SOME (So Others Might Eat) exists to help homeless and poor individuals and families in Washington, DC. Our more than 30 programs throughout the district provide comprehensive services that lead to mental and physical health, continued sobriety, job training, living-wage employment, and affordable housing. We meet immediate needs with food, clothing, and healthcare and offer the tools one needs to live with hope, dignity, and greater independence.
Compensation: We offer our employees a competitive compensation and benefits package that reflects our organizational culture, mission, and core values. The salary range for this position is $104,707.00 to $123,011.00 and may be commensurate with experience.
SOME (So Others Might Eat) is seeking a full-time Director, Healthcare Finance to support our Population Health department at our main headquarters location in NW Washington, DC.
Position Description: The Director of Healthcare Finance reports to the Senior Vice President, Practice Innovation and Reimbursement and with their team, has a unique opportunity to serve as a hands-on director for a busy federally qualified health center (FQHC) serving DC's diverse metropolitan area through its robust integrated care team model.
The Director, Healthcare Finance manages the activities of the reimbursement department to promote strong day-to-day billing operations internally and with our external billing vendor, cultivate and nurture strong working relationships, and maximize reimbursement in a cost-effective manner that follows federal, state, and payer-specific billing requirements for patient services.
This role prepares, analyzes, and maintains key revenue metrics and payer revenue performance indicators, ensuring that they reflect best practices and all aspects of operations and workflow to promote the ability to effectively process all encounters to maximize revenue and claim-based quality measure, value-based contracts.
Schedule: Monday - Friday, 8:00am - 4:30pm (40 hours per week) - Hybrid schedule optional at the discretion of the supervisor.
Required: Bachelor's Degree; 5+ years experience in analyzing outcome driven data in a healthcare environment; experience with electronic medical records, cost reports, and UDS reporting; 2 years management/supervisory experience.
Preferred: Master's Degree; 3-5 years experience in financial or business analysis; experience in Population Health, utilization management.
Required License/Certification: N/A
Knowledge, Skills, and Abilities:
- Able to communicate with all levels of the organization
- Collaboration skills
- Strong administrative and supervisory skills
- Investigatory skills
- Analytical and research skills
- Organizational skills with an attention to detail
- Proficient with MS Office, including Word, Excel, and Outlook, eClinical Works, eLoom, CRISP
- Excellent verbal and written communication skills
Expected Contributions: Business Analysis
- Manages all activities of the patient health billing to promote strong day-to-day revenue cycle operations internally and externally, cultivate and nurture strong working relationships, and work to maximize revenue for patient services.
- Works collaboratively with other SOME managers and directors to support them in strong coding and documentation and workflow to promote clean claims and maximize revenue.
- Proactively monitor trends on claims and payer issues impacting revenue and manage account receivables to be as low as possible and support the internal billing team and external billing vendor to work all claims to completion and target efforts to reduce processing time and maximize revenue.
- Oversee and manage departmental revenue cycle work to include a consistent approach to monthly close, closely monitoring, and proactive follow-up on claims over 30, 60, 90, and 120 days to reduce processing time and get them paid, focusing on A/R by payer and service area and solving any barriers.
- Tracks all issues impacting revenue or creating delays in payment as well as patient feedback to ensure department, external billing vendor, and managers/directors understand what issues have been identified and steps being taken to resolve the issues.
Expected Contributions: Team Management, Leadership, & Budget
- Manages the recruitment, selection, training, and development of the Reimbursement team and fosters communication, collaboration, and accountability within the team to meet the highest levels of customer service, ethical conduct, compliance, and performance of all revenue cycle activities.
- Develops and oversees departmental budget, including processing payments to vendors.
- Oversees patient health services revenue to maximize collections and executive billing best practices.
- Supports leadership in setting an annual budget for patient health billing, including budget assumptions based on historical data and provider capacity and creating resulting revenue projections.
Reports to: SVP, Practice Innovation, and Reimbursement
Position Designation: This position is designated as Safety Sensitive. You may be subject to drug testing prior to or during your employment with SOME. In this position, you may be disqualified from employment based on the presence of marijuana in test results, even if you possess a medical card authorizing the use of medical marijuana.
Closing Date: Open Until Filled
To Apply: Go to our career page at https://www.some.org/careers/open-opportunities and click on the search icon to locate this position. Follow the instructions to complete your online application profile to be considered. No phone calls, please.
SOME (So Others Might Eat) is an Equal Opportunity Employer.We do not discriminate on the basis of race, color, religion, national origin, sex, gender identity or expression, sexual orientation, age, marital status, personal appearance, family responsibilities, genetic information, disability, matriculation, political affiliation, veteran status, or liability for service in the Armed forces of the United States. SOME (So Others Might Eat) is also a Drug-Free Workplace.
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