Market Director Patient Finance Services
The posted compensation range of $59.41 - $89.71 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.
Virginia Mason Franciscan Health brings together two award-winning health systems in Washington state CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington, our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health, you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region. While you’re busy impacting the healthcare industry, we’ll take care of you with benefits that include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, annual bonus eligibility, and more!
Responsibilities
This job is responsible for planning, directing and evaluating patient access and patient financial/revenue cycle operational functions/services (clinic and hospital) for the assigned Virginia Mason Franciscan Health (VMFH) market in accordance with overall strategic business objectives, professional standards and applicable regulatory requirements. An incumbent provides ongoing leadership in assessing, developing, implementing and executing initiatives/programs that facilitate optimal financial performance/productivity, maximize effective utilization of resources, reduce operational vulnerability, strengthen the focus on patient access/revenue cycle accountability and generate a competitive advantage for the organization. Work involves balancing revenue stream administration with the operationalization of multiple billing requirements and managed care contracts that require exception-based handling.
Assigned functions include:
- Hospital admitting, patient access and patient account services
- Health Information Management, charge review, professional/OR coding, identification of missed revenue
- Provider audits/assessments and appropriate training to maximize revenue and minimize risk;
- Value based contracts
- Access center/ambulatory scheduling, switchboard
- Claims submission; customer service; financial assistance, self-pay
- Cash applications (payment posting, reconciliation, patient/insurance credits/refunds, etc)
- Hospital/clinic insurance billing, follow-up/denials management, auditing and appeals, recovery audit response
- Advanced revenue cycle analytics
Work is performed through subordinate management who are responsible for the day-to-day operations of assigned department(s), ensuring quality and staff productivity standards are met, accurate claims submission, timely resolution of denials/denials mitigation, and maximum revenue is realized within compliant billing processes.
An incumbent participates in long-range planning, budget administration and in the formulation/implementation of systemic and operational approaches, tactics and policies to facilitate achievement of strategic business objectives relating to assigned functions. Work also includes: 1) establishing operational metrics, controls and standards, monitoring/auditing on-going operations and adjusting resources/priorities to meet changing conditions; 2) managing third-party vendor relationships, providing oversight and guidance as necessary; 3) collaborating with Payer Strategy/Contracting to ensure contracts are optimized for revenue opportunities and that payer contractual commitments are met; 4) communicating progress on long-term initiatives/projects to key leadership and other stakeholders; 5) serving as conduit/liaison with various internal/external departments/contacts in coordinating/troubleshooting patient access/revenue cycle-related issues; and 6) ensuring that automated systems are functioning appropriately and produce timely and accurate results.
An incumbent participates in multidisciplinary teams, working VMFH and CommonSpirit Health (CSH) Leadership/management and external officials/vendors, and requiring the ability to use effective persuasion and negotiation techniques to achieve common understanding, facilitate compromise and arrive at satisfactory solutions to complex issues/problems.
Work requires considerable knowledge of the specialized principles and practices related to healthcare finance/revenue cycle management, including Medicare, DSHS, Third-party payers and other agencies, as well as a comprehensive understanding of coding/charging practices, payer contracting, billing requirements, claims processing, cost structure, patient accounting systems and other interface systems impacting these functions. Also requires the application of strong communication/change management skills and the ability to work effectively in ambiguous/stressful situations and effectively prioritize multiple changing and conflicting demands/priorities.
Qualifications
Bachelor’s degree in Business Administration, Healthcare Administration, Accounting, Finance or other related field, and seven years of progressively responsible related work experience (preferably in healthcare financing, internal auditing, financial management, and/or compliance) that would demonstrate attainment of the requisite job knowledge/abilities, including five years in a leadership/management capacity. Master’s degree in a related field is strongly preferred.
We are an equal opportunity/affirmative action employer.
Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.
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Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible employees may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit https://www.commonspirit.careers/benefits.
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Equal Opportunity
CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here [PDF].
CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.