This position is incentive eligible.
Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: Billing Integrity Director
Job Summary and Qualifications
The Billing Integrity Director of a Parallon Business Performance Group Shared Services Center (SSC) is accountable for ensuring the integrity of the revenue for the facilities they serve. The Billing Integrity Director has the responsibility to manage the department in an efficient, standardized and cost-effective manner that is consistent with the mission and values of Parallon Business Performance Group. The Billing Integrity Director is responsible for setting the tone for the department and to ensure all BI staff understands that regulatory compliance takes precedence over all other initiatives. The Billing Integrity Director is responsible for the daily operations of all functions and oversight of the BI team members and serves as a liaison between the Billing Integrity Department of the SSC and the facilities they serve. As the leader of the department, this person will serve as a key promoter of the SSC, which strives to meet and exceed the needs of its customers. Supervise staff and organize the structure of the program and coordinate the transition process for staff to become affiliated with the SSC. Establish and maintain relationships with all customers, including: SSC executive staff, BI staff, hospital executive management teams, department directors and others. Consult with hospitals concerning daily operations and general management of their charging processes. This position will involve ensuring that standard approved educational programs are followed, allocating and assigning duties to employees, and monitoring the activities and operations to ensure all regulatory guidelines and established goals are met within required deadlines. Additional responsibilities include conducting onsite visits to facilities, assessing workflows and operations, drafting plans for process improvement and carrying out the implementation and follow up of improvements. Other responsibilities as assigned and/or needed.
What you will do in this role:
- Primary oversight responsibility to ensure Billing Integrity is following functional standards as outlined in the BI functional standards guidebook
- Monitor and communicate any changes regarding CMS Notifications, Local Coverage Decisions (LCD) NCD (National Coverage Determinations and HCA Government Regs to Billing Integrity staff
- Maintain up-to-date knowledge of regulatory changes impacting charging practices
- Establish and maintain relationships with all customers, including: SSC executive management team, hospital executive management, department directors, Billing Integrity staff and others as needed or required
- Assess current front/back office operations, design and implement process improvements and conduct follow up review and measurement of changes
- Consult with management concerning daily operations and general management of the operations
- Ensure standard and approved educational programs are used to education BI staff and ancillary department, allocate and assign duties to employees, and monitor the activities and operations of assigned facilities, along with staff
- Perform on-site analysis of processes and Revenue Cycle Management as well as conducting follow up analysis of post-implementation operations for acquisitions
- Draft summary reports and make presentations to SSC Management Team, Division, Facility Leadership Teams and other staff during and post transition for acquisitions
- Review and make operational recommendations prior to, during and post transition for acquisitions
- Interpret and analyze AR Reports, such as, Bill 45, Bill 49, DET Reports across all facilities etc.
- Work diligently with SSC staff and Compliance to ensure integrity of revenue is maintained
- Adhere to all current Compliance requirements
- Maintain strictest confidentiality to ensure that privileged and/or proprietary information is adequately safeguarded against disclosure
- Establish controls and review mechanisms for SSC policies and procedures
- Develop specific objectives, budgets, and performance standards for each area of responsibility
- Identify and implement process improvements to lower costs and improve service to facility customers
- Assume a lead role for innovation, knowledge sharing and leading practices identification within the SSC and among peer group
- Perform staff reviews and prepare performance documents for director reports
- Practice and adhere to the “Code of Conduct” philosophy and “mission and Value Statement”
- Other duties as assigned
Qualifications:
- Bachelor’s Degree in Business or related field required. Degree requirement may be substituted by current enrollment in a Bachelor Degree program or equivalent work experience with CEO approval
- Minimum 5 years healthcare management experience with three of these years in the related area for the position. Relevant education may substitute experience requirement with SSC Executive approval
Benefits
Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
- Wellbeing support, including free counseling and referral services
- Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
- Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
- Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
- Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
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Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
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"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you find this opportunity compelling, we encourage you to apply for our Billing Integrity Director opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing - apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
