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Director, Billing and Billing Integrity

Job ID: 4663976
Updated: August 10, 2018
Geographic Location: 
Department: Acute Patient Billing
Full/Part Time: Full-Time
Shift: Days
Standard Hours: 40
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Job Summary

This position is located onsite with Mercy Health, a client of Ensemble Health Partners. To learn more about Mercy, click the link below to apply.

The Director of Billing and Billing Integrity provides the strategic vision for all Billing and Billing Integrity functions, and is responsible for the performance and effectiveness of the department. Position duties include managing the daily work-flow of the department, monitoring processes and performance to identify trending issues and develop training or procedures to address these issues, and lead a team of managers to ensure key performance goals are attained and exceeded. The Director will be responsible for overseeing departmental performance and monitoring the billing and billing integrity departments to ensure best practices and top performance are achieved. 

The director will be responsible for implementing short and long term plans and objectives to ensure compliant billing, improve revenue, accelerate cash, and reduce denials. The Director will work with their leadership team and coordinate across functional areas of revenue cycle, including working with, but not limited to, Patient Access, Coding, Denials, and other Revenue Management departments to identify and implement corrections to denials, incorrectly billed claims, payer billing updates and workflow processes related to billing activities.  They will empower staff to develop methods of process improvement, including planning, setting priorities, conducting systematic performance assessments, implementing improvements based on those assessments and maintaining achieved improvements.

 

 

Provides strategic vision and leadership for billing and billing integrity across the organization. The Director will be responsible for developing and implementing short and long-term plans and objectives to improve revenue, ensure compliant billing, accelerate cash, and reduce denials.  The Director will work with Patient Access and Denials Management to identify and correct trends to ensure first-time billing accuracy. 
Prepares high level reports for the System Director and VP as requested. Regularly monitors data to identify gaps in the operations and works with key parties / departments to resolve the issues.  In addition, monitors ongoing issues to ensure new processes are consistently followed and maintained. 
Organizes functions through establishing clear accountabilities and decision rights, delegation of duties and appropriate departmentalization. Counsels and disciplines employees when necessary in accordance with department and/or organizational policies. Establishes departmental goals with staff to optimize performance while improving operations to increase customer satisfaction and meet the financial goals of the organization.
Participates in monthly, quarterly and annual key indicator goal setting.  Prepares and presents annual business plan, including goals and review of prior year results as requested. Reviews, updates, and implements policies and procedures to support the vision and goals.
Accountable for a comprehensive and effective communication strategy with the department that promotes a common understanding of the market, vision, strategy and accountabilities.  Promotes a culture of two-way communications and creates opportunities for staff participation.  Activities focused on Employee engagement, including intentional coaching and mentoring.

Performs other duties as assigned 

Required Minimum Education: 4 year, Bachelors Degree

Required Certifications: CRCR

 

Minimum Years and Type of Experience:  10 years experience in healthcare industry
Other Knowledge, Skills and Abilities Required:  5 years management experience 

 

Shift and Job Schedule

Full-Time, 40 hours/week, days, 8:00 a.m. to 4:30 p.m.

Equal Employment Opportunity

It is our policy to  abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a), prohibiting discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibiting discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity, or national origin.

 

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About Us

This position will be a part of the revenue cycle team at Ensemble Health Partners - a wholly owned subsidiary of Mercy Health. Ensemble Health Partners specializes in providing revenue cycle solutions and creating real value for its clients by building relationships, reducing revenue cycle spend and delivering exceptional results. Ensemble partners with hospitals across the United States to make real and lasting improvements that impact the bottom line.

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