Associate Director, Patient Accounting
 Ohio State University Wexner Medical Center | |
 United States, Ohio, Columbus | |
| 281 West Lane Avenue (Show on map) | |
 Feb 07, 2025 | |
| Scope of Position The Revenue Cycle Department of Patient Accounting is responsible for managing the Health Systems patient account receivables. The Health System includes all facility billing for University Hospital, Ross Heart Hospital, University Hospital East, The Arthur G. James Cancer Hospital, OSU Harding Hospital, Dodd Hall Rehabilitation, Brain and Spine Hospital, OSU Ambulatory Surgery Centers, and all facility based ambulatory settings. Charging, coding, insurance, and other demographic information are captured throughout various stages of the Revenue Cycle and fed to the hospitals billing system for claim submission. Review and editing of claims are performed to ensure accuracy of submission to third party payment sources. Billing information technology systems are put in place to efficiently manage the volume of claim activity and ensure timely processing of claims. The department includes government and commercial billing and follow-up teams, a cash posting team, a customer service team, a credit and collections team, and an analyst team. Position Summary Primary responsibility for the position includes management of staff, including Manager(s), Supervisor(s) and leads. Responsible for the daily direction and management of Patient Accounting teams, primarily involving oversight of the insurance billing and follow-up processes between the Ohio State University Health System and third party payers. Direct and indirect supervision of insurance and patient billing processes; development and implementation of departmental policies and procedures; representative of department in Medical Center meetings and committees; overseeing the use of billing edits to ensure compliance; involvement in departmental budgeting and monitoring of budgets. Performing analysis of government and managed care payers to determine trends and implementing plans of action to address potential issues. The position will be responsible for ensuring compliant and efficient billing practices are in place to maximize net revenues, which currently exceeds $4B annually. The position will be responsible for managing accounts receivables to ensure claims are resolved in a timely manner and meeting department accounts receivables targets. The position will focus on oversight and optimization of staff performance scorecards to provide regular feedback to staff and management on productivity and quality metrics. The position will oversee the Special Billing section of the department, which includes global billing agreements such as transplant, and other programs requiring unique billing arrangements. These sections of the department consist of (3) Managers, (3) Supervisors, and (43) Patient Financial Services Representatives. The position will oversee the Revenue Cycle QA section of the department, which includes monitoring quality of information entered in Patient Access areas and providing feedback/education to Revenue Cycle areas on accuracy of information that ultimately impacts clean claims. This section of the department consists of (1) Manager and (5) Analysts. The position will be a representative for the Medical Center on various external healthcare revenue cycle committees, including the Ohio Hospital Association and Ohio Epic Users Group.This position will be responsible for creating and maintaining department policies.The candidate will support a culture of staff engagement, accountability, and transparency. Minimum Qualifications For Hire: At least five years of health care experience; bachelors degree, or demonstrates equivalent combination of education and experience. Demonstrates thorough knowledge of federal and state regulations for Medicare/Medicaid as well as managed care payer regulations. Experience with Microsoft office systems, particularly Excel and database knowledge /queries required.Experience with Epic Hospital Billing systems preferred. | |