Midwestern University Director of Patient Accounts - IL - Finance in Downers Grove, Illinois
The Director of Patient Accounts leads and supervises all patient accounts activity for the Midwestern University medical clinics at the Downers Grove, IL location. The clinics include Family Medicine, Speech Language Institute, Physical Therapy Institute, Eye Institute and Dental Institute. The Director also oversees all credentialing activities. The position reports to the Sr. Vice President/CFO.
Essential Duties and Responsibilities
Organize, direct, coordinate and evaluate the following: clinic patient scheduling, registration, cashiering, refunds to patient and third parties, billing/collection activities, cash application
Work in conjunction with University Administration, Clinic Administration and various academic programs to reach and maintain financial and accounts receivable goals, establish policies and procedures, HIPAA and HiTech, and develop and maintain excellent customer service
Interview, hire, train, manage, develop and evaluate patient account staff members
Ensure that all Federal, State and other third party billing, collecting and follow-up requirements and regulations are achieved
Manage and coordinate accounts receivable functions/ reporting to ensure efficiency and maximize reimbursement. Analyze processes to identify payer issues, results and progress, implement plans for improvement and keep bad debt to a minimum
Participate in various university and clinic audits as it relates to finance, billing, and coding
Participate as a member on various clinic committees
Participate as a member of HFMA and MGMA
Oversee the application, approval, and administration of the Midwestern University clinic hardship program
Prepare, implement, and monitor patient account budgets for Midwestern University clinics
Assist in research, development, and implementation of new services and programs
Ensure compliance with payer contracting agreements
Manage and direct credentialing activities for all Midwestern University clinic providers in conjunction with the credentialing agency
Reviews new/existing payer contracts for language/terms applicable to the finance dept.
Develop strong and effective relationships with vendors and contracted partnerships in order to exchange information and resolve issues of financial impact
Review month-end reporting to develop, implement and monitor benchmarking/metrics for patient accounts
Coordinate annual retreat for Patient Accounts dept.
Mentor, coach, teach Managers on best practices in HR/employee relations, organizational hierarchy, communication protocol
Develop/revise policies and procedures for finance dept., as needed
Prepares all payer EFT forms
Implement changes directed by regulatory agencies
Other duties may be assigned
The position is responsible for the supervison of 3 staff members, 2 of which hold supervisory roles: Manager of Patient Accounts - Dental Institute, Manager of Patient Accounts - Eye Institute & Multispecialty Clinic. The 3rd staff member is the Patient Accounts Credentialing Coordinator.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
A Bachelor’s degree required, Master’s degree preferred. A minimum of 5 years management experience and a minimum of 10 years of experience working in an integrated clinic environment is required. Knowledge of Federal and State guidelines, managed care contracting and credit and collection policies is also required. A high level of interpersonal skills, problem solving and strong analytic abilities is necessary to be successful in this position.
Computer proficiency in MS Office (Word, Excel, Outlook). Experience with Medical/Dental/Optometry/Veterinary practice management systems, EHR, payer websites, clearinghouses.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to talk, hear, stand, walk, reach with hands and arms, use hands to handle and feel. The employee must occasionally lift and /or move up to 25 pounds.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
Midwestern University is an Equal Opportunity/Affirmative Action employer that does not discriminate against an employee or applicant based upon race, color, religion, gender, national origin, disability, or veterans status, in accord with 41 C.F.R. 60-1.4(a), 250.5(a), 300.5(a) and 741.5(a).