System Director, Professional Billing
UVM Health - UVM Medical Center, South Burlington, Vermont, us, 05403
Overview
The UVMH System Director of Professional Billing (PB) is responsible for the general management of the System's insurance billing and collections of professional services. This includes all day-to-day operations, quality and performance improvement planning and project execution. The System Director PB acts as a key resource for the University of Vermont Health Medical Group’s (UVMHMG) leadership and actively participates in management activities. The PB Department provides professional billing office services to UVMHMG including charge processing, accounts receivable management, system support and analytics, with strict adherence to regulatory requirements. The System Director of UVMH PB is a member of the System’s finance team and represents the professional revenue cycle across a broad array of constituents. This position is also the primary administrative liaison for UVMHMG with external payers, managed care and insurance companies regarding operational issues. Within the organization, this individual works actively with Accounting, Compliance, Revenue Management, Health Information, Coding, Patient Access Services, Hospital Billing and Information Services on revenue cycle issues. This position oversees the PB teams across UVMH, including sites in Vermont and New York.
Responsibilities
Provide general management of the System's insurance billing and collections of professional services, including day-to-day operations and project execution for quality and performance improvements.
Serve as a key resource for UVMHMG leadership and actively participate in management activities.
Lead the PB Department services to UVMHMG, including charge processing, accounts receivable management, system support and analytics, with strict regulatory adherence.
Act as the primary administrative liaison for UVMHMG with external payers, managed care and insurance companies regarding operational issues.
Collaborate with Accounting, Compliance, Revenue Management, Health Information, Coding, Patient Access Services, Hospital Billing and Information Services on revenue cycle issues.
Oversee PB teams across UVMH, including sites in Vermont and New York.
Education Requires a Bachelor’s degree in business, finance, accounting or a related field. The ideal candidate will have a Master’s degree with an emphasis in health care, business or finance.
Experience
At least seven years of progressive experience in managing the revenue cycle for a multi-specialty physician group.
Experience with Provider Based/Article 28 (NY) billing and associated organizational revenue implications is strongly desired.
Epic experience is required.
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Responsibilities
Provide general management of the System's insurance billing and collections of professional services, including day-to-day operations and project execution for quality and performance improvements.
Serve as a key resource for UVMHMG leadership and actively participate in management activities.
Lead the PB Department services to UVMHMG, including charge processing, accounts receivable management, system support and analytics, with strict regulatory adherence.
Act as the primary administrative liaison for UVMHMG with external payers, managed care and insurance companies regarding operational issues.
Collaborate with Accounting, Compliance, Revenue Management, Health Information, Coding, Patient Access Services, Hospital Billing and Information Services on revenue cycle issues.
Oversee PB teams across UVMH, including sites in Vermont and New York.
Education Requires a Bachelor’s degree in business, finance, accounting or a related field. The ideal candidate will have a Master’s degree with an emphasis in health care, business or finance.
Experience
At least seven years of progressive experience in managing the revenue cycle for a multi-specialty physician group.
Experience with Provider Based/Article 28 (NY) billing and associated organizational revenue implications is strongly desired.
Epic experience is required.
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