Director of Patient Accounting

Director Of Patient Accounting

At The Children's Institute of Pittsburgh, we've built our legacy on being amazing. After more than a century of the highest quality care and service to children and their families, we're forever proud of our team members who don't just make a career here – they make a difference.

Location:

1405 Shady Ave., Pittsburgh, PA 15217

Schedule:

Monday – Friday, Full Time, Onsite

The Director of Patient Accounting provides key leadership regarding the revenue cycle through verification of benefits, securing authorization for services provided, clean claim submission and liquidation of accounts receivable. This position is responsible for maintaining a highly functioning internal and external customer-centered focus team that collaborates with clients and staff. This position also supports the responsible evaluation and use of automation, analytics, and AI-enabled tools to improve revenue cycle performance, reduce administrative burden, strengthen compliance, and enhance internal and external customer service.

• This leader is responsible for the work processes, management, metrics, development, and optimization of the revenue cycle that begins from insurance verification through claim liquidation.
• This leader will be a critical member of the team and will have deep collaborative relationships across departments and programs.
• This leader will have a comprehensive grasp of coding, regulations, and revenue cycle protocols for all payor sources.
• This leader will review and provide feedback to the CFO on payor contracts and ensure compliance with revenue cycle expectations.
• This leader will provide guidance to programmatic leadership on changes in coding, revenue enhancement opportunities, billing guidelines, etc.
• This leader will hold monthly accounts receivable meetings with clinical leadership to provide timely and routine feedback on claim liquidation in a meaningful way to collaboratively enhance collections.
• Maintains current knowledge of and complies with established policies and procedures including patient confidentiality/patient rights, government, insurance, and third-party payer regulations. Maintains current knowledge of all regulations, contracts, etc. applicable to the revenue cycle. Conveys information to other team members as needed regarding any changes.
• Ensures revenue cycle practices comply with HIPAA, patient confidentiality requirements, payer rules, documentation standards, audit readiness expectations, and ethical billing and collection practices.
• Ensure maximization of cash collections through diligent and timely monitoring of all open accounts receivable balances.
• This position will work collaboratively with the CFO. This will include insurance company contract negotiations, input to the budgeting process and financial performance review.

• A BA/BS in Business Administration or Finance is required.
• Minimum of 5 years of related management experience, including a minimum of 5 years in a revenue cycle environment is required.
• Must demonstrate a thorough understanding of the full Revenue Cycle with up-to-date knowledge of the industry.
• Prior experience in working within an electronic medical record and preferred experience in implementing an electronic medical record.
• Demonstrated commitment to maximizing appropriate reimbursement and ensuring timely, accurate collection of revenue.
• Demonstrated ability to communicate effectively and professionally both verbally and in writing.
• Demonstrated ability to recruit, develop, retain, and engage high-performing team
• Clearances
  
  Required:
  
  Act 73 FBI, Act 34 Criminal Clearance, and Act 33 Child Abuse Clearance

• Medical and Prescription insurance-Choice of two health plans and networks
• Dent…