DIR - BUSINESS OFFICE SVCS

The Director of the Business Office at Prairie St. John's is a key leadership role responsible for overseeing and coordinating all financial and administrative functions related to the patient revenue cycle. This includes patient registration, billing, collections, accounts receivable management, and compliance with all regulatory requirements. The successful candidate will drive operational efficiency and financial health, ensuring high-quality patient financial services and an excellent patient experience

• Develops, implements, monitors, and revises the structure of, and policies and procedures for, patient accounting.
• Ensures that all policies and procedures meet compliance requirements of all governing bodies and third party payers.
• Effectively and promptly coordinates and/or assists with the completion of documents to establish contracts with third-party payers and provider numbers for individual clinicians.
• Ensures staff accurately posts charges, payments, adjustments, and transfers to/from collection agencies daily and ensures that charges are properly filed to third party payers according to established procedure and payer guidelines.
• Ensures prompt payment of outstanding claims and prompt handling of credit balances by staff.
• Maintains knowledge of third-party payer rules, particularly Medicare and Medicaid regulations, to ensure accurate and appropriate billing.
• Coordinates the completion of month-end processes for Patient Accounts and completes the process with minimal discrepancies.
• Promptly distributes appropriate month-end reports and provides ad hoc reports as requested.
• Maintains a process for prompt follow-up of denied claims by Patient Accounts Staff; Works with third-party payers to resolve situations where multiple claims are denied for the same reason.
• Facilitates and coordinates the use of patient accounting software and works with software vendors to resolve program problems and to make modifications. Works with other to departments to problem solve issues related to Patient Accounts and adapts processes as necessary to meet the needs of other departments.
• Ensures staff accurately registers and checks insurance benefits on all admissions.
• Responsible for staff selection, evaluation, scheduling, training and retention including, providing effective, positive direction to staff; meeting regularly with staff to discuss processes and goals and modifications to meet changing needs.
• Provides feedback to staff on performance, reinforcing desired behaviors and teambuilding efforts and intervening promptly in deficiencies to reduce turnover rate and formal performance measures. Completes performance evaluations, competency assessments and check-ins for staff in a timely manner.

Education: A Bachelor's degree in Business Administration, Healthcare Administration, Accounting, Finance, or a related field is required. A Master's degree is preferred.

Experience:

• • Minimum of four (4) years of experience in a multi-faceted business office, preferably in a healthcare or hospital setting.
  • Minimum of five (5) years of supervisory or management experience required.
  • Extensive experience in hospital patient accounting or revenue-cycle management