ScionHealth is recruiting for a National Accounts Billing Director to join our Revenue Cycle team!

Job Summary

The Billing Director (National Accounts) is a member of the revenue cycle leadership team and is directly responsible for the billing operations and best practice expertise to ensure superior billing results.  This position's responsibilities include direct oversight of the daily operations of billing.  The Director is also responsible for the recruitment of high performing staff, staff recognition and disciplinary action.  The Director coordinates and ensures that all billing activities are completed effectively and efficiently; in a manner that consistently meets or exceeds expected outcomes.

Job Responsibilities

• Lead ScionHealth's CBO billing operations, working with all business office partners in the short-term and long-term facilities with overlapping responsibilities to provide guidance in the physician space.
• Perform as an expert for the Business Office on all issues related to billing operations.
• Lead, guide, and manage a team of billing professionals to achieve daily, weekly, and monthly billing Key Performance Indicators (KPI's) metrics.
• Conducts hospital billing reviews to ensure adherence to State and Federal billing regulations and/or standards.
• Implement and monitor quality and ensure all standards are met.
• Identify and troubleshoot billing issues by analyzing denials, AR and payer feedback.
• Develop strategy for denial prevention by using system functionality/billing edits.
• Hold self and team members accountable for knowledge of performance standards as listed on all team member job descriptions.
• Demonstrate strong organizational skills.
• Address concerns and conflicts with coworkers and team members in a constructive manner. Identify and compliment team members on specific areas in which they are performing well.
• Problem solves with team members and remove barriers to help improve work processes.
• Cooperate with other departments in pursuing opportunities for improvement.
• Assist leadership in the development, implementation, and analysis of protocols, standards/work methodology and policies to remain consistent with industry trends and company objectives.
• Monitor Patient Accounting System and Clearinghouse to identify aging and payer trends for unbilled claims including but not limited to managing Ad Hoc reporting as requested.
• Recommend strategies to improve outcomes and processes.
• Collaborate with leadership on cost saving initiatives.

Qualifications

A minimum of 5 years' experience in hospital billing with at least 2 years' experience in a supervisory role is required.  In addition, knowledge through hands-on experience in billing, collections, denials, payment posting, Patient Accounting systems, clearinghouses/claim submissions and rejections and an overall knowledge of insurance portals, is needed.

Knowledge/Skills/Abilities

• Strong leadership skills with the ability to motivate a team in a fast-paced evolving environment.
• Strong analytical and technical skills.
• Ability to complete work independently and prioritize work, this includes working in a team environment.
• Possess an understanding of HIPAA as it relates to Personal Health Information (PHI).
• Basic knowledge of general accounting principles and standards.
• Basic knowledge of ICD-10 and CPT guidelines in accordance with federal and payer guidelines, includes use of modifiers, NCCI edits, CMS LCD (Local Coverage Determination) and CMS Articles.
• Knowledge of insurance reimbursement practices and overall/general thorough understanding of revenue cycle management (RCM).
• Basic understanding of medical terminology and experience in various reimbursement/billing methodologies.
• Intermediate skills in Microsoft Office (Word, Excel).
• Excellent communication and problem-solving skills, as well as sound judgment.

*Depending on a candidate's qualifications, this position may be filled at a different level.

About ScionHealth

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