Asst Dir Business Services

 
Position: Asst Dir Business Services

Job ID: 163727

Location: US-TX-Houston

Department: REV CYCLE OPS ADMINISTRATION

Talent Area: Professional - Non-Clinical

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8a-5p

About Texas Children's Hospital

  Texas Children’s Hospital  Since 1954, Texas Children’s has been leading the charge in patient care, education, and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S.News& World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years.  Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Center for pediatric research; Texas Children’s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children’s Hospital West Campus, a community hospital in suburban West Houston; and Texas Children’s Hospital The Woodlands, the first hospital devoted to children’s care for communities north of Houston. We have also created the nation’s first HMO for children, established the largest pediatric primary care network in the country and a global health program that is channeling care to children and women all over the world. Texas Children’s Hospital is also academically affiliated with Baylor College of Medicine, one of the largest, most diverse, and successful pediatric programs in the nation.  To join our community of 14,000 dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.  At Texas Children’s Hospital, diversity, equity, and inclusion are at the core of our values and mission for all of our patients and families that we serve. We are committed to providing a diverse and inclusive work environment for all faculty, staff, and learners throughout our organization. We believe that each member of our one amazing team provides enrichment that allows us to create a lasting legacy for future employees of this great organization.     Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved. 

Summary:

We are searching for an Assistant Director of Business Services - someone who works well in a fast-paced setting. In this position, you will work together with other areas to provide ongoing support including payor reporting, payment operations, transactions, transplant contract administration, and all other unique payor relationship management. To direct patient access services, effective collection of patient information, and to establish an operating plan to ensure the Hospital's accounts receivable are liquidated according to established standards, compliance with Federal and State laws governing patient access, strategic information is provided for financial/clinical planning, and processes are conducted in a customer service-oriented fashion.

 

Think you’ve got what it takes?



Responsibilities :

 

  • Ensures key processes have standards of performance that are measured, reported, and addressed.
  • Management and oversight of all payor reporting and database for the payor contracts to include management of payor reporting software.
  • Resolves patient access and reimbursement issues/problems by consulting with physicians, other Hospital departments, insurance companies, attorneys, and governmental agencies.
  • Directs key processes by monitoring and reporting performance statistics and explaining variances and adjustments when made.
  • Coordinates and/or directs process improvement opportunities and uses Hospital/IDS standard KIDS methodology to achieve desired outcomes. Ensures that improvement of key processes are prioritized, measured, and reported using metrics documentation such as performance indicators or quarterly reports to Quality and Outcomes Management.
  • Management of the Shell Center of Excellence Program to include patient relations revenue management, customer service, and reporting.
  • Management of operations associated with Out of State Medicaid payors, mental health agreements, maternal-fetal medicine, and single case agreements to include areas of process improvement, provider enrollment, claims management, collections, contract compliance, and reporting.
  • Collaborate with both TCPSO and TCH TDS operational departments to evaluate process workflows, identify opportunities and implement process improvement.
  • Reviews accounts are recommended for a write-off to identify performance issues and take action to ensure that uncompensated care is minimized.
  • Meets regularly with direct reports and staff to keep them informed and up to date with matters that impact their areas of responsibility
  •  


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

  • Required Bachelor's Degree with a preferred master’s degree in Business or healthcare administration
  • Required 3 years supervisory experience and 5 years’ experience in a healthcare or related service industry
  • Payment and Transactions Operations experience


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