Under general direction, to manage, direct and coordinate a billing, collection, cash, data, and/or system unit or units within the Santa Clara Valley Health and Hospital System (SCVHHS) Patient Business Services (PBS).

COVID-19 Risk Tier – Intermediate Risk

Learn more about County of Santa Clara Health System at:
scvmc.org, och.sccgov.org, slrh.sccgov.org

Twitter I @scvmctalent
Facebook I facebook.com/SCVMC
LinkedIn | linkedin.com/scvmc

• Manages the billing and collection operations within SCVHHS's Patient Business Services;
• Provides key leadership in ensuring SCVHHS's success in meeting its Mission and Values commitment;
• Manages, guides, directs, evaluates, trains, hires and terminates subordinate supervisory and support staff;
• Manages Continuous Quality Improvement program;
• Recommends, develops, implements, interprets and maintains policies and procedures;
• Evaluates, interprets and ensures compliance with Local, State and Federal regulatory requirements, laws and practices related to billing and collections;
• Educates and trains staff and other departments and/or agencies in the areas of healthcare billing and related activities to ensure compliance;
• Develops budget and monitors performance to budget; ensures continuous optimization opportunities;
• Prepares annual goals and objectives; involving subordinates in the process;
• Assists customers, e.g. patients, physicians, department heads, in resolving concerns;
• Develops, monitors, and provides reports regarding accounts receivable and unit performance;
• Serves as an expert resource for SCVHHS on areas of billing, collections, court proceedings, internal and external committees and related activities;
• Attends; facilitates and/or participates in meetings and/or projects involving activities associated with the operational and financial performance of SCVHHS;
• Participates in the analysis and resolution of complex issues relating to billing and collections that could have significant impact on the organization, including working with staff externalto PBS and/or external to SCVHHS;
• Collaborates with technical staff to assess, create, modify and troubleshoot information systems that develop, support, enhance and maintain the operations, processes and performance of the unit;
• Prepares statistical and data reports on a wide range of activities, such as accounts receivable analyses, clinical operations in relation to charging, coding, billing and claim denials;
• May be assigned as a Disaster Service Worker, as required;
• Performs other related duties as required.

Sufficient education, training and experience to demonstrate possession of the following knowledge and abilities:

Training and Experience Note: The required knowledge and abilities are acquired through training and experience equivalent to possession of a Bachelor's Degree in Health Care Administration, Accounting, Business Administration or related field and three (3) years of administrative, managerial, or supervisory experience in a health care billing and collections department, at least one (1) of which was in a supervisory capacity equivalent to Supervising Patient Business Services Clerk within Santa Clara County.

Certification:
Must obtain appropriate Epic certification within six (6) months of appointment or vacate the position.

Knowledge of:

• Operations of a patient accounting department for a large complex health care facility, including clinic, hospital, ancillary and professional fee billing and collection;
• Principles and practices of organization, management, labor relations, and budget;
• Principles of supervision, employee motivation and training;
• Principles of management analysis;
• Principles of change management;
• Project management;
• Specific assignments will require specialized knowledge of:
  • Local, State and Federal regulatory requirements, laws and practices, policies and procedures related to billing and collections for the area(s) of:
    • Mental Health
    • Public Health
    • Drug and Alcohol
    • Medicare
    • Medi-Cal
    • Insurance
    • Self-pay
• Special County or Federal Programs;
• Third Party Litigation/Subrogation;
• Patient accounting information systems;
• Cash processing and general accounting practices;
• Diagnostic and procedure coding;
• Charge Entry.

• Plan, organize, and direct a complex unit(s) within Patient Business Services;
• Develop and implement new processes and procedures;
• Analyze complex changes in third party payor requirements for impact on hospital operations, make related recommendations, and implement necessary changes;
• Communicate effectively, orally and in writing;
• Prepare clear and concise correspondence and reports;
• Establish and maintain effective working relationships with those contacted in the course of work;
• Motivate and coordinate the activities of groups, including groups that may not have a direct reporting relationship;
• Analyze work processes internally and across multidisciplinary areas to ensure maximum efficiency and compliance;
• Analyze budgetary and staffing requirements and make recommendations;
• Prioritize conflicting projects, issues and responsibilities.