[Hiring] Associate Vice President-CBO-Hospital Billing Insurance Collections @Texas Health Resources

Role Description

Are you looking for a rewarding career with top-notch benefits? We are looking for a qualified Manager like you to join our Texas Health family.

Position Highlights:

• Oversee and lead the Billing and Claims Edits and Claim Stops and/or Collections and/or Patient Financial Experience.
• Work location: Fully remote within the DFW area.
• Work hours: Full Time, Monday – Friday, 08:00 AM – 5:00 PM.

Key Responsibilities

• Strategically lead THR CBO Billing, Follow-up or Pt Financial Experience (PFE) department.
• Responsible for training and development of the CBO Billing, Follow-up or PFE Team.
• Develop strategies to maximize reimbursement and reduce costs.
• Ensure compliance and regulations are satisfied with major commercial and government payers as well as government agencies.
• Develop the entire assigned team and departmental directors/managers/FTEs.
• Lead activities to optimize and improve the hospital revenue cycle.
• Work with vendors and ITS to make continuous changes and improvements to the host system.
• Ensure processes are in place to review and approve adjustments and refunds.
• Lead, manage, plan, organize, and implement multiple and complex applications, tools, and projects.
• Conduct project meetings and oversee the directors/managers/FTEs.
• Monitor assigned revenue cycle projects and results for deviations and corrections.
• Ensure adherence to quality standards and review project deliverables.
• Serve as major point of contact for THR Entity Financial Officers and other THR Officers.
• Manage THR client relations with entities, HIM, Revenue Integrity, Compliance, ITS, and other key stakeholders.
• Partner closely with ITS and vendors to ensure technology is designed appropriately.
• Monitor performance reports, dashboards, and industry comparisons.
• Responsible for Siemens, CPSI, and EPIC Billing system performance.
• May lead Coverage Discovery, Authorization, Customer Service, Follow-up, Denials, Client Billing, Patient Collections, Litigation oversight, Claims, and Correspondence.
• Stay up-to-date with industry news, trends, and available tools.

Qualifications

• H.S. Diploma or equivalent with 7 years experience running consolidated revenue cycle for multi-hospital system in lieu of degree required.
• Or, Associate's Degree and 5 years experience required.

Requirements

• 5 years EPIC Systems / EPIC Installations / Revenue Cycle and/or Billing Experience required.
• 5 years working with large multi-hospital complex health/hospital systems required.
• 5 years Multi-Facility Revenue Cycle Leadership Experience required.

Licenses and Certifications

• 5-10 EPIC Certifications in Billing / ITS / Revenue Cycle preferred upon hire.

Skills

• Ability to manage large complex healthcare revenue cycle/billing organizations.
• Ability to lead large and multiple teams.
• Contribute and participate in overall strategy and compliance initiatives.
• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or government regulations.
• Ability to write reports, business correspondence, and procedure manuals.
• Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
• Ability to read financial reports and legal documents.
• Ability to calculate figures such as discounts, interest, commissions, proportion, percentage, area, circumference, and volume.
• Ability to apply concepts of basic algebra and geometry.
• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
• Ability to deal with problems involving several concrete variables in standardized situations.
• Knowledge of Patient Accounting Systems, PC (Microsoft Office Software), Scanning Document Systems, and fax.

Benefits

• Outstanding career growth and professional development opportunities.
• Comprehensive benefits package.

Company Description

At Texas Health Resources, our mission is “to improve the health of the people in the communities we serve.”

As part of the Texas Health family and its 28,000+ employees, we’re one of the largest employers in the Dallas Fort Worth area.

Come be a part of our exceptional team as we improve the health of the people in our communities every day. You belong here.