Description

At NorthBay Health, the Director of Patient Financial Services Hospital Billing will be responsible building and leading a highly effective centralized billing, follow-up, and collections department for NorthBay Health hospitals, ambulatory surgery centers, collaborate closely with and contributed to the success of other areas of the NorthBay Revenue Cycle, including but not limited to, front-end and middle revenue cycle operations, ambulatory revenue cycle operations, as well as collaborating with non-Revenue Cycle areas of NorthBay to contribute to the overall operational, financial, quality, and safety achievements and excellence of NorthBay Health. This includes mentoring, guiding, developing, training, and evaluating the patient accounting team.

PRIMARY JOB DUTIES/RESPONSIBILITIES

• Manages hospital, facility, and technical services billing and revenue collection, follow-up, and accounts receivable of all NorthBay hospital, facility, and technical billing, including non-profee post-acute services.
• Collaborates with the larger Revenue Cycle Team and the NorthBay operational, IT teams, providers, administrative teams, and leaders to provide an excellent patient experience and patient care.
• Plans, organizes and manages all activities of the Patient Financial Services Department.
• Recommends and implements policies and procedures as appropriate to enhance the billing and collection process.
• Recommends and implements policies and procedures to enhance the collection of information necessary to manage capitation, contracting and reimbursement of services provided.
• Reviews billing, coding, provider billing manuals and regulatory requirements with staff and physicians to ensure required ongoing education is provided and to maintain billing compliance with all contractual and regulatory stipulations.
• Reviews and communicates all managed care and other third-payor contracts to ensure smooth and efficient processing of claims and reimbursements.
• Prepares accurate and timely financial reports in order to measure the effectiveness of billing, compliance and productivity.
• Develops audit mechanisms in order to provide enhanced education on coding, reimbursement and billing compliance.
• Provides accurate and timely operational and program reviews accompanied by reports that reflect analysis and summary conclusions and, as appropriate, outlines recommendations and alternatives.
• Establishes and evaluates work system designs, policies and procedures, standards and protocols to enhance departmental productivity.
• Administers the administrative and personnel policies of the System in a consistent and uniform manner.
• Responsible for achieving system Key Performance Indicators (KPI), Benchmarks, and system goals as established by Revenue Cycle and NorthBay Leadership.
• Work with other departments and make sure all the billing defects and denials are getting fixed at the area of origin.

QUALIFICATIONS
Education:

• Bachelor’s degree in Finance, Business Administration, Health Administration, or a related field, other majors will be considered if balanced with at least 10 years directly related revenue cycle experience. 

Experience:   

• Minimum of 8 years in a healthcare setting with directly related Revenue Cycle experience, including at least 3 years in a leadership role within a healthcare setting.
• Knowledge of business acumen and EMR experience required. 
• Comprehensive knowledge of Revenue Cycle operations and reimbursement principles, and of federal and state compliance regulations, HIPAA, Title 22, The Joint
• Commission regulations and CMS Audit guidelines.  
• Comprehensive knowledge of EHR applications pertinent to health information management and computerized data repository functions required. Specific experience with either Cerner Millennium or EPIC Systems is preferred. 
• Proven track record of driving revenue cycle performance improvements and managing cross-functional teams. 

Skills:   

• Excellent oral and written communication skills required.  
• Must possess teaching ability, leadership ability, and high professional standards.  
• Must be well organized, be able to set priorities, work independently and is an effective team member.  
• Word Processing skills required.  
• Demonstrated ability to engender confidence and trust. 
• Fluent in project management, change management and process improvement methods.  
• Working knowledge of Microsoft Office applications.  
• Demonstrated facilitation, conflict resolution, presentation and problem-solving skills. 
• Experience with computerized HIM, Encoder and data repository functions.  

Interpersonal Skills:  

• Demonstrates the True North values. The True North values are a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at NorthBay Health. The True North values principles consist of Nurture/Care, Own It, Respect Relationships, Build Trust and Hardwire Excellence.

Compensation: 

• $185,000 to $200,000 annually based on years of experience doing the duties of the role. 
• This position is bonus eligible.

About Us

Why NorthBay Health

NorthBay Health is an independent, nonprofit health system serving the Napa, Solano, and Yolo County regions. We are expanding access to care across our communities through two acute-care hospitals, including a Level II Trauma Center and a Level III NICU maternity unit, along with a cancer center, urgent care locations, and a growing network of primary and specialty care clinics.

We provide advanced services in cardiovascular care, neuroscience, orthopedics, surgery, and outpatient specialties. NorthBay Health is nationally recognized for quality care, including Magnet with Distinction designation for nursing and multiple U.S. News and World Report high performing recognitions.

We are committed to being the trusted healthcare partner of choice and offer an environment where employees can grow, contribute meaningfully, and support the health of our communities.

NorthBay Health Benefits Options

NorthBay Health offers a comprehensive benefits package based on established eligibility requirements. Benefits may include medical, dental, and vision insurance, life, disability, and long-term care coverage, paid time off including vacation, sick leave, holidays, and bereavement, a 403(b) retirement plan with employer match, education reimbursement for eligible roles, professional development and training programs, Employee Assistance Program, wellness programs, recognition programs, shift differentials, and market-based compensation review and increases subject to approval and organizational performance.