Memorial Hermann Health System
Director, Hospital Billing (Hybrid)
Memorial Hermann Health System, Houston, Texas, United States, 77246
Overview
Director, Hospital Billing (Hybrid) at Memorial Hermann Health System. The role provides leadership, development, vision, and operational fiscal management of the Revenue Cycle for all acute care inpatient, post-acute, and outpatient facilities. Oversees administrative and technical aspects of Operations, designing and implementing systems to ensure accurate and timely management of Accounts Receivable, including billing, collections, denials, underpaid, cash management, credit balances, and vendor management. Responsible for productivity, quality standards, and creating a culture of compliance with coding guidelines, governmental and payer regulations, ethics and performance across multiple facilities. Reports to a Revenue Cycle Management executive. Responsibilities
Provide strategic guidance and direction for system-wide financial services; foster a strong financial services culture. Lead large teams in Revenue Cycle Services (Billing, Collections, Denials, Underpaid, Correspondence, Cash Management, Vendor Management, Customer Service) across up to 17 Acute Care Facilities, 163 Outpatient Facilities, and 300+ physicians; service lines include inpatient/outpatient, emergency, life flight, trauma, transplant, outpatient imaging, laboratory, rehabilitation, skilled nursing, and chemical dependency. Develop short- and long-term operational plans aligned with department and organizational goals. Contribute to Net Revenue Improvement initiatives while overseeing accounts receivable over $2.6 Billion, annual cash collections of $4.3 Billion, and annual billed claims of 2 Billion. Analyze and establish strategic plans to keep revenue cycle operations progressive and compliant; coordinate with hospital and system service departments on process consistency; stay current with regulatory requirements. Provide leadership for monthly trend analysis of operational performance with regular financial reporting. Lead change management efforts; build team effectiveness through development and mentorship. Oversee 35 to 55 staff with HR activities including hiring and performance management. Establish performance measures, goals, and sustainable outcomes; use data-driven approaches to solve problems. Ensure budgeting accuracy and financial performance: revenue, expenses, contribution margin, FTEs; prepare budgets and forecasts and address variances. Foster collaboration with multidisciplinary groups (Revenue Integrity, Clinical Documentation Improvement, Case Management, Quality, Physicians) and maintain relationships with medical staff and senior management. Maintain compliance with safety, Memorial Hermann policies, and quality standards within budgetary parameters. Promote professional growth and development; mentor staff and serve as a resource to less experienced team members. Demonstrate commitment to compassionate, personalized experiences for patients and colleagues in line with Memorial Hermann service standards. Perform other duties as assigned. Qualifications
Minimum Qualifications
Education:
Bachelor’s degree in Business or related field preferred Licenses/Certifications:
(None) Experience / Knowledge / Skills: Requires ten (10) years of hospital/healthcare business office or financial management experience with a minimum of five (5) years in a supervisory role. Proven ability to lead, motivate, develop, and mentor others. Strong analytical and organizational skills to assess information and base recommendations on data analysis. Excellent verbal and written communication skills for interaction with physicians, payer representatives, and other departments. Expertise in CMS, regulatory guidelines, and NCCI Coding Guidelines to ensure compliant billing and collections. Seniorities & Employment
Seniority level:
Director Employment type:
Full-time Job function:
Health Care Provider Industries:
Hospitals and Health Care
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Director, Hospital Billing (Hybrid) at Memorial Hermann Health System. The role provides leadership, development, vision, and operational fiscal management of the Revenue Cycle for all acute care inpatient, post-acute, and outpatient facilities. Oversees administrative and technical aspects of Operations, designing and implementing systems to ensure accurate and timely management of Accounts Receivable, including billing, collections, denials, underpaid, cash management, credit balances, and vendor management. Responsible for productivity, quality standards, and creating a culture of compliance with coding guidelines, governmental and payer regulations, ethics and performance across multiple facilities. Reports to a Revenue Cycle Management executive. Responsibilities
Provide strategic guidance and direction for system-wide financial services; foster a strong financial services culture. Lead large teams in Revenue Cycle Services (Billing, Collections, Denials, Underpaid, Correspondence, Cash Management, Vendor Management, Customer Service) across up to 17 Acute Care Facilities, 163 Outpatient Facilities, and 300+ physicians; service lines include inpatient/outpatient, emergency, life flight, trauma, transplant, outpatient imaging, laboratory, rehabilitation, skilled nursing, and chemical dependency. Develop short- and long-term operational plans aligned with department and organizational goals. Contribute to Net Revenue Improvement initiatives while overseeing accounts receivable over $2.6 Billion, annual cash collections of $4.3 Billion, and annual billed claims of 2 Billion. Analyze and establish strategic plans to keep revenue cycle operations progressive and compliant; coordinate with hospital and system service departments on process consistency; stay current with regulatory requirements. Provide leadership for monthly trend analysis of operational performance with regular financial reporting. Lead change management efforts; build team effectiveness through development and mentorship. Oversee 35 to 55 staff with HR activities including hiring and performance management. Establish performance measures, goals, and sustainable outcomes; use data-driven approaches to solve problems. Ensure budgeting accuracy and financial performance: revenue, expenses, contribution margin, FTEs; prepare budgets and forecasts and address variances. Foster collaboration with multidisciplinary groups (Revenue Integrity, Clinical Documentation Improvement, Case Management, Quality, Physicians) and maintain relationships with medical staff and senior management. Maintain compliance with safety, Memorial Hermann policies, and quality standards within budgetary parameters. Promote professional growth and development; mentor staff and serve as a resource to less experienced team members. Demonstrate commitment to compassionate, personalized experiences for patients and colleagues in line with Memorial Hermann service standards. Perform other duties as assigned. Qualifications
Minimum Qualifications
Education:
Bachelor’s degree in Business or related field preferred Licenses/Certifications:
(None) Experience / Knowledge / Skills: Requires ten (10) years of hospital/healthcare business office or financial management experience with a minimum of five (5) years in a supervisory role. Proven ability to lead, motivate, develop, and mentor others. Strong analytical and organizational skills to assess information and base recommendations on data analysis. Excellent verbal and written communication skills for interaction with physicians, payer representatives, and other departments. Expertise in CMS, regulatory guidelines, and NCCI Coding Guidelines to ensure compliant billing and collections. Seniorities & Employment
Seniority level:
Director Employment type:
Full-time Job function:
Health Care Provider Industries:
Hospitals and Health Care
#J-18808-Ljbffr