Henry Ford Health System Director of Insurance Billing Services - Central Business Office - Troy or Jackson in Detroit, Michigan

GENERAL SUMMARY:

The Director of Insurance Billing Services is responsible for the effective functioning of the Corporate Insurance Billing office across the multi-facility integrated healthcare delivery system; which includes all insurance billing associated with Henry Ford Health System hospitals, outpatient clinics and employed physicians. This position leads through sharing knowledge, motivation and empowerment of insurance billing office team to provide high quality services, which meet or exceed customer expectations. Through collaboration with members of the team and revenue cycle leadership, identifies departmental and business unit priorities, establishes goals and implements strategies designed to foster a culture of innovation, employee engagement, patient satisfaction, and exceptional business performance.

**This position can be performed from either our Troy or Jackson locations.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Daily Operations

  • Responsible for all insurance billing functions to include claims processing, payer follow up and accounts receivable management.

  • Responsible for providing feedback to areas to reduce denials, preventable losses and increase claims payment from payers.

  • Collaborates with HFHS departments to ensureservices performed are appropriately charged and posted in a timely and compliant manner.

  • Collaborates with HFHS departments to ensure pre-billing activities (including but not limited to: coding, insurance verification, obtaining authorizations) are performed in a timely and accurate manner.

  • Coordinates resolutions of exceptions across multiple work queues such as pre-bill, claim scrubber, payer rejection, etc., utilizing the workstream philosophy.

  • Responsible for revenue cycle operations related to insurance billing for all hospital business units.

  • Maintains revenue cycle accountability to the business units.

  • Prepares annual budget and manages expenses and staffing levels.

  • Partners with key leaders across the system to enhance the insurance billing experience.

  • Recruits and develops leaders, to build a culture for high performance and engaged workforce.

  • Responsible for the continued integration and management of consistent processes, policies, and technology.

  • Oversees/directs the development of policies and procedures for the department.

  • Participates in data collection for performance measures, investigates opportunities and implements solutions for optimization.

  • Demonstrates belief in the mission of Henry Ford Health System through the ability to articulate, interpret, and incorporate its mission into departmental goals and objectives.

  • Supports the standards set forth in the HFHS Code of Conducts by creating an atmosphere of commitment to legal and ethical standards.

  • Establishes priorities and long and short-term strategic goals of the department with the assistance of the management team. Ensures staff is aligned with the goals and objectives related to Revenue Cycle for the organization.

  • Actively participates in various committees such as, Revenue Cycle Council, Compliance, etc.

  • May develop and/or lead committees/teams related to regulatory changes, performance improvement and compliance.

  • Ensures that information systems support current and future needs of the department. Works closely with information technology in transition planning including, but not limited to, testing, installation and education of staff to produce and maintain high quality data integrity.

  • Creates and manages strategic partnerships with vendors and third party systems to ensure optimization of costs and quality.

  • Monitors performance of external vendors with monthly performance metrics and standards compared to benchmarks.

  • Partners with key leaders across the system to ensure accurate accounts receivable recording activities in accordance with generally accepted accounting principles.

  • Performs other related duties as assigned.

Compliance

  • Responsible for maintaining regulatory compliance with external agencies and state and federal regulations. Ensures staffs are kept informed and educated on process and regulatory changes.

  • Works with risk management, legal counsel, compliance office, administrative staff, key departments, providers, and committees to ensure that the organization maintains appropriate compliance including privacy, security and confidentiality policies, procedures, forms, coding, information notices, and materials that reflect current organizational practices and regulatory requirements.

Quality Management

  • Is the guiding force behind the identification, establishment and maintenance of quality improvement activities related to insurance billing services. Promotes the principles of quality improvement and utilizes the results of quality improvement activities to identify areas where change would benefit the team and its customers.

  • Works with appropriate System and revenue cycle leadership, ensures insurance billing services representation and participation in appropriate external collaboration, think tanks, benchmarking groups, best practices, other initiatives at the local, state, and national levels.

EDUCATION/EXPERIENCE REQUIRED:

  • Bachelor’s degree in Accounting, Business Administration, Finance, or other business related field required.

  • Masters degree in a business or a health administration related field preferred.

  • Five years management experience required with director level preferred.

  • Knowledge of best practices related to revenue cycle operations.

  • Experience at a large, complex, integrated healthcare organization, preferred.

  • Experience with insurance billing, patient accounting systems and other related applications, preferred.

  • Communication skills and the ability to interact effectively with staff. Ability to manage, coordinates, and leads simultaneously. Ability to estimate time frames and meet projected deadlines.

  • Ability to work with a variety of individuals in executive, managerial and staff level positions.

  • Ability to work independently.

  • Ability to understand and lead change.

  • Goal oriented, exceptional interpersonal skills, change management and political skill.

    Overview

    Henry Ford Health System, one of the largest and most comprehensive integrated U.S. health

    care systems, is a national leader in clinical care, research and education. The system includes

    the 1,200-member Henry Ford Medical Group, five hospitals, Health Alliance Plan (a health

    insurance and wellness company), Henry Ford Physician Network, a 150-site ambulatory

    network and many other health-related entities throughout southeast Michigan, providing a

    full continuum of care. In 2015, Henry Ford provided $299 million in uncompensated care.

    The health system also is a major economic driver in Michigan and employs more than 24,600

    employees. Henry Ford is a 2011Malcolm Baldrige National Quality Award recipient. The

    health system is led by President and CEO Wright Lassiter III. To learn more, visitHenryFord.com.

    Benefits

    Whether it's offering a new medical option, helping you make healthier lifestyle choices or

    making the employee enrollment selection experience easier, it's all about choice. Henry

    Ford Health System has a new approach for its employee benefits program - My Choice

    Rewards. My Choice Rewards is a program as diverse as the people it serves. There are

    dozens of options for all of our employees including compensation, benefits, work/life balance

    and learning - options that enhance your career and add value to your personal life. As an

    employee you are provided access to Retirement Programs, an Employee Assistance Program

    (Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness

    and access to day care services at Bright Horizons Midtown Detroit, and a whole host of other

    benefits and services.

    Equal Employment Opportunity/Affirmative Action Employer

    Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is committed to the hiring, advancement and fair treatment of all individuals without regard to race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height, weight, marital status, family status, gender identity, sexual orientation, and genetic information, or any other protected status in accordance with applicable federal and state laws.