When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Job Type:

Regular

Scheduled Hours:

40

Work Shift:

Day (United States of America)

The Director of Patient Financial Services reports to the Senior Director of Revenue Cycle Management. This position is responsible for daily oversight, management and direction of transaction and process based revenue cycle functions within PFS that exceeds $1 billion per year in gross patient service revenue.

Job Description:

Establishes adequate controls to ensure that approximately $1 billion in gross patient service revenue is billed to third party carriers, government programs, grants and patients timely and accurately. Monitors and reports on key metrics such as cash collections, days outstanding, unbilled, denials, etc., in conjunction with the Senior Director of Revenue Cycle Management and other Finance leadership.

Recommends and implements changes where appropriate after thoughtful and measurable analysis.

Serves on many hospital committees that ensure achievement of hospital's operating and strategic plans.

Maintains effective communication with third party insurance carriers to resolve issues that impede cash flow and detract from patient/member satisfaction.

Maintains effective communication with BIDMC leadership to ensure that all third party compliance guidelines are met. Serves as a key member of BIDMC's managed care contracting group to ensure that standards and processes agreed to in contracts can be implemented timely and correctly.

Provides input relative to contract performance and compliance.

Mentors staff in career development.

Provides timely feedback related to unit performance.

Ensures that staff is kept informed about educational offerings.

Required Qualifications:

1) High School Diploma or GED required

2) 5 - 8 years related work experience and 3 - 5 years supervisory/management experience required

3) Knowledge of: Common Procedural Terminology (CPT), Internal Classification of Diseases (ICD-9), and Health Care Procedural Coding Systems (HCPCS) coding, documentation guidelines for medical services, patient case management, follow up and billing

4) 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.

FLSA Status:

Exempt

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more about this requirement.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled