leadership on denials prevention and appeals strategy including root cause analysis and workflow re-engineering.
Participates in the development and implementation of short and long-range goals and objectives for the department.
Works with Clinical and Revenue Cycle Departments, PFS Leadership, I.T. and third party vendors/consultants to operationalize billing work flow changes, fixes and new service line and system "go-lives".
Special projects as assigned.
B.S. Accounting/Finance, Health Information Management, Healthcare Administration, Computer Science or related field and at least 10 years' progressive experience working within an Acute Care Hospital Revenue Cycle or Business Office including 5+ years at a Management or Director Level OR in Lieu of a degree 10+ years' experience Managing or Directing within an Acute Care Hospital/Health System Revenue Cycle or Business Office.
5+ Years' Experience in planning, leading and/or managing revenue cycle projects of at least moderate complexity.
Extensive experience with healthcare reimbursement and facility claims submission, collection and analysis (DRG, APC, APG, Managed Care Contracts, UB-04, 837i, 835)
Broad understanding of insurance eligibility and benefit design, prior-authorizations, ABN's, coordination of benefits, financial clearance and financial assistance.
Significant healthcare denials and appeals management experience. Including an Understanding of healthcare utilization management, medical necessity criteria and administrative, clinical and DRG/coding denials/appeals processes.
Experience creating and monitoring Revenue Cycle Key Performance Indicators and Dashboards.
Experience working and resolving governmental and third party audits.
Experience with Managed Care contracts; reimbursement and administrative terms and terminology.
High degree of proficiency utilizing and/or configuring hospital patient accounting, claims scrubber and contract management information systems.
Working knowledge of CPT, HCPCs and ICD-10 coding principles.
Excellent written and verbal communication skills.
CCS, CCS-P, CPC, CCDS, RHIA or RHIT certification.
Knowledge of Cerner Unity/Invision Patient Accounting system configuration and master files.
Experience with work flow visualization software (Visio.)
Proficiency with MS PowerPoint and/or Desktop Publishing software.
Experience utilizing visualization software (Tableau, MS Power BI, etc.)
Proficient with billing or healthcare financial decisions support software and/or query tools.
Special Notes: Resume/CV and cover letter should be included with the online application.
Posting Overview: This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. Candidates are advised on the application that for full consideration, applications must be received before the initial review date (which is within two weeks of the posting date).
If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.
Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
All Hospital positions maybe subject to changes in pass days and shifts as necessary.
This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
This function/position maybe designated as "essential." This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.
Prior to start date,the selected candidate must meet the following requirements:
Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services*
Complete electronic reference check with a minimum of three (3) professional references.
Successfully complete a 5 panel drug screen*
Successfully complete a Background Check investigation.
Provide a copy of any required New York State license(s)/certificate(s).
Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.
* The hiring department will be responsible for any fee incurred for examination.
Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.
If you need a disability-related accommodation, please call the University Office of Equity and Access at (631)632-6280.
In accordance with the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewedhere.
Official Job Title: TH Supervising Financial Analyst
Job Field: Administrative & Professional (non-Clinical)
Primary Location: US-NY-East Setauket
Department/Hiring Area: Patient Accounting-Stony Brook University Hospital
Schedule: Full-time Shift: Day Shift Shift Hours: 8:30am-5:00pm Pass Days: Sat, Sun
Posting Start Date: May 6, 2021
Posting End Date: Aug 5, 2021, 3:59:00 AM
Salary: Commensurate with experience
Salary Grade: SL5
Internal Number: 2101553
About Stony Brook University
FROM ITS BEGINNINGS A HALF-CENTURY AGO, STONY BROOK UNIVERSITY HAS BEEN CHARACTERIZED by innovation, energy and progress, transforming the lives of people who earn degrees, work and make groundbreaking discoveries here. A dramatic trajectory of growth has turned what was once a small teacher preparation college into an internationally recognized research institution that is changing the world.