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Katahdin Valley Health Center\
Job Description\
Billing Director
Reports To: Chief ExecutiveOfficer\
Status: Salaried\
Facility Location: Patten South\
Hours: Varies
POSITION SUMMARY\
The person in this role will effectively lead the billing department
with direct oversight of the Billing Manager and the Billing Department.
The Billing Director is responsible for all third-party contract
recommendations to the Chief Financial Officer and the Chief Executive
Officer. The Billing Director is responsible for the strategic direction
of the department. The Billing Director is responsible for the
development, implementation, and administration of all policies and
procedures relating to revenue cycle management.
RESPONSIBILITIES\
Working knowledge in areas of patient access, billing, accounts
receivable, cash management requirements, health insurance, and business
office operations.\
Ensures compliance with regulations and billing and collection
policies in order to facilitate the attainment of accounts receivable
(AR) targets.\
Responsible for management of the Billing Departments, including
timely annual performance appraisals, quality controls, training,
hiring, and any staff discipline as needed.\
Oversees accounts receivables and ensures KVHC collects maximum
appropriate payments for all disciplines.\
Assists in the development and maintenance of financial and
accounting policies and procedures.\
Assists in the development and review of department level training
tools and plans for all roles in the Billing Department as well as
support roles impacting revenue cycle management.\
Manages and negotiates managed care contracts with the Chief
Financial Officer and the Chief Executive Officer.\
Leads revenue cycle improvements throughout the organization,
including working with appropriate individuals in the front office,
medical records, billing, etc., to aid in the resolution of identified
revenue cycle issues.\
Performs ongoing trend analysis on third-party payer payment levels
to ensure that reimbursement is in accordance with allowable amounts
stated in agreements and contracts. Works with appropriate individuals
to resolve discrepancies.\
Develop monthly financial analysis to monitor revenue cycle
management.\
Performs month-end accounting functions as directed by the Chief
Executive Officer.\
Supports the development of current infrastructure and special
projects, e.g., capital budget, department P and Ls, departmental
budgeting.\
Assist with the management of administrative functions, including
risk management and employee compensation, benefits, and relations;
contract negotiation, administration, and compliance in conjunction with
Chief Executive Officer, Chief Operations Officer, and Human Resources
Director.\
Implement segregation of duties for all supervised departments.\
Involved in financial strategic planning.
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Stays current on all Medicare, Medicaid, and other grant and
government reimbursement regulations and communicates information.\
Represents KVHC as requested.\
Participates in senior management oversight of KVHC.\
Assumes other financial management, leadership, and administrative
responsibilities as requested.\
Performs additional duties or projects as assigned by the Finance
Officer.\
Adheres to all KVHC policies and protocols.\
Complies with all safety rules and protocols. Reports all incidents,
regardless of severity, immediately to their supervisor and completes an
incident report and investigation form, which will be forwarded to Human
Resources within 24 hours of the incident.\
Conducts themselves as a good steward in the communities served by
KVHC; represents the organization at outreach activities as needed.\
Actively participates as committee member as assigned by the Chief
Executive Officer.\
Interacts harmoniously and effectively with others. Focusing on the
attainment of organization goals and objectives through a commitment to
team work.\
Conforms to acceptable attendance and punctuality standards as
expressed in the employee handbook.\
Abides by the organizations compliance program and requirements\
At times you may be faced with challenges that may impact patient
care. Addressing these challenges may not be in your job description,
however Katahdin Valley Health Center encourages each team member to go
above and beyond to address the patients needs in the moment. Employees
have the autonomy to see the care experience through from A to Z to show
our patients KVHC C.A.R.E.S.\
The employee may be responsible for traveling to multiple locations
as specified in their job offer and/or contract.
PROFESSIONAL EXPECTATIONS\
Admit mistakes or missteps openly, own your own behavior, forgive one
another, and model vulnerability and humility.\
Keep discussions about team members, subordinates, and colleagues as
well as challenges in the workplace, positive, constructive, and
factual.\
Be mindful of employee confidentiality even among peers, and
particularly where an issue involves a peer.\
