Job Description

Under direction of the Director, Revenue Cycle, the Assistant Director, Business Office oversees the daily operations of the Hospital’s business office functions, including ensuring the timely and accurate completion of billing, collections, and more. This role develops and implements policies and procedures that support TMMC’s mission, vision, and values, while promoting a positive patient financial experience. The Assistant Director, Business Office leads the team to ensure all functions are completed in a timely and compliant manner and monitors departmental performance to make sure productivity and quality standards are consistently being met. This role will facilitate process improvement events, coach/mentor staff development and advance the lean culture.

Core Competencies

• Directs, administers, and recommends policies for all operations, programs, and activities related to the hospital patient financial services. Reviews processes to achieve best practice standards and meet department’s goals.
  
  
• Oversees the timely completion of all essential business office functions, including billing, collections, cash posting, and accounts receivable management; investigates and addresses inefficiencies.
  
  
• Monitors work queues to ensure that accounts are being followed-up on a timely basis, prioritizes job functions to meet deadlines, and identifies any issues.
  
  
• Reviews aged and high-balance accounts on a regular basis and provides direction to management and staff on how to resolve difficult accounts.
  
  
• Monitors staff productivity and performance, compares results to established goals and makes recommendations for improvement.
  
  
• Develops, monitors, coaches and manages managers. Builds employee morale and motivation and fosters a team-like environment.
  
  
• Coordinates with leaders of other departments, such as medical records, coding, CDI, and clinical staff to ensure timely and accurate billing and collections.
  
  
• Analyzes data and prepares monthly reports on collections performance, payer reimbursement, payment arrangements, cash posting, credit refunds, and more.
  
  
• Responds to, investigates, and assists with resolving complaints/concerns and suggestions.
  
  
• Provides expertise and serves as a liaison to internal departments, third-party agencies/vendors, and payers.
  
  
• Pinpoints improvement opportunities and contributes to the testing of system modifications; works closely with IT staff and department managers to ensure proper implementation.
  
  
• Builds relationships and maintains contact with existing business partners that support business office functions.
  
  
• Drives continuous improvement activities by identifying and implementing strategic vendor partnerships that enhance department operations.
  
  
• Evaluates vendors and technological solutions; assists in creating RFPs and works with external parties to facilitate prompt implementation.
  
  
• Coordinates and monitors the performance of outside agencies, including periodic onsite visits.
  
  
• Assists in the development of the annual budget of the Capitation, Commercial and Government Program departments
  
  
• Monitors expenditures to ensure efficient use of resources to maintain budget.
  
  
• Maintains in-depth knowledge of and ensures compliance with regulations and standards issued by applicable governmental/regulatory agencies or third-party payers.
  
  
• Acts as a role model verbally and behaviorally.
  
  
• Promotes positive customer relations.
  
  

Department Specific Competencies

• Answers the telephone courteously within three rings, identifying self and department, routes calls, ascertains needs and takes accurate messages as appropriate.
  
  
• Serves as the point person for the department when the Director is not available.
  
  
• Maintains advanced knowledge of payer-specific billing, claims processing requirements, payer regulations and payer best practices.
  
  

Education

DegreeProgramBachelorsN/A
Additional InformationBachelor's degree in business, accounting, finance, healthcare administration, or related field.

Experience

Number of Years ExperienceType of Experience5Business Office or Revenue Cycle3Management experience Compensation Range:
$105,000 - $181,000 / Salary