Director CBO Operations Job at Methodist Health System
Setting and achieving performance goals for HB and PB insurance payers by fostering teamwork, effective communication and moving conflict to collaboration within the Central Business Office. Monitors and improves all efforts to reduce accounts receivables according to goals established by MHS Administration. Monitors quality of work and proactively reviews trends and variances that may delay reimbursement. Leads JOC meetings and monthly payer meetings. Works with the Assistant Vice President to prioritize departmental initiatives to develop, implement, monitor, and communicate vendor expectations and reconciliation. Understanding and knowledge of budgets and performance standards for the area of responsibility in order to evaluate opportunities for cost saving and quality improvement. Interact with Human Resources for hiring, training, coaching, and counseling of employees in their area of responsibility.
Education:
High School diploma/GED
College degree or five years equivalent healthcare patient accounts experience may replace degree
Licenses and/or Certifications (Required and Preferred):
Professional Certification through HFMA, AAHAM, or EPIC preferred.
Related Work Experience and Other Skills:
Minimum 2 years healthcare management background preferred with some of the following:
- Health care terminology surrounding medical diagnostic and procedural coding.
- Experience with contract language preferred.
- High-quality math skills necessary.
- Ability to identify trends and variances.
- Microsoft Office software experience required.
- Experience in creating Excel spreadsheets/formulas required.
- Oral and written communication skills
- Organizational skills.
- Interpersonal skills.
- Ability to work well under deadline constraints.
- Maintaining strong working relationships with all Payers.
- Works within HIPAA regulations of confidentiality and privacy.
Job Roles (job duties that will appear on performance appraisal. Recommend no more than 10 job duties.)
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Setting and achieving performance goals for HB and PB insurance payers by fostering teamwork, effective communication and moving conflict to collaboration within the Central Business Office.
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Monitors and improves all efforts to reduce Accounts Receivables (AR) according to goals established by MHS Administration.
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Works with Assistant Vice President to prioritize department initiatives and develop, implement, monitor, revise and communicate vendor performance standards for the area of responsibility in order to evaluate opportunities for cost savings and quality improvement.
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Plans and organizes programs and projects for maximum effectiveness, including desktops operational changes; electronic information systems installations and enhancements; human resources activities as well as policy and process changes.
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Maintains a positive working relationship with other management, patients and the public to promote teamwork and cooperation and a positive public image. Accepts constructive criticism and integrates suggestions in effective ways. Appropriately responds to complaints or inquires as referred by department staff.
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Responds to all customer inquiries in a timely and professional manner to ensure optimal customer satisfaction. Exhibits well-developed problem solving skills including the ability to clarify needs, identifies appropriate solutions within the system, and follows through to the customer’s satisfaction.
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Assures department's compliance with all CBO Departmental, MHS institutional, local, state and federal regulations and laws, including inspections by JACHO and auditors; by keeping abreast of published guidelines. Manager ensures the ability to comply with all State and Federal regulations (including but not limited to patient-rights, Fair Debt Collections practices and other collection practices).
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Assures Quality Improvement efforts are successful by auditing patient accounts and other documents as well as the effectiveness of electronic systems in use.
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Monitors all relevant employee and customer satisfaction indicators and recognizes unacceptable practices and ensures timely response to problem areas.
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Other duties as assigned.
Methodist Health System is a highly revered, leading nonprofit healthcare organization in Dallas, Texas. Named one of the fastest-growing health systems in America by
Modern Healthcare, Methodist includes 13 hospitals, either through ownership or affiliation. Our wholly owned and full-service hospitals include Methodist Dallas, Methodist Charlton, Methodist Mansfield, Methodist Midlothian, and Methodist Richardson Medical Centers; Methodist Richardson – Campus for Continuing Care; and, our newest, Methodist Southlake Medical Center. Our affiliated physician organization is Methodist Medical Group, which includes more than 50 healthcare clinics, two concierge medicine clinics, an urgent care clinic, and a virtual care platform known as MethodistNOW. At Methodist, we strive to have a diverse workforce that reflects the communities we serve — one that is welcoming of the skills and talents of all groups. Our reputation as an award-winning employer shows in the honors we’ve earned:
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Magnet® designations for Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson
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150 Great Places to Work in Healthcare nine years in a row by Becker’s Hospital Review
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Military Friendly® Employer, Silver Designation
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One of three Top Healthcare Diversity Organizations in the U.S., 2019
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Ranked No. 2 on DiversityInc’s List of Top Hospitals and Health Systems in America, 2018
Our Care Commitments
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Take Care of Patients
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Take Care of Each Other
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Take Care of Ourselves
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Take Care of Methodist
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