Director of Patients Accounts

Duties & Responsibilities

Purpose of Position: Under direction, plans, organizes and directs all functions of patient accounts relating to accounts receivable control, billings, collections and eligibility determination. Implements policies, systems and procedures related to staffing, supervision of personnel, coordination, control, and audit. Ensures the department is aligned with goals established by the System and maximizes reimbursement for both inpatient and outpatient services in accordance with System policies, guidelines, and processes.

Essential Duties and Responsibilities

• Direct financial investigation to identify parties responsible for inpatient and outpatient bills.
• Direct the assessment of third‑party eligibility status, verification of coverage, preparation of approval forms, documentation of eligibility data, and maintenance of documentation flow for third‑party reimbursement.
• Coordinate liaison activities with various units, including Admissions, Emergency, Outpatient, Nursing, Medical Records, and other services to manage patient’s account transactions for preparation, delivery, and control.
• Direct review of adjustments, credits, and payments to patient accounts.
• Direct periodic review of accounts to determine the status of open accounts by source of payment and date of discharge or treatment; establish and direct mechanisms for collection efforts of delinquent accounts; refer delinquent accounts for write‑off, and accumulate data regarding third‑party bad debt accounts.
• Direct all activities for collection and control of cash receipts of patient prepayments.
• Serve as a liaison with other units to ensure processes and procedures are up to date regarding changes in rates, medical data required, procedural changes; review work activities.
• Develop, recommend, and implement new procedures to improve operational efficiency.
• Review policy and procedural changes with supervisory staff, recommending improvements to programs and practices.
• Recommend, prepare, administer, and evaluate training programs.
• Evaluate personnel performance and progress of work; make recommendations regarding placement.
• Recommend work performance standards, resolve employee complaints, and provide supervisory leadership to attain effective productivity; initiate action to accomplish objectives.
• Direct the preparation of data, reports, surveys, and management information on billings, collections, accounts receivable, and all employee relations activities. Prepare status reports, analyses, and provide recommendations to obtain optimum utilization of total resources and to maximize reimbursements.
• Perform other related duties as assigned.

Minimum Qualifications

• Bachelor’s degree from an accredited college or university in Accounting, Finance, Business Administration, Hospitality Management, or a related discipline; and
• Five (5) years of experience in accounting, finance, or business administration; two (2) of which must have been in a responsible supervisory or managerial capacity managing accounts or credits.