Scope of Department:

The Department of Patient Financial Services is responsible for managing the Health System's 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, and Brain and Spine Center. Charging, coding, insurance, and other demographic information captured throughout various stages of the Revenue Cycle and are fed to the hospital's 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:

This position, reporting to the Associate Director of Patient Financial Services, is responsible for the daily management of the third party insurance billing and collection activities within the Patient Financial Services and combined Central Business Office (CBO). Primary responsibility of this position will be management of staff, supervisors, and leads. Position will be responsible for ensuring compliant and efficient billing and collection operations. Will assist in development and presentation of staff productivity and qualify scorecards. Will identify and escalate issues preventing timely resolution of AR and cash collections. Will meet regularly with payer representatives to address any processing delays.

Minimum Required Qualifications:

Bachelor's degree or equivalent experience. Advanced degree may be desirable. 5 years of relevant experience required. 8-12 years of relevant experience preferred.