Director, Eamg Financial Operations – Eamg Administration

DIRECTOR, EAMG FINANCIAL OPERATIONS
– EAMG ADMINISTRATION FEATURED

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Job Title: Director
– EAMG Financial Operations

Supervised By: Vice President of EAMG

Department: East Alabama Medical Group (EAMG) Administration

The Director of Financial Operations for East Alabama Medical Group provides leadership, direction and ongoing administration and management for all aspects of patient financial services for the East Alabama Medical Group (EAMG) to ensure the corporate strategic financial initiatives, goals, objectives and future business needs of EAMG are met.

POSITION RESPONSIBILITIES SUMMARY :

• Day-to-day oversight/management of financial operations to include contract reviews, financial analysis including new practice or new service proforma work, oversight of coding and reimbursement performance data to address compliance issues and conducting data analysis to advise Vice President of EAMG and Vice President of Revenue Cycle on effective strategies to improve revenue;
• Financial/budgeting, staff resource, relationship management, revenue management, charge management, coding, receipts processing, accounts receivables, patient billings, payment variance, revenue integrity, ambulatory clinic operations and systems support;
• Departmental operational oversight as directed/needed to achieve efficient operation, management and achievement of stated goals.

QUALIFICATIONS :

Required:

• Bachelor’s Degree in Business Administration, Finance, Healthcare Administration or a related field.
• Minimum of seven (7) years’ healthcare work experience, including both three (3) years’ supervisory experience and three (3) years’ financial leadership experience within a large multi-specialty physician practice or health system based Medical Group.

Preferred:

• Master’s Degree in Business Administration, Healthcare Administration or Finance.

Special Skills, Abilities, and Knowledge:

Required:

• Demonstrated experience in financial budgeting, registration processes, order tracking/revenue management, charge management, coding, clinical documentation improvement, patient billing, payment variance, revenue integrity, physician compensation plans, ambulatory clinic operations, systems support and EMR optimization.
• Strong background in financial analysis, revenue cycle management, payor contracting, and reimbursement requirements.

  Proven verbal, quantitative, financial and interpersonal skills.

• Ability to read, write, and speak English; proficiency in other languages is a plus.
• Ability to exercise initiative, sound judgment, problem solving and decision making.

  Must possess a strong attention to detail.

• Ability to analyze and interpret complex financial data and prepare/present comprehensive reports.
• Excellent interpersonal skills with the ability to engage at all levels of the organization; demonstrate a professional and adaptable demeanor with internal and external clients, including physicians, administrators, peers, and support staff.
• Proficiency in Microsoft Office, including Word, Excel, and other applicable computer/software applications.
• Ability to work with minimum supervision, set priorities, and follow through to accomplish results.
• Highly-motivated self-starter comfortable leading and managing in the listed areas of responsibility.

Preferred:

• Knowledge of hospital finance administration, grants and contract management preferred.

RESPONSIBILITIES:

• Perform all functions according to established policies, procedures, regulatory and accreditation requirements as well as professional standards.
• Staff Resource : Interact closely and communicate with leadership of EAMG and Physician leadership regarding financial operations.

  Serve as a key leader on compliance and reimbursement issues regarding coding and claims.

  Analyze and understand the similarities and differences of hospital and physician revenue cycle and implement improvement strategies to collect every dollar due in a timely manner.

• Relationship Management: Work actively and cooperatively with co-workers as a team to achieve stated organizational goals.Work closely with Revenue Cycle and Accounting departments to ensure efficiency and provide feedback regarding system or process improvement opportunities and participate in resolution of such in a proactive and positive manner.
• Charge Management & Receipt Processing : For EAMG, provide oversight of charge capture processes to include EMR charge capture, coding management and charge interfaces to result in reduced reconciliation time frames.

  Review payment posting process, which includes both electronic and manual posting.

  Work with Directors/Managers to ensure all technical resources are utilized to maximize electronic posting where possible.

• 3 rd Party/Accounts Receivables/Denial Management : Provide regular review and analysis of Accounts Receivable balances and activity management.

  In collaboration with the Revenue Cycle Department, work with managed care A/R to ensure timely payments.

  Ensure the EAMG claims process is managed timely with proper adjudication procedures.

  Collaborate with directors to manage third party vendor relationships and other contractual relationships.

  Intervene with clearinghouses and third-party entities when necessary.

  Closely monitor third party payments for potential payment variance and overall compliance with contractual agreements.

  Pursue additional payments as appropriate.

  Ensure timely billing and follow up of all balances related to 3 rd party payors including government, managed care, commercial and special payors.

  Investigate and implement strategies to reduce time to payment with low cost.

• Patient Billing Process: Collaborate with EAMG leadership to ensure timely billing and follow up of all patient due balances to include co-pay collection, pre-payments for self-pay services, patient statement process, self-pay collection calls, charity care and ability to pay analysis, settlement of outstanding balances and collection agency vendor management oversight.
• Revenue Integrity: Manage revenue enhancement through the implementation and oversight of coding education and revenue cycle analytics; ensure documentation and coding principles are adopted and communicated regularly.
• Departmental Operational Oversight : Set clear expectations and hold EAMG team members accountable for producing desired outcomes.

  At times, direct and oversee personnel actions including recruiting, interviewing and selection of new staff, performance reviews, salary determination, and efficient utilization of resources to maximize operating margin.

  Promote a culture that results in high employee retention and satisfaction and ensure all staff members are well informed and recognized appropriately.

About EAMC:

East Alabama Medical Center (EAMC) is a regional referral hospital with a Level 3 Trauma Center and 340-beds located in Opelika that serves 11 regional counties.

The EAMC organization includes EAMC-Lanier hospital in Valley; between the two hospitals and their collective service lines, there are approximately 3,500 employees in the organization.

EAMC is Lee County’s second largest employer, with Auburn University being the first.

Among the services that EAMC provides are open-heart surgery and cancer treatment, both of which are highly acclaimed specialties at EAMC.

EAMC offers Woman and Children’s Services and a Level II Nursery.

EAMC also operates non-mainstream services, including RehabWorks, HealthPlus Fitness Center, the Diabetes & Nutrition Center, the Wound Treatment Center and the Auburn University Medical Clinic.

EAMC-Lanier has a nursing home, acute rehab unit and offers occupational medicine.

EAMC has a long tradition of service to its patients, physicians, community and employees.

From the highly regarded Cornerstone program, which reaches out with financial support to EAMC employees in need, to a generous benefits package that meets the unique needs of our employees at a reasonable cost, EAMC feels that a workforce that is cared for will do a much better job of caring for patients.