Dir Business Services

 
Position: Dir Business Services

Job ID: 161256

Location: US-TX-Houston

Department: REVENUE CYCLE ADMINISTRATION

Talent Area: Professional - Non-Clinical

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 7a-3:30p

About Texas Children's Hospital

The Texas Children’s Hospital system is the largest pediatric integrated care system and is an industry leader in pediatric population health. Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children and pregnant women.  We are an Integrated Community System providing holistic care that empowers families to live healthier lives.  Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.  Currently, the Health Plan serves more than 450,000 members across three state territories (Harris, Jefferson, North East), who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. To join our community of 13,000 dedicated team members, visit www.texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at www.infinitepassion.org

Summary:

We are searching for a Director of Business Services -- someone who works well in a fast-paced setting. In this position, you will be responsible for coordination and management of the professional fee billing and collection communications to the academic sections. Responsibilities include leadership aspects of revenue cycle communications, continuous performance improvement and revenue recovery in concert with other revenue cycle leaders, practice administrators, section leaders and executives.

 

Think you’ve got what it takes?



Responsibilities :

  • Achieve the enterprise goals of increasing cash collections in proportion to expected reimbursement, lowering the level of uncollectable accounts for bad debt and uncompensated care arising from payor denials and process failures
  • Analyze performance and review monthly reports to clinical and administrative leaders as needed.
  • Lead and/or participates in strategic projects that enable the revenue cycle operation to establish and exceed organizational objectives including, annual revenue growth, wRVU generation tracking and trending, billing system technical redesign, process improvement / workflow redesign
  • Develop, implement, and direct continuous quality improvement initiatives
  • Develop, communicate and defend the business cases for appropriate in-sourcing of revenue cycle functions
  • Ensures staff assignments are appropriate and formal training and other experiences are available to foster learning and development
  • Develops and supports an ongoing quality assessment and improvement program that targets the most important aspects of services provided by the department


Qualifications:

  • Being fully vaccinated against COVID-19, including any booster dose(s) of the COVID-19 vaccine recommended by the Centers for Disease Control when eligible, is required for all employees at Texas Children’s, unless approved for a medical or religious exemption.
  • Bachelor’s degree required
  • Master’s degree preferred
  • 7 years revenue cycle, managed care, continuous quality improvement, and/or business administration experience, including at least 3 years of formal supervisory experience required
  • A Master's degree may substitute for two (2) years of revenue cycle, managed care, continuous quality improvement, and/or business administration experience
  • Clinical experience preferred.


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