Director of Billing and Financial Services

Company: Credible Behavioral Health, Inc
Location: Rockville
Posted on: September 12, 2020

Job Description:

Director of Billing and Financial Services Overall Responsibility for Director of Billing & Financial Services:

Provide day-to-day leadership and management consistent with Credible’s Mission and core values to execute daily operations and policies of the company, establishing long-term operational efficiencies, and attaining short and long-term operational goals.

Display willingness to make timely decisions; exhibit sound and accurate judgment, support and explain reasoning for decisions, and include appropriate people in decision-making process.

Successful management of Billing Specialists and Billing Config Specialists addressing Partner needs in a timely, thorough, and accurate manner while possessing an excellent understanding of Credible and its software.

Understand the top priorities for the department as communicated by Executive Management and develop a comprehensive and actionable plan for teams to achieve them with highest quality and scalability.

Proactive management of the Billing and Financial Services Department and representation of the Billing Department in management and corporate meetings.

Oversees and ensures Billing Configuration and Outsource Billing Process Adherence and team throughput is meeting and/or exceeding goal.

Works collaboratively with IM Management, Billing Specialists, and Management to ensure Billing Services are addressing Partner’s needs and satisfaction.

Assist the VP in reviewing Billing process looking at support and current capacity and scale accordingly and be able to execute the agreed upon plan.

Coordinate Billing support needs with other Credible Departments as appropriate.

Lead process development efforts in collaboration with VP.

Ensures Billing Specialists are meeting or exceeding KPI standards.

Have full understanding and knowledge of all modules and feature functionality.

Have full understanding and knowledge of Revenue Cycle Management workflows and processes and how they incorporate into Credible Best Practices for optimal efficiency and accuracy in billing.

Collaborate with TLC Process Manager to ensure that Billing Tasks and TLC processes are adhered to.

Provide internal knowledge share.

Maintains adherence to Credible’s Escalation Policy.

Exemplify the Credible Way and utilize the tools of the Credible Way.

Exemplify the Credible Management Way and utilize the tools of the Credible Management Way

Analyze BI reporting and audit results to measure KPIs of the Billing Process and documentation standards. Provide strategies to address concerns with the VP.

Analyze weekly Supergraphics and have regular 1:1 supervision meetings with staff.

Monitor BI reports and utilize data to determine variances in order to propose corrective or preventative responses.

Utilize Credible’s domains for monitoring and supervision of processes and staff.

Assist Billing staff to meet and exceed Productivity Standards.

Ensure Partner needs are addressed in a timely manner and ensuring overall Partner satisfaction.

Develop processes and KPIs that help your team:  Maintain an awareness of implementation timelines for assigned Partners and work closely with Implementation Managers, Support Center Coordinators, Training, Consulting, Technology, Sales, and Partners to ensure that timelines are met and needs are addressed.

Contact each Outsource Billing Partner on a regular basis to gauge satisfaction and offer additional products, services, or training to improve satisfaction levels.

Accurately track and monitor performance against established standards and key performance indicators, addressing escalated issues and working with Management by taking recommendations and suggestions to improve operations.

Recruit, train, mentor and supervise team members and establish initiatives to motivate and educate staff.

Provide VP with progress toward identified KPIs

Willingness to travel 25%

Maintain 95% Adherence rate on Company and Department Policies and Procedures.

Regarded as a team player by colleagues and models company values and culture.

Success Defined for Director of Billing and Financial Services:

Promote and exemplify Partner Centric thinking and actions.

Adherence to Credible’s “Top Priorities” management focus for Billing and Financial Services.

Drive the successful implementation of Credible Management Systems, such as Green/Yellow/Red, to provide accurate and precise measures of the Billing Department’s performance and productivity.

Provide outstanding Partner Service, including timely and accurate responses, proactive Partner Issue management, the handling of all Partner requests in a professional, positive, and dignified manner.

Exemplary support and knowledge of Credible for successful utilization and optimization for Credible’s Partners.

Equip the Billing Team with tools and motivation required for success.

Establish, implement, and enforce efficient and effective processes, standards, procedures, and guidelines for the Billing Department, as approved by VP.

Create a quality monitoring process that will ensure Outsource Billing task resolution within LOI expectations, while reinforcing clearly defined key performance metrics that lead to a positive Partner experience.

Remain a positive force and resource to motivate the Billing Team on a consistent basis.

Build positive and effective relations with other Credible Directors and Management.

Drive adherence to quality guidelines as set by Management, assessing the effectiveness of training on performance, and identifying the training needs and best practices with the goal of sharing/collaborating with the Training Team to improve training methods, processes and standards.

Provide timely and accurate weekly and other reporting to VP and other Senior Management. Work directly with Credible Senior Management and others to continuously hone Credible’s billing strategy and proactive support of Medicaid Expansion activities, in order to efficiently deliver a phenomenal Partner experience.

Achieve or exceed assigned metrics.

Grow and develop the team.

Identify opportunities to sell additional products, services and training to Partners.

Provide timely data as requested, addressing actions in a timely manner.

Initial Key Drivers for Director of Billing and Financial Services:

Completion of Credible’s product knowledge, training, and customer service training programs, including, but not limited to Credible’s:

Data Dictionary interface.

Clinical interface.

Billing module.

Credible Revenue Cycle Management processes

Form Builder module.

Electronic Prescription module.

Electronic Labs module.

Custom Query Builder tool.

Credible BI.

Portal functionality including Client, Provider and Task portals.

Meaningful Use configurations and certifications.

Security and reporting matrixes.

Additional modules as they are developed.

Provide Partner support via:

Oversee the proactive management of Partner’s billing needs via Credible’s Tasks system to handle issues, answer questions, and manage feature requests.

Oversee the pro-active use of scheduled and ad-hoc phone support calls utilizing web meeting software.

Proactively communicating with Partners to assure Partner’s successful billing utilizing Credible software.

Thorough time tracking.

Create and maintain a comprehensive training program for new and existing Partner Service Coordinators.

Successfully create reports to accurately capture Department statistics, including but not limited to Billing performance, timely task ticket management, and Partner Outsource Billing KPIs.

Audit to establish a baseline for an assigned Partner base and determine outstanding issues and satisfaction levels.

Adhere to policies, processes, and procedures to improve Partner satisfaction, Billing Performance, as well as departmental efficiency and effectiveness.

Follow new technology-enabled strategies and solutions to enhance the Partner experience.

Keep informed of the latest industry developments.

Maintain skills and awareness of Credible products, acquiring training as necessary. Seek continuous improvement and achievement of stated business results and Partner satisfaction.

Coordinate communications across teams/departments/company.

Maintain knowledge of current industry information, including new thinking and new approaches.

Other duties customarily associated with Director of Billing and Financial Services, as well as other duties as necessary.

Credible is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, military status, national origin or any other characteristic protected under federal, state, or applicable local law.

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Keywords: Credible Behavioral Health, Inc, Rockville , Director of Billing and Financial Services, Other , Rockville, Maryland