DIRECTOR, BUSINESS OPERATIONS/REIMBURSEMENT

Position SummaryReporting directly to the National Director, Regional Business Office, this position is primarily responsible for monitoring accounts receivable activities and outcomes to ensure compliance with policy and procedure. For timely and accurate cash application of all A/R ensuring that cash-to-revenue and days in A/R meet business goals. Monitor and enforce agreements made with financial institution for the processing of the Company’s cash. To ensure the highest level of performance through the implementation of processes and development of accounts receivable management at the Regional Business Office being responsible to lead management teams and staff for the areas of Admission, Billing/Collection and Claim Adjudication.Essential Duties and Responsibilities:
Oversees the accounts receivable process to ensure adherence to standards and performance to goals.
Ensures timely application of cash to A/R and that cash application and related financial reporting functions are being performed accurately, timely and in compliance with established billing, collection and accounting procedures.Analyzes accounts receivable to identify payer issues.Trouble shooting and problem resolution between the collection centers, pharmacy and the cash processing center.
Advising parent company´s treasury department of status and of needs relating to cash processing functions related to financial institutions.
Assists in setting budgets, establishing reserves, approving expenditures, monitoring bad debt and contractual allowances and departmental progress against financial goals.Supervises staff, including interviewing, hiring, coaching, counseling, training, performance evaluations and progressive discipline.Develops and monitors policies and procedures.Reviews write-offs for accuracy.Reviews accounts receivable greater than 90 days and assists in implementation of plan to keep accounts receivable over 90 below 25%.
Monitors and analyzes, as needed key indicators.Performs other duties as assigned
REQUIREMENTS
Position Requirements:
The qualified candidate will possess a Bachelor’s degree in Accounting/Finance, Business Administration or related field with 6 to 10 years of Healthcare Management experience (consideration will be given for combination of education and equivalent experience). Proven track record of successfully managing large teams with a minimum of 50+ employees to include Supervisors and Managers. Business Financial and Regulatory Compliance knowledge, defined organizational skills, analytical reasoning, strategic planning, communication and leadership working with various levels of staff and management teams. Extensive knowledge and history of working <hands on> in Accounts Receivable with Medicaid, Medicare (A – D), and Commercial Insurance in a high volume, fast paced environment. Prior utilization of HCFA and UB-92 claim forms. Knowledge of medical terminology/coding. Multi-state and Complex Billing experience excellent!