Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it’s by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.
Kettering Health Miamisburg
KH Director, Hospital Billing
JOB SUMMARY
This network wide position is responsible for the hospital billing operations, financial, andhuman resource management. This network role has direct responsibility for leading and setting strategicgoals for hospital accounts receivable management for in support of the network wide strategic plans anddirection.
ESSENTIAL FUNCTIONS
1. Meet accounts receivable and other departmental goals. Maximize KHN cash flow through top quartileperformance of accounts receivable- AR Days, Aged AR, Preventable adjustments
2. Develop and maintain operational, monitoring and reporting systems to ensure accounts receivableactivities are meeting quality, productivity and reimbursement goals.
3. Develop and maintain policies and procedures to support industry leading operations.
4. Maintain an understanding of industry standards and practices related to billing and accounts receivablemanagement and implement such standards
5. Ensure compliance with all regulatory requirements.
6. Communicate hospital Accounts Receivable goals and performance throughout the network
7. Benchmark billing/collections/cash /denial management functions with external entities to identifyopportunities for continuous improvement. Identify and propose industry leading strategies to achieve theseresults.
8. Manage the department operations within budget.
9. Participate in assessment of performance of third party payers to ensure compliance with contracts andoptimal operational performance. Work directly with payers to achieve optimal results.
LEADERSHIP ROLES:
As a member of the management team charged with leadership at Kettering Health Network, there aredistinct roles to provide for an environment of nurturing, growth, and success. These roles include: (1) Leadingthrough vision and values - which includes modeling and mentoring the values of this organization, (2)Championing continuous improvement - by providing a secure environment in which initiative is encouragedand success recognized, (3) Building partnerships - which includes improving interpersonal relationships nurturing people and the development of joint ventures with businesses in the community we serve, and (4)Facilitating learning - by modeling a personal openness to change and professional growth of myself andothers. Effective leadership defines a strategic plan that is consistent with the organization's mission, vision,and values; clearly communicates the mission, vision, values, and strategic plan throughout the organization;and fulfills the organization's vision by providing the framework to accomplish the goals of the strategic plan.
MANAGEMENT ROLES:
To achieve the goal of the leadership function, the following processes must be done well: (1) Planning forService - leadership sets a departmental mission that is supportive of the organization long-range, strategic,and operational plans, and is reflected in departmental resource allocations and policies. (2) Directing Service -leadership organizes, directs and staffs commensurate with the scope of services offered. (3) Implementingand Coordinating Service - leadership integrates patient care and support services throughout theorganization (not just within departmental confines). (4) Improving Service - leadership establishesexpectations and plans, and manages processes to measure, assess, and improve the performance of theorganization through the people and resources they direct.
JOB REQUIREMENTS
Minimum Education
• BA Preferred, or 8+ years’ experience in billing management.
• Master’s degree desired
Membership in appropriate professional organizations is considered a necessary element of this position
Participation in community organizations that enhance the effectiveness of Kettering Health Network isstrongly encourage
Minimum Work Experience
• 8+ years progressive experience in operations and management directly related to health care revenue cycle
• 5+ years management experience including leadership of large groups of employees (25+)
Required Skills
1. Knowledge in areas of health care finance, government regulations, management theory, reimbursement,budgeting, health technologies and other areas as appropriate.
2. Knowledge of best practices related to hospital accounts receivable management, billing and collectionoperations.
3. Excellent oral and written communication skills.
4. Proven ability to lead by example and engage employees
5. A passion for an excellent patient experience
6. Proficient in the Office suite of products.
7. Demonstrated ability in project management
8. Demonstrated ability in data analytics
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