Details
Posted: 15-Apr-22
Location: San Francisco, California
Type: Full-time
Salary: Open
The Director, Patient Financial Services sets the strategic direction in the overall operations of hospital and physician billing and collections for UCSF Health. Responsibility includes leadership of Patient Financial Services Departments at UCSF Medical Center, Benioff Children's Oakland and Langley Porter Psychiatric Hospital and Clinics as well as Medical Group Business Services (MGBS) and faculty billing outsource vendors. Position is responsible for "front end" of the Revenue Cycle (Admitting and Utilization Review) at BCHO. Position directs and reviews administration of all business operations policies and procedures. This position directs overall planning and budgeting, trend analyses and evaluation of department services and performance. The Director oversees collection of about $4.1 billion per year and directly supervises one director (likely) one Associate Director and eight Assistant Directors. This position manages several large departments with a total of 352 FTEs. The position oversees claims editing and submission for hospital billings as well as professional claims for various groups including "community connect" affiliated physicians and various related organizations. This position also oversees the "Self Pay Billing Office", which handles in bound calls (and more) for patients with self-pay balances (both hospital and professional). This position also oversees (patient) statement generation for the various entities as well as banking and electronic payment transactions including support of Epic MyChart Billing. The Director shapes short term and long term goals ensuring performance is in excess of industry benchmarks. Minimum of ten years of experience at an academic medical center or large healthcare organization at the Director Level. Significant revenue cycle experience is required.
The Director, Patient Financial Services is responsible for operational and strategic leadership of many key UCSF Health revenue cycle functions. The Director is primarily responsible for the overall operations of UCSF (West Bay) hospital and faculty physician billing departments Director also oversees patient access and hospital billing for Benioff Children's Oakland and Langley Porter Psychiatric Hospital Patient Financial Services. The scope of responsibilities includes collections of approximately $4.1 billion. The Director also oversees "shared services" functions related to patient billing/customer service, claims/remittances and more. This position oversees the daily operations as well as the long range planning for receivable management and budgeting and works with Finance in addressing charity, bad debt and reserves.
The Director will establish the strategic direction, operational vision and the implementation plan to meet current and future demands in billing, collections, compliance and reporting on hospital and physician billing and other revenue cycle processes s/he oversees for UCSF Health. In addition to overseeing hospital and physician billing, the Director oversees operations with full oversight over claims editing, submission and payment processing for UCSF Health. The Director is also responsible for the consolidated Professional and Hospital Billing Self Pay receivables and Customer Service and MyChart Billing support. The Director is also responsible for the consolidated Transplant Package Billing and Collections Unit and disbursement of funds.
The Director also oversees system support for community connect affiliated physicians from claim and/or statement generation, electronic banking/electronic remittance requirements as well as access to MyChart Billing. The position is also responsible for cash reconciliation, refund processing and reconciliation and is responsible for an integrated business office operations.
The Director, Patient Financial Services oversees through subordinated managers large departments with segmented units to enable good management and control over day to day operations and accounts receivables (A/R). Determines goals and develops strategies and policies and manages with a high degree of autonomy. Provides administrative direction to departments impacting the revenue cycle and leads department to keep the unbillable A/R and aged AR down. Directs overall planning, trend analysis and evaluation of department services and performance. Develops and implements new programs and special projects. Analyzes legislations for impact on registration, payor plans/financial classes, financial policy and operations issues to other departments. Keeps abreast of business and technology developments including assessing cost benefit of new technology. To the extent possible, leverages technology (automation, robotics, etc), intelligent and consistent policies and procedures and human capital to achieve efficiencies in revenue cycle performance and "cost to collect".
The final salary and offer components are subject to additional approvals based on UC policy.