SUMMARY:

The Billing Director is responsible for revenue maximization for all assigned Camarena Health receivables. The Billing Director develops and maintains reports regarding accounts receivables and establishes and maintains reporting and departmental policies and procedures to ensure quality and effectiveness of work completed. Supervises Billing personnel and conveys information regarding performance to employees in a positive, constructive manner and ensure effective work habits. Assist in the establishment and implementation of annual operating and capital budget and departmental goals.

Duties and Responsibilities:

1.0 Focus on Oversight and Supervision of A/R Unit:

1.1 Supports Camarena financial position by managing an effective charge capturing system, payment and adjustment posting, and billing and collection program that lead toward achievement of goals.

1.2 Communicates regularly with COO on departmental activities and issues; and keeps Chief Operations Officer and Director of Finance informed of specific payor issues affecting reimbursement.

1.3 Manages the continued development of the unit by maintaining appropriate policies and procedures.

1.4 Support the team environment by maintaining a high level of motivation, dedication, professionalism and personal appearance for self and staff.

1.5 Supports Camarena financial position by resolving credit balances and making determinations for possible refunds.

1.6 Supports the goals of the team by identifying and correcting problems and ensures that adequate material and personnel resources are available.

1.7 Ensures quality work by reviewing staff work to ensure billing, collecting, follow-up and documentation standards are met.

1.8 Ensures sufficient internal controls to maintain integrity of all data processing activities and regular monitoring of third party reimbursement changes, denials and appeals, unbilled revenue, and credit balance issues.

1.9 Ensures that proper paperwork and approvals are maintained on administrative adjustment approvals, deposit waivers, uncompensated care approvals, bad debt
write-off approvals, refunds, denials, appeals, and certifications.

1.10 Initial approval of all refunds and adjustments. (Final approval by COO.)

2.0 Focus on Individual Performance:

2.1 Work collaboratively with employees throughout Camarena Health and outside agencies by demonstrative commitment to and knowledge of team goals.

2.2 Communicates effectively with team members, work out problems encountered and provide constructive suggestions to improve team performance.

3.0 Focus on Corporate Expectations/Standards:

3.1 Attends and actively participates in all meetings (e.g., team meetings, department meetings, program meetings, case management meetings, employee staff meetings) and other activities as required or assigned.

3.2 Attends workshops/seminars as necessary to increase skills and knowledge to provide effective support.

3.3 Works flexible or extended hours where necessary.

3.4 Demonstrates awareness of, and compliance with, organizational mission and objective of Camarena Health to provide health care access and support services for all members of the community.

3.5 Other work-related duties as assigned by supervisor; duties and responsibilities may be added, deleted, or changed at any time at the discretion of management, formally or informally either verbally or in writing.

3.6 Maintains confidentiality and respect for information regarding patients and other team members; abides by Camarena Health Rules of Confidentiality

Education:

• Bachelors Degree preferred. 

Prior Experience:

· Minimum of 2-3 years of health care related business experience. Preferably with working knowledge of specialty programs (e.g., CHDP, BCEDP, Medi-Cal).

· Extensive experience with Healthport and Dentrix