As an accomplished revenue cycle expert, you will undertake a key leadership role supporting all front end and back office revenue cycle processes which enable the CHRISTUS Health Northeast Texas region to achieve its overall strategic and financial goals by continuing to drive best practice and optimal RCM performance. The CHRISTUS Health Northeast Texas region is comprised of over 9300 associates, 14 Hospitals, 91 Clinics and over 700 Physicians.
This position will plan, organize and direct all aspects of the functions of the Hospital and Clinic Business Service activity to ensure timely, legally compliant, and accurate billing while maximizing the cash flow related to the collections of Account Receivable for all CHRISTUS NETX Hospital and Physician locations. This includes all insurance and patient billing, insurance follow-up, cash management and payment variance management. This position will work closely and in collaboration with the Patient Access Center, Coding and Clinical Documentation Improvement, and Revenue Integrity.
Key Responsibilities include:
Ensuring high-quality service in a caring and compassionate atmosphere which recognizes the individuals' needs and rights.
Directs overall Billing and Collections activities in accordance with current applicable standards, guidelines, and regulations.
Collaborates with hospital administration to develop the strategic plan for the department, including assisting with the preparation of the operating and capital budgets. Responsible for meeting finance/operational annual and monthly goals.
Develops and maintains all business policies pertaining to insurance and patient billing and collection practices.
Prepares and presents monthly reports and benchmarks progress.
Manages the training, supervision and job evaluations of assigned associates.
Ensures systems and controls are in place as outlined in policy and procedure manuals. Meets established daily, weekly, and monthly deadlines.
Directs processing of accounts receivable, adjustments/refunds, private and third-party agencies, ancillaries, cash deposits, and posting.
Oversees all month end processes, including completion of data entry, review and correction of edits, and reconciliation of claims transactions.
Supervises the preparation of accounts for outside collection agencies, attorneys, and write-offs.
Coordinates documentation for internal and external auditors. Assists administrator and accounting department with resolving G/L variances.
Maintains knowledge of third-party payer regulations including Medicare, Medicare Advantage, Medicaid, Champus, Workers Compensation and non-governmental payers.
Bachelor's degree in business, healthcare administration or related field (Master's preferred).
15+ years of progressive revenue cycle experience.
5+ years Business office management/director experience.
Integrated healthcare delivery system experience preferred.
CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.