Director of Business Services

Description

At The Portland Clinic our mission is to be a trusted community collaborating to improve the health and well-being of those we serve. Join our team and let us work together to offer a welcoming, inclusive environment for our patients and the communities we serve.

JOB TITLE: Director of Business Services

SUPERVISOR: CFO

HOURS PER WEEK: 40hrs (M-F)/Exempt

DEPARTMENT: Business Services

The following information is designed to outline the essential functions and position requirements of this job. It does not identify all tasks that may be expected, nor address the performance standards that must be maintained.

HIRING BONUS: $1,000 after 90 days 

PRIMARY FUNCTION: Responsible for directing, coordinating, and monitoring of Revenue Cycle functions, including: Epic analysis, insurance, referrals, coding, patient account/collections.

DUTIES AND RESPONSIBILITIES: (*ESSENTIAL FUNCTIONS)
1.    Oversee operations of full revenue cycle office.*
2.    Develop and maintain strategic partnerships with internal and external stakeholders.*
3.    Coordinate the management of employee issues for Business Services staff, including employment, training, evaluation, and scheduling.*
4.    Provide support to Branch Managers, Administration, IT and other departments as needed.*
5.    Maintain and provide staff with insurance, coding, and referral related information through different means of communication and training.*
6.    Facilitate all Revenue Cycle meetings, including creating agendas and minutes and managing follow up items.*
7.    Stay informed and deliver all details pertaining to insurance changes and education, ensuring appropriate systems are in place for claims to be paid appropriately and referrals be managed accurately.*
8.    Provide time sensitive information via daily and weekly department huddles.*
9.    Respond to patient concerns and feedback in a timely manner, providing solutions to best serve our patients.
10.    Accept daily claim runs and track claim acceptance, including verification that claims are accepted at the clearinghouse. Troubleshoot challenges with claim acceptance and processing.*
11.    Track and record daily electronic remittance files. Research and work with IT to resolve errors with electronic remittance.*
12.    Monitor all Workqueues assigned to Business Services and Coding employees – looking for areas of improvement, as well as assisting staff as needed.*
13.    Develop and implement Revenue Cycle process improvements, working closely with key stakeholders to ensure success for patients, staff, and TPC providers.*
14.    Collaborate with Quality, Risk, & Finance teams to support successful HCC meetings and appropriate coding.*
15.    Collaborate with Epic Analysts to improve workflows and Workqueue build – including Epic upgrade training and process improvements.*
16.    Maintain regular communication with all departments and leadership regarding relevant billing and coding information.
17.    Collaborate with finance and outside banking institutions to keep successful processes in place and look for areas to better service staff and patients.*
18.    Work on special projects and tasks for Administration and Physicians as requested.
19.    Work respectfully and collaboratively in a team environment with a spirit of cooperation.
20.    Attend work on a regular and consistent basis.*
21.    Participate as an active team member in a patient-centered medical home. 

REQUIREMENTS:
EDUCATION/LICENSES REQUIRED:
⦁    Bachelor’s degree OR an equivalent combination of education and relevant work experience 
EXPERIENCE/QUALIFICATIONS/SKILLS REQUIRED:
⦁    2 years of progressive supervisory experience
⦁    2 years of Business Services experience 

PREFERENCES:
⦁    Familiarity with Epic
⦁    5 years of healthcare experience
⦁    Electronic health record competency
⦁    Excellent oral, written, and one-on-one communication skills, able to communicate effectively with all levels of the organizations
⦁    Ability to interact and establish good rapport with people over the phone and in person, often in stressful situations
⦁    Strong organizational, interpersonal and communication skills
⦁    Team leadership and positive agent for change
⦁    Ability to accept responsibility and use initiative to proceed with necessary tasks without direction supervision
⦁    Compassionate, patient, tactful, diplomatic and contributes to an environment where people feel valued
⦁    Proficiency in Microsoft Word, Excel, PowerPoint and Teams

COMPENSATION & BENEFITS (Benefits eligibility begins at 20hrs/wk):
•    401k plan with Employer Matching up to 4.5% annually
•    Roth IRA
•    Comprehensive Medical, Dental and Vision insurance
•    Flexible Spending Account
•    Company provided $10K Group Life/AD&D insurance
•    Voluntary benefits: Life/AD&D, Dependent Life/AD&D, Short-Term Disability, Critical Illness, and Disability 
•    Unlimited PTO
•    One paid Wellness day per year
•    Seven paid holidays, and 1 partially paid holiday (mid-day closure)
•    Employee Assistant Program

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