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Director of Patient Financial Services - Kennebec Behavioral Health

Job description

Kennebec Behavioral Health, a comprehensive mental health care center in Central Maine and one of Maine’s Best Places to work in 2022, is seeking a Director of Patient Financial Services. The primary role of the position is to provide direct oversight to a department of six staff and to oversee the delivery of all billing and related services to clients and/or appropriate 3rd party payors. The Director also ensures that the credentialing for all licensed providers is completed in a timely manner.

Responsibilities will include:

Providing oversight to the Patient Financial Services Department staff to include:

• Provide ongoing education, training and support to team members
• Ensure workload is evenly shared by all staff and that staff are appropriately cross trained
• Provide support to improve or streamline business functions
• Ensure all billing, payments and reports are completed at end of each month.

Acting as a resource to management and clinical staff regarding billing requirements, provide a channel for communication and to ensure efficiency and compliance

• Monitor and ensure program compliance with payor requirements.
• Maintain quality assurance process for program evaluation.
• Collect and assemble all data as required for contracts, research, analytic, and internal reporting measures.
• Mediate and resolve issues and concerns of KBH staff, Insurance carriers and clients.
• Respond to management requests for data timely and accurately
• Work directly with IT Department for System and/or billing changes or issues
• Manage our Billing Clearing house and online credit card process.
• Understanding of medical coding nomenclature and process

Providing supervisory oversight to the Coordinators for Credentialing and Managed Care

• Develop tracking and reporting tools to reduce denials and maximize authorizations
• Work with Department of Health and Human Services for authorization for outstanding services.
• Guide clinical staff in following managed care policies and procedures.
• Ensure all requirements are met for new hires to be able to bill insurers
• Ensure confidentiality and security of licensing and financial records related to the process
• Ensure that all communications and requests of new providers meets insurer & KBH standards.
• Ensure Agency and Provider re-credentialing standards and enrollments for all insurances are kept current.

EDUCATION: Associates degree or higher and a minimum of 5 years equivalent work experience

REQUIRED EXPERIENCE:

• Staff Management experience
• Contracting & Payor relations background
• Understanding of billing processes and accounting principles
• Billing software
• Extensive Excel and/or another database use

REQUIRED KNOWLEDGE:

• Knowledge of third-party reimbursement preferred
• Knowledge of insurance payor contracting
• Knowledge of Medicare and Medicaid requirements
• Understanding of electronic claims and billing systems
• Knowledge of CPD coding
• Knowledge of contract renewal for commercial payors

Job Type: Full-time

Salary Information:  $78,000 per year

Work Environment:  Office setting

To apply:  Apply below and include a resume:    

https://www.kbhmaine.org/job/director-of-patient-financial-services/

Posted 8-8-23