Job: PBO Ops Support Director - Job #: 70431

Location: US-CO-Greeley
Posted Date: 10/29/2009
Shift: Day
Category: Leadership - Positions
Department: 822 7th Street
Facility: Physician Resources
Position Type: Full-Time-FA
Shift Hours: ..
Hours Per Week: 40 hrs/week

Overview:
Banner Health has an opportunity for a PBO Ops Support Director in Greeley, CO.

This position provides supervisory, technical and administrative direction to the Physician Billing Office (PBO) Billing Managers and technical support to the Clinic Managers to ensure the accuracy, integrity and quality of the Physician Billing Office Patient Accounts Receivable. Holds responsibility for evaluating all physician billing office compliance with contractual requirements, regulatory requirements and company policies and procedures; and for providing transition support to new clients of the Physician Billing Office (PBO). Provides analysis and recommendations to PBO leaders and Clinic leaders on the management of receivables, account processing practices, software systems and compliance practices. This position is also responsible for all Physician Billing audit activities; supervises all internal and external audit activities. This position also coordinates the budget process for the PBO and maintains the financial accounts.
Responsibilities:
The PBO Ops Support Director will be responsible for:
Developing, overseeing and/or directing the development and implementation of company-wide policies, procedures and programs in conjunction with related goals and objectives for physician office and clinic interfaces with the PBO. Ensuring compliance with federal and state regulations and with established organizational policies and procedures and contractual obligations for billing.Providing managerial direction and supervision for the daily operations of monitoring and evaluating: the accounts receivable; sound cash control and cash application principles; account processing practices and contractual and regulatory compliance; financial and budgetary performance; technical and support services.Developing, validating, and providing reports and analyses for Patient Financial Services leadership and for client clinics regarding: the accounts receivable statuses; account processing practices; accounts receivable management; physician clinic performance and special project analyses.Overseeing all auditing work. Interfacing with internal and external auditors and PBO management and staff to coordinate and supervise all audits and to review activities regarding the PBO Patient Accounts Receivable.Acting as a member of the system Patient Financial Services leadership team in conducting strategic planning and providing operational leadership to achieve goals in revenue management. Representing PBO operations in System-wide, multi-disciplinary task forces and work groups to improve company and physician revenue cycle management operations and activities.Directing personnel actions including recruiting, new hire actions, interviewing and selection of new staff, salary determinations, training, and personnel evaluations. Developing work goals and objectives for the department in accordance and alignment with company goals; provides leadership, measures and feedback, and motivation for staff achievement of departmental goals. Improving departmental operations by developing managerial skills, analytical skills and technical knowledge among direct reports and staff.Managing the electronic process that include, but are not limited to: claims submission, payment posting, bad debt transfers, eligibility and insurance verification, electronic funds transfers. Managing vendors and vendor performance for all PBO specific software. Ensuring all transactions are HIPAA compliant. Coordinating and facilitating requests for new software systems and tools, ensuring appropriate analysis of software systems. Coordinating these functions for all areas of PBO as well as for some areas of the Physician Clinics. Managing the Next Gen conversion process for all Physician Clinics new to the PBO.Acting as the financial controller for the PBO. Developing and maintaining annual budgets, monitors expenditures and provides financial reporting for the PBO. Coordinating and managing all Capital Requests for the PBO.

This position requires the skills and knowledge usually demonstrated by a Bachelors degree in business, finance, or a related field.

Requires two or more years experience with accounts receivable in a patient accounting system, and three or more years of demonstrated managerial and organizational development experience. Must have a broad understanding of medical accounts receivable management and the accounting processes of physician revenue management. Good analytical and interpretive skills are required to evaluate financial and operational performance. Effective verbal and written communication skills are required. Effective interpersonal skills are required to deal with all levels of management and external contacts.

Requires a high level of knowledge and skills in the use of databases, spreadsheets and analytical tools, and the ability to effectively integrate and interface a variety of billing practices and software.

PREFERRED QUALIFICATIONS:
A Masters degree in business or accounting is preferred.