Job Description

MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models.

Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.

Title: Director, Collections

Location: Fountain Valley, CA

Department: MCMF Physician Billing Services

Status: Full-time

Shift: Days

Range: $122,179.20 - $167,980.80 annually

At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. MemorialCare stands for excellence in healthcare. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation and teamwork.

Position Summary

The Director of Collections oversees the Collection Teams of the MCMF Physician Billing department under the direction of the Vice President of MSO/ Revenue Cycle services. The span of control for this roll includes both Nautilus MSO and MCMG. The position is responsible for collections functions, including ensuring that department activities comply with Federal and State regulations and collection SLAs and that collection KPIs are maintained at or favorable to industry standards.

Oversees the interaction and personally interacts with physicians and office staff to develop and maintain effective collection protocols. This role ensures ongoing communication and valuable relationships with internal and external customers. Consistently provides ongoing evaluation and refinement of internal collection processes to ensure maximum productivity and results. Conducts proactive analyses, monitors reimbursement trends, and maintains up-to-date knowledge and proficiency concerning coding guidelines and medical billing requirements. Reports results and metrics monthly to the Vice President of MSO/ Revenue Cycle Services, internal leadership, and clients as required.

1. Directs all aspects of the collection process through effective oversight and process development, monitors accounts receivable performance to ensure acceptable collection results for both MCMG and Nautilus Billing Service clients
2. Provides direction and guidance to collection supervisory staff regarding resource allocation, personnel management issues, process evaluation and improvement, customer relations, etc.
3. Utilize automated system reporting capabilities to analyze accounts receivable and implement programs to ensure prompt collection. Appropriately reports results and performance metrics to the VP MSO/ Revenue Cycle and designated stakeholders.
4. Develop and employ analytical tools and other monitoring mechanisms to proactively identify potential reimbursement and compliance issues.
5. Interacts with senior management and multiple departments to collaborate on shared issues and coordinate operational policies and strategic direction.
6. Ensures that collection areas' work and policies are consistent with MCMF compliance program, including continual process review to ensure compliance with all applicable regulations
7. Promotes and maintains positive relationships with internal and external customers.
8. Stays abreast of changes in billing and reimbursement issues, new legislative programs, insurance, regulatory requirements, etc., and ensures appropriate communication to stakeholders. Functions as subject matter expert for ambulatory billing issues.
9. Works collaboratively with MCMF Operations leadership to coordinate revenue cycle activities with medical clinic front office functions.
10. Participates in or leads workstreams for special projects related to the collection’s areas.

Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more...Check out our MemorialCare Benefits for more information about our Benefits and Rewards.

Minimum Requirements

Qualifications:

7 years’ experience in accounts receivable management. Proficiency with process improvement, A/R monitoring techniques and spreadsheet applications

Proven ability to evaluate key operational processes and identify opportunities for improvement and streamlining. Expertise with policy and procedure development.

Human resource management abilities and experience managing complex department structures.

Strong verbal and written communication skills.

Proven ability to interact effectively with physicians, other department heads and senior management personnel.

Excellent data analysis skills and experience with developing automated reports. Ability to present data in a coherent and actionable manner.

Proficiency with budgeting and financial oversight of multiple departments.

Experience with strategic planning, goal setting and prioritization.