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Kaiser Permanente Careers

Accounting, Actuarial & Finance

Support the Bottom Line — and the Big Picture

Create the financial strategies that affect our patients, medical centers, and future. On this team, you'll provide the strategy recommendations that drive operational and process improvement, as well as face challenging opportunities to influence the future of health care.

Director, Patient Financial Services

Location: Portland, OR Additional Locations:
Job Number: 782667 Date posted: 04/19/2019
Description:
The purpose of this position is to achieve a level of high performance in billing for both hospital and professional services through directing and managing the entire billing process. This includes data charge entry, hospital/ professional billing, cash posting, collections, medical financial assistance, and billing customer service. This role requires expertise in patient billing and collections. The position must maintain full compliance with regulatory and legal risks associated with patient billing and collections. This role is a key member of the Revenue Cycle team, with involvement in decisions affecting all areas of the revenue cycle will be required. The Senior Director will provide leadership in the ongoing management reporting and analysis of results while maintaining excellent levels of patient satisfactions with these processes.


Essential Functions:
- Develops and maintains controls within Patient Financial Services (PFS). Manage and develop a high functioning patient billing and collection team that includes manager and supervisor levels that support delegation and oversight. Direct and manage accounts receivable (A/R) to ensure accounts are collected appropriately. Continually assess and develop an organizational structure that supports high performance results. Work in partnership with labor to ensure that the contract in place is monitored and followed. Will require regular meetings, addressing of grievances, job placement issues and possibly negotiations. Identify performance indicators and benchmarks to drive improvement. Develop and maintain departmental policies and procedures to support efficient operations. Develop staff who can analyze and recommend ongoing improvements to processes, procedures, systems. Directs the timely processing of charge and cash posting payments.
- Maintain and follow guidelines of the Sarbanes Oxley requirements; ensure that required audits are completed on a timely basis, and issues identified are researched and addressed on an ongoing basis. Ensure departmental understanding and commitment to compliance with external and internal legal and regulatory billing and collection requirements, in particular, Medicare and other governmental agencies.
- Set annual goals and objectives that support high performance. Motivate staff, support KP values, and insure performance reviews are routinely performed. Responsible for developing regional training strategy, including budget, focus, and process to ensure billing staff is properly trained resulting in compliance with billing guidelines and accuracy / completeness of bills.
- Collaborates with health plan administration, medical and dental operations to provide support in the pursuit and attainment of organizational goals, including setting priorities for strategically focused areas, identifying opportunities for improvement and advising on specific areas of expertise. Serves as liaison to Accounting, Financial and Operations and other related departments to support integrated and coordinated financial operations, including reporting for senior health plan and physician leadership.
Basic Qualifications:
Experience
- Minimum eight (8) years of progressive hospital patient accounting experience.
- Minimum three (3) years of managing a large patient accounting department.
Education
- Bachelor's degree OR four (4) years of experience in a directly related field.
- High School Diploma or General Education Development (GED) required.
License, Certification, Registration
- N/A
 
Additional Requirements:
- Extensive knowledge of governmental compliance rules and issues as it pertains to health care billing, collection and other reimbursement.
- Detailed understanding of billing technical elements such as standard forms and data elements, coordination of benefit and third party liability billing and collection, electronic billing, data edit programs, reimbursement methodologies such as DRGs, APDRGs, APCs, ASCs.
- Functional understanding of health care operations and physician group practices.
- Excellent communication and negotiation skills.
- Ability to resolve complex problems.
- Financial management skills, including the ability to financially analyze data for accounts receivable, operations, budgeting, auditing, forecasting.

 

Preferred Qualifications:

- Master's degree in business, finance or accounting.
- Prior management of a union-represented staff.
- Professional billing in a hospital/clinic setting.
- Certification from HFMA or other related organization.
Primary Location: Oregon,Portland,North Interstate Services Building 7201 N. Interst Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon - Fri Working Hours Start: 8:00 AM Working Hours End: 4:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Salaried, Non-Union, Exempt Job Level: Director/Senior Director Job Category: Accounting, Finance and Actuarial Services Department: Patient Financial Services Travel: Yes, 10 % of the Time Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.

About Accounting, Finance, & Actuarial Careers

Accounting Careers

Members of our accounting team support corporate projects and lend insight to areas such as financial reporting, tax planning and preparation, and audit management. This team also includes our audit professionals, who partner with financial and operational groups across the organization to analyze budgets and streamline procedures.

Finance Careers

Supporting critical business functions such as financial services, national Medicare finance, strategic planning, auditing, and corporate finance, our finance professionals develop the strategies that enable us to meet our financial goals.

Actuarial Careers

Applying probability and statistics to the practical problems of insurance, our actuarial team performs a variety of duties, including calculating the cost of premiums and policy values, preparing statistical studies, and forecasting financial results.

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