General Summary
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
Financial Responsibilities:
Assists the senior management in managing and directing operations and performance of responsible departments.
a. Development of procedures for the collection of accurate patient information at point of admission or registration to ensure expeditious, "clean" billing and /or reimbursement for the patient services and procedures, as well as policies for collection of admission deposit and compliance reports.
b. Establishes service and financial performance standards, goal, and targets for the Medical Center, Kernan and USH's Patient Administrative and Patient Financial Services departments. Assist in the development of long-range planning and goals.
c. Assists in the identification of key elements which have a direct impact on revenue collections and develop information and administrative systems to capture critical statistics; report information to employee whose performance impact these elements; key elements consider are patient account , balance status, 3808 financial class status , payor rejection rates, census , coder quality and productively.
d. Analyzes the utilization of information systems related to the flow of intra-departmental information and third party payor; recommends enhancements to software and/or hardware, as appropriate with the objective being to improve the lack of information between entitles and that will expedite the performance tracking of registration, billing, collection and medical record coding.
e. Plans and implements the design of a physical facility layout to optimize utilization review, financial counseling, medical record management, in-service training, supervision of work units, and patient administrative service.
f. Determines manpower staffing requirements for the assigned departments; assigns required to maximize revenue within budget allocations.
g. Establishes targets for Gross Days of Accounts Receivable Outstanding (GPRO) projected annual cash collections and uncompensated percentage for UMMC, Kernan and USH.
Manages Patient Administrative Service and Patient Financial Services departments, including all the functions of pre-registration, registration, clinical reimbursement, billing and claims, collections, cash management/reconciliation and supporting financial reporting and analysis.
Directs and manages the performance of the various departmental staff through subordinate managers, including hiring, firing, disciplining, training, development, and performance review in accordance with UMMS Human Resources policies and procedures. Ensure that standards of productivity are established and followed.
Demonstrate, through plans and actions, that there is a consistent standard of excellence to which all departmental work is expected to conform.
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Education and Experience
Knowledge, Skills and Abilities
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