Director& Hospital Patient Accounting

Job Description

Summary

This position will provide leadership to establish leading practices in Patient Accounting to achieve revenue cycle and organizational goals. Optimizing workflows and technical build to create accurate and efficient processes that reduce the improve cash collections, reduce denials and bad debt, and managing the cost to collect. The Director will develop and maintain effective relationships across the MUSC Health System as well as with key external organizations, including other providers, payors, government entities, and applicable professional associations.

Entity

Medical University Hospital Authority (MUHA)

Worker Type

Employee

Worker Sub-Type​

Regular

Cost Center

CC002357 SYS - Revenue Cycle Administration

Pay Rate Type

Salary

Pay Grade

Health-35

Scheduled Weekly Hours

40

Work Shift

Job Description

Essential Duties & Responsibilities including but not limited to :

Provide leadership and guidance to Patient Accounting leaders and staff, including mentoring and access to relevant professional development opportunities.  Develop a succession planning pipeline for revenue cycle leadership.

Manage staffing levels, oversee staff development, and ensure high levels of technical proficiency, productivity, and regulatory compliance. Create and uphold productivity and quality measures, incorporating objective benchmarks into employee evaluations.

Monitor and analyze key performance indicators to inform AR management strategy, including leveraging and managing vendor resources, to achieve revenue cycle goals. Establish standards and processes for continuous improvement across the department.

Optimize workflows and technology, including automation, to enhance revenue cycle efficiency, improve collections, reduce bad debt and denials, and foster positive patient and provider experiences.

Recommend and partner with IS to implement system enhancements in Epic to optimize revenue cycle workflows.

Maintain consistent feedback loops to drive front-end revenue cycle improvements.

Engage with payors to identify, document, and address claims processing and payment issues, escalate claims for resolution in line with payor contracts, and communicate payor and contract issues to Managed Care.

Actively engage in professional activities to stay informed about healthcare trends and uphold the organization's mission and core values in daily operations, demonstrating respect, excellence, justice, and compassion.

Ensure adherence to federal, state, and local billing and collection regulations, as well as HIPAA privacy standards. Foster positive interpersonal relations with patients, families, staff, and the community to promote a culture of service excellence.

Other duties as assigned.

Education : Bachelor’s degree required, preferably in business, finance, health or public administration, management or a related field. Master’s degree in hospital or business administration, accounting, finance, or related field is preferred.

Experience :

A minimum of 8 years of management experience is required in the healthcare field, demonstrating ever-increasing and progressive responsibilities, particularly in an academic teaching facility and / or large system.

The individual must have experience with payors, providers, hospitals, and physicians, and understand the commensurate requirements

Demonstrates working knowledge of revenue cycle processes, medical billing and coding processes, quantitative decision making, and process analysis.

Skills, Knowledge & Abilities :

Extensive experience working in the Epic system; familiarity with Epic applications and workflows is essential.

Advanced knowledge of multiple reimbursement systems including IPPS (MS-DRG, APR-DRG, OPPS)

Demonstrated resourcefulness in setting priorities and guiding investment in people and systems.

Effective and articulate communicator. Strong diplomatic / mediation / negotiation skills.

Incumbent must possess strong presentation skills with the ability to effectively communicate to many different audience levels.

Able to handle ambiguity and complexity.

Strong belief in the mission and determination to ensure the revenue cycle department remains best in class.

Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. May produce complex documents, perform analysis and maintain databases.

Physical Requirements : Continuous requirements are to perform job functions while standing, walking and sitting. Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands / wrists / elbows and shoulders, reach in all directions. Maintain 20 / 40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex safe environment and work indoors.  Frequently lift and / or carry objects weighing 20 lbs (+ / -) unassisted. Lift from 36” to overhead 15 lbs.  Infrequently work in dusty areas and confined / cramped spaces.

Additional

Job Description

Education : Bachelor's Degree or Equivalent Work Experience : 9 years progressive work experience and 4 years management experience

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and / or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here : http : / / www.uscis.gov / e-verify / employees